The ASXL1-G643W variant accelerates the development of CEBPA mutant acute myeloid leukemia

Haematologica. 2021 Apr 1;106(4):1000-1007. doi: 10.3324/haematol.2019.235150.

Abstract

ASXL1 is one of the most commonly mutated genes in myeloid malignancies, including Myelodysplastic Syndrome (MDS) and Acute Myeloid Leukemia (AML). In order to further our understanding of the role of ASXL1 lesions in malignant hematopoiesis, we generated a novel knock-in mouse model carrying the most frequent ASXL1 mutation identified in MDS patients, p.G643WfsX12. Mutant mice did not display any major hematopoietic defects nor developed any apparent hematological disease. In AML patients, ASXL1 mutations co-occur with mutations in CEBPA and we therefore generated compound Cebpa and Asxl1 mutated mice. Using a transplantation model, we found that the mutated Asxl1 allele significantly accelerated disease development in a CEBPA mutant context. Importantly, we demonstrated that, similar to the human setting, Asxl1 mutated mice responded poorly to chemotherapy. This model therefore constitutes an excellent experimental system for further studies into the clinically important question of chemotherapy resistance mediated by mutant ASXL1.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CCAAT-Enhancer-Binding Proteins
  • Hematopoiesis
  • Humans
  • Leukemia, Myeloid, Acute* / genetics
  • Mice
  • Mutation
  • Myelodysplastic Syndromes* / genetics
  • Myeloproliferative Disorders*
  • Repressor Proteins / genetics

Substances

  • ASXL1 protein, human
  • Asxl1 protein, mouse
  • CCAAT-Enhancer-Binding Proteins
  • CEBPA protein, human
  • CEBPA protein, mouse
  • Repressor Proteins

Grants and funding

Funding: This work was supported by a grant from the Danish Cancer Society (to Teresa D’Altri) and through a center grant from the Novo Nordisk Foundation (Novo Nordisk Foundation Center for Stem Cell Biology, DanStem; Grant Number NNF17CC0027852). The present work is also part of the Danish Research Center for Precision Medicine in Blood Cancers funded by the Danish Cancer Society grant no. R223-A13071 and Greater Copenhagen Health Science Partners.