Inhibition of DEK restores hematopoietic stem cell function in Fanconi anemia

J Exp Med. 2025 Mar 3;222(3):e20241248. doi: 10.1084/jem.20241248. Epub 2025 Jan 21.

Abstract

Hematopoietic stem cells (HSCs) are susceptible to replication stress, which is a major contributor to HSC defects in Fanconi anemia (FA). Here, we report that HSCs relax the global chromatin by downregulating the expression of a chromatin architectural protein, DEK, in response to replication stress. DEK is abnormally accumulated in bone marrow (BM) CD34+ cells from patients with FA and in Fancd2-deficient HSCs. DEK haploinsufficiency promotes chromatin relaxation, replication stress relief, and function recovery of Fancd2-deficient HSCs. Furthermore, inhibition of DEK restores the proliferation of FA CD34+ cells in vitro and enhances their engraftment in vivo. Mechanistically, the activating transcription factor 2 (ATF2), specifically phosphorylated ATF2 at Thr69/71, was identified as a promoter of DEK transcription. Fancd2 deficiency results in p38 hyperphosphorylation, which in turn phosphorylates ATF2 at Thr69/71, leading to DEK accumulation in HSCs. In conclusion, our findings establish a functional link between chromatin relaxation and replication stress tolerance in HSCs and highlight DEK as a target for FA.

MeSH terms

  • Activating Transcription Factor 2* / genetics
  • Activating Transcription Factor 2* / metabolism
  • Animals
  • Antigens, CD34 / metabolism
  • Cell Proliferation
  • Chromatin / metabolism
  • Chromosomal Proteins, Non-Histone* / genetics
  • Chromosomal Proteins, Non-Histone* / metabolism
  • DNA-Binding Proteins
  • Fanconi Anemia Complementation Group D2 Protein* / genetics
  • Fanconi Anemia Complementation Group D2 Protein* / metabolism
  • Fanconi Anemia* / genetics
  • Fanconi Anemia* / metabolism
  • Fanconi Anemia* / pathology
  • Hematopoietic Stem Cells* / metabolism
  • Humans
  • Mice
  • Oncogene Proteins* / genetics
  • Oncogene Proteins* / metabolism
  • Phosphorylation
  • Poly-ADP-Ribose Binding Proteins* / genetics
  • Poly-ADP-Ribose Binding Proteins* / metabolism
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Poly-ADP-Ribose Binding Proteins
  • DEK protein, human
  • Oncogene Proteins
  • Chromosomal Proteins, Non-Histone
  • Activating Transcription Factor 2
  • Fanconi Anemia Complementation Group D2 Protein
  • Chromatin
  • p38 Mitogen-Activated Protein Kinases
  • ATF2 protein, human
  • DEK protein, mouse
  • FANCD2 protein, human
  • Antigens, CD34
  • DNA-Binding Proteins