Inactivation of LEF1 in T-cell acute lymphoblastic leukemia

被引:96
作者
Gutierrez, Alejandro [1 ,2 ]
Sanda, Takaomi [1 ]
Ma, Wenxue [3 ,4 ]
Zhang, Jianhua [5 ]
Grebliunaite, Ruta [1 ]
Dahlberg, Suzanne [6 ]
Neuberg, Donna [6 ]
Protopopov, Alexei [5 ]
Winter, Stuart S. [7 ]
Larson, Richard S. [8 ]
Borowitz, Michael J. [9 ,10 ]
Silverman, Lewis B. [1 ,2 ,11 ]
Chin, Lynda [5 ]
Hunger, Stephen P. [12 ,13 ]
Jamieson, Catriona [3 ,4 ]
Sallan, Stephen E. [1 ,2 ]
Look, A. Thomas [1 ,2 ]
机构
[1] Dana Farber Canc Inst, Dept Pediat Oncol, Boston, MA 02115 USA
[2] Childrens Hosp, Div Hematol Oncol, Boston, MA 02115 USA
[3] Univ Calif San Diego, Dept Med, La Jolla, CA 92093 USA
[4] Univ Calif San Diego, Moores Canc Ctr, La Jolla, CA 92093 USA
[5] Dana Farber Canc Inst, Belfer Inst Appl Canc Sci, Boston, MA 02115 USA
[6] Dana Farber Canc Inst, Dept Biostat & Computat Biol, Boston, MA 02115 USA
[7] Univ New Mexico, Dept Pediat, Hlth Sci Ctr, Albuquerque, NM 87131 USA
[8] Univ New Mexico, Dept Pathol, Hlth Sci Ctr, Albuquerque, NM 87131 USA
[9] Johns Hopkins Med Inst, Dept Pathol, Baltimore, MD 21205 USA
[10] Johns Hopkins Med Inst, Dept Oncol, Baltimore, MD 21205 USA
[11] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA 02115 USA
[12] Univ Colorado, Sch Med, Sect Pediat Hematol Oncol, Aurora, CO USA
[13] Childrens Hosp, Aurora, CO USA
基金
美国国家卫生研究院;
关键词
GENE-EXPRESSION SIGNATURES; TRANSCRIPTION FACTORS; C-MYC; DIFFERENTIATION; MUTATIONS; CANCER; TUMORS; WNT; IDENTIFICATION; ISOFORMS;
D O I
10.1182/blood-2009-07-234377
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To further unravel the molecular pathogenesis of T-cell acute lymphoblastic leukemia (T-ALL), we performed high-resolution array comparative genomic hybridization on diagnostic specimens from 47 children with T-ALL and identified monoallelic or biallelic LEF1 microdeletions in 11% (5 of 47) of these primary samples. An additional 7% (3 of 44) of the cases harbored nonsynonymous sequence alterations of LEF1, 2 of which produced premature stop codons. Gene expression microarrays showed increased expression of MYC and MYC targets in cases with LEF1 inactivation, as well as differentiation arrest at an early cortical stage of thymocyte development characterized by expression of CD1B, CD1E, and CD8, with absent CD34 expression. LEF1 inactivation was associated with a younger age at the time of T-ALL diagnosis, as well as activating NOTCH1 mutations, biallelic INK4a/ARF deletions, and PTEN loss-of-function mutations or activating mutations of PI3K or AKT genes. These cases generally lacked overexpression of the TAL1, HOX11, HOX11L2, or the HOXA cluster genes, which have been used to define separate molecular pathways leading to T-ALL. Our findings suggest that LEF1 inactivation is an important step in the molecular pathogenesis of T-ALL in a subset of young children. (Blood. 2010; 115(14): 2845-2851)
引用
收藏
页码:2845 / 2851
页数:7
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