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Mechanisms of aberrant transcription of EVI1 in acute myeloid leukemia with inv(3)(q21q26.2) or t(3;3)(q21;q26.2).

Subject Area Hematology, Oncology
Term from 2011 to 2014
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 205982662
 
Final Report Year 2015

Final Report Abstract

In summary, wecould identify a small, commonly altered region corresponding to an enhancer region found to directly bind the EVI1 promotor in inv(3)/t(3;3) AML, as proposed in the original grant application. Enrichment of H3K27-ac enhancer marks suggest that it may act as a super-enhancer. The tumor-suppressor and key myeloid transcript GATA2 was revealed to be regulated by this same enhancer region on chromosome 3. The characteristic leukemogenic translocations on chromosome 3 thus result in a functional haplo-insufficiency of an otherwise wild-type GATA2. The WHO AML inv(3)/t(3;3)/RPN1-EVI1 is now considered for reclassification into inv(3)/t(3;3)/GATA2-EVI1 based on these observations made both in human and mice by us and others. We propose that such events are likely to be highly prevalent in a wide range of tumor entities. We could show that control of oncogene expression by this type of enhancers is a likely operative pathogenic pathway that might allow for developments of novel strategies for detection and treatment.

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