PU.1 eviction at lymphocyte-specific chromatin domains mediates glucocorticoid response in acute lymphoblastic leukemia

Nat Commun. 2024 Nov 8;15(1):9697. doi: 10.1038/s41467-024-54096-2.

Abstract

The epigenetic landscape plays a critical role in cancer progression, yet its therapeutic potential remains underexplored. Glucocorticoids are essential components of treatments for lymphoid cancers, but resistance, driven in part by epigenetic changes at glucocorticoid-response elements, poses a major challenge to effective therapies. Here we show that glucocorticoid treatment induces distinct patterns of chromosomal organization in glucocorticoid-sensitive and resistant acute lymphoblastic leukemia xenograft models. These glucocorticoid-response elements are primed by the pioneer transcription factor PU.1, which interacts with the glucocorticoid receptor. Eviction of PU.1 promotes receptor binding, increasing the expression of genes involved in apoptosis and facilitating a stronger therapeutic response. Treatment with a PU.1 inhibitor enhances glucocorticoid sensitivity, demonstrating the clinical potential of targeting this pathway. This study uncovers a mechanism involving PU.1 and the glucocorticoid receptor, linking transcription factor activity with drug response, and suggesting potential therapeutic strategies for overcoming resistance.

MeSH terms

  • Animals
  • Apoptosis / drug effects
  • Cell Line, Tumor
  • Chromatin* / metabolism
  • Drug Resistance, Neoplasm / genetics
  • Epigenesis, Genetic / drug effects
  • Female
  • Gene Expression Regulation, Leukemic / drug effects
  • Glucocorticoids* / pharmacology
  • Humans
  • Lymphocytes / drug effects
  • Lymphocytes / metabolism
  • Mice
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma* / drug therapy
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma* / genetics
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma* / metabolism
  • Proto-Oncogene Proteins* / genetics
  • Proto-Oncogene Proteins* / metabolism
  • Receptors, Glucocorticoid* / genetics
  • Receptors, Glucocorticoid* / metabolism
  • Response Elements
  • Trans-Activators* / genetics
  • Trans-Activators* / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • proto-oncogene protein Spi-1
  • Trans-Activators
  • Chromatin
  • Glucocorticoids
  • Receptors, Glucocorticoid
  • Proto-Oncogene Proteins