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Interconversion between Tumorigenic and Differentiated States in Acute Myeloid Leukemia

MD. McKenzie, M. Ghisi, EP. Oxley, S. Ngo, L. Cimmino, C. Esnault, R. Liu, JM. Salmon, CC. Bell, N. Ahmed, M. Erlichster, MT. Witkowski, GJ. Liu, M. Chopin, A. Dakic, E. Simankowicz, G. Pomilio, T. Vu, P. Krsmanovic, S. Su, L. Tian, TM. Baldwin,...

. 2019 ; 25 (2) : 258-272.e9. [pub] 20190801

Language English Country United States

Document type Journal Article, Research Support, Non-U.S. Gov't

Grant support
NV16-31586A MZ0 CEP Register

Tumors are composed of phenotypically heterogeneous cancer cells that often resemble various differentiation states of their lineage of origin. Within this hierarchy, it is thought that an immature subpopulation of tumor-propagating cancer stem cells (CSCs) differentiates into non-tumorigenic progeny, providing a rationale for therapeutic strategies that specifically eradicate CSCs or induce their differentiation. The clinical success of these approaches depends on CSC differentiation being unidirectional rather than reversible, yet this question remains unresolved even in prototypically hierarchical malignancies, such as acute myeloid leukemia (AML). Here, we show in murine and human models of AML that, upon perturbation of endogenous expression of the lineage-determining transcription factor PU.1 or withdrawal of established differentiation therapies, some mature leukemia cells can de-differentiate and reacquire clonogenic and leukemogenic properties. Our results reveal plasticity of CSC maturation in AML, highlighting the need to therapeutically eradicate cancer cells across a range of differentiation states.

Assistance Publique Hôpitaux de Paris Oncologie Moléculaire Hôpital St Louis 75010 Paris France

Australian Centre for Blood Diseases Monash University Commercial Road Melbourne VIC 3004 Australia

Baker Heart and Diabetes Institute Melbourne VIC 3004 Australia

Cancer and Haematology Division Walter and Eliza Hall Institute of Medical Research 1G Royal Parade Parkville VIC 3052 Australia

Collège de France PSL Research University 75005 Paris France

Department of Biosystems Science and Engineering ETH Zurich Mattenstrasse 26 4058 Basel Switzerland

Department of Clinical Haematology The Alfred Hospital Melbourne VIC 3004 Australia

Department of Immunology and Pathology Monash University Commercial Road Melbourne VIC 3004 Australia

Department of Medical Biology University of Melbourne Parkville VIC 3010 Australia

Department of Pathology New York University School of Medicine 550 1 Avenue New York NY 10016 USA

Department of Pediatrics Harvard Medical School Boston MA USA

Division of Hematology Oncology Boston Children's Hospital Boston MA USA

INSERM U944 CNRS UMR7212 Université de Paris Institut de Recherche Saint Louis 75010 Paris France

Institute of Pathological Physiology and Biocev 1st Faculty of Medicine Charles University Prague Czech Republic

Medical University of Vienna 1030 Vienna Austria

Molecular Immunology Division Walter and Eliza Hall Institute of Medical Research 1G Royal Parade Parkville VIC 3052 Australia

Molecular Medicine Division Walter and Eliza Hall Institute of Medical Research 1G Royal Parade Parkville VIC 3052 Australia

Peter MacCallum Cancer Centre Melbourne VIC 3000 Australia

Research Institute of Molecular Pathology Campus Vienna Biocenter 1 1030 Vienna Austria

School of Mathematics and Statistics University of Melbourne Parkville VIC 3010 Australia

Sir Peter MacCallum Department of Oncology University of Melbourne Parkville VIC 3010 Australia

Victorian Cancer Cytogenetics Service St Vincent's Hospital 41 Victoria Parade Fitzroy VIC 3065 Australia

References provided by Crossref.org

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