Abstract
Cells of the osteoblast lineage affect the homing and the number of long-term repopulating haematopoietic stem cells, haematopoietic stem cell mobilization and lineage determination and B cell lymphopoiesis. Osteoblasts were recently implicated in pre-leukaemic conditions in mice. However, a single genetic change in osteoblasts that can induce leukaemogenesis has not been shown. Here we show that an activating mutation of β-catenin in mouse osteoblasts alters the differentiation potential of myeloid and lymphoid progenitors leading to development of acute myeloid leukaemia with common chromosomal aberrations and cell autonomous progression. Activated β-catenin stimulates expression of the Notch ligand jagged 1 in osteoblasts. Subsequent activation of Notch signalling in haematopoietic stem cell progenitors induces the malignant changes. Genetic or pharmacological inhibition of Notch signalling ameliorates acute myeloid leukaemia and demonstrates the pathogenic role of the Notch pathway. In 38% of patients with myelodysplastic syndromes or acute myeloid leukaemia, increased β-catenin signalling and nuclear accumulation was identified in osteoblasts and these patients showed increased Notch signalling in haematopoietic cells. These findings demonstrate that genetic alterations in osteoblasts can induce acute myeloid leukaemia, identify molecular signals leading to this transformation and suggest a potential novel pharmacotherapeutic approach to acute myeloid leukaemia.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Anemia / genetics
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Anemia / metabolism
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Anemia / pathology
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Animals
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Base Sequence
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Calcium-Binding Proteins / deficiency
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Calcium-Binding Proteins / genetics
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Calcium-Binding Proteins / metabolism
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Cell Differentiation / genetics
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Cell Lineage
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Cell Nucleus / metabolism
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Cell Transformation, Neoplastic / genetics*
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Cell Transformation, Neoplastic / pathology
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Chromosome Aberrations
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Female
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Hematopoietic Stem Cells / metabolism
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Hematopoietic Stem Cells / pathology
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Humans
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Intercellular Signaling Peptides and Proteins / deficiency
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Intercellular Signaling Peptides and Proteins / genetics
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Intercellular Signaling Peptides and Proteins / metabolism
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Jagged-1 Protein
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Leukemia, Myeloid, Acute / genetics*
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Leukemia, Myeloid, Acute / metabolism
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Leukemia, Myeloid, Acute / pathology*
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Ligands
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Male
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Membrane Proteins / deficiency
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Membrane Proteins / genetics
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Membrane Proteins / metabolism
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Mice
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Mutation / genetics*
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Myelodysplastic Syndromes / genetics
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Myelodysplastic Syndromes / metabolism
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Myelodysplastic Syndromes / pathology
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Myeloid Cells / metabolism
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Myeloid Cells / pathology
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Osteoblasts / metabolism*
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Osteoblasts / pathology
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Receptors, Notch / metabolism
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Serrate-Jagged Proteins
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Signal Transduction
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Tumor Microenvironment / genetics
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beta Catenin / genetics*
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beta Catenin / metabolism*
Substances
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CTNNB1 protein, mouse
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Calcium-Binding Proteins
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Intercellular Signaling Peptides and Proteins
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JAG1 protein, human
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Jag1 protein, mouse
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Jagged-1 Protein
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Ligands
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Membrane Proteins
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Receptors, Notch
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Serrate-Jagged Proteins
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beta Catenin
Associated data
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GEO/GSE43242
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GEO/GSE51690
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SRA/SRP031981