Scientific article
Open access

Epigenetic changes in human model KMT2A leukemias highlight early events during leukemogenesis

Published inHaematologica, vol. 107, no. 1, p. 86-99
Publication date2022-01-01
First online date2022-01-01

Chromosomal translocations involving KMT2A gene are one of the most common genetic alterations found in pediatric acute myeloid leukemias (AML) although the molecular mechanisms that initiate the disease remain incompletely defined. To elucidate these initiating events we have used a human model system of AML driven by the KMT2A-MLLT3 (KM3) fusion. More specifically, we investigated changes in DNA methylation, histone modifications, and chromatin accessibility at each stage of our model system and correlated these with expression changes. We observe the development of a profound hypomethylation phenotype in the early stages of leukemic transformation after KM3 addition along with loss of expression of stem cell associated genes along with skewed expression in other genes such as S100A8/9 implicated in leukemogenesis. In addition, early increases in the expression of the lysine demethylase KDM4B was functionally linked to these expression changes as well as other key transcription factors. Remarkably, our ATAC-seq data showed that there were relatively few leukemiaspecific changes and the vast majority corresponded to open chromatin regions and transcription factor clusters previously observed in other cell types. Integration of the gene expression and epigenetic changes revealed the adenylate cyclase gene ADCY9 as an essential gene in KM3-AML, and suggest the potential for autocrine signalling through the chemokine receptor CCR1 and CCL23 ligand. Together, our results suggest that KM3 induces subtle changes in the epigenome while co-opting the normal transcriptional machinery to drive leukemogenesis.

  • Adenylyl Cyclases
  • Child
  • DNA Methylation
  • Epigenesis, Genetic
  • Histone-Lysine N-Methyltransferase
  • Humans
  • Jumonji Domain-Containing Histone Demethylases
  • Leukemia, Myeloid
  • Leukemia, Myeloid, Acute / genetics
  • Mutation
  • Myeloid-Lymphoid Leukemia Protein
  • Translocation, Genetic
Affiliation Not a UNIGE publication
Citation (ISO format)
MILAN, Thomas et al. Epigenetic changes in human model KMT2A leukemias highlight early events during leukemogenesis. In: Haematologica, 2022, vol. 107, n° 1, p. 86–99. doi: 10.3324/haematol.2020.271619
Main files (1)
Article (Published version)
ISSN of the journal0390-6078

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