Abstract
The transcription factor STAT5 has a critical role in B cell acute lymphoblastic leukemia (B-ALL). How STAT5 mediates this effect is unclear. Here we found that activation of STAT5 worked together with defects in signaling components of the precursor to the B cell antigen receptor (pre-BCR), including defects in BLNK, BTK, PKCβ, NF-κB1 and IKAROS, to initiate B-ALL. STAT5 antagonized the transcription factors NF-κB and IKAROS by opposing regulation of shared target genes. Super-enhancers showed enrichment for STAT5 binding and were associated with an opposing network of transcription factors, including PAX5, EBF1, PU.1, IRF4 and IKAROS. Patients with a high ratio of active STAT5 to NF-κB or IKAROS had more-aggressive disease. Our studies indicate that an imbalance of two opposing transcriptional programs drives B-ALL and suggest that restoring the balance of these pathways might inhibit B-ALL.
Original language | English |
---|---|
Pages (from-to) | 694-704 |
Number of pages | 11 |
Journal | Nature immunology |
Volume | 18 |
Issue number | 6 |
DOIs | |
Publication status | Published - Jun 2017 |
Keywords
- Adaptor Proteins, Signal Transducing/genetics
- Agammaglobulinaemia Tyrosine Kinase
- Animals
- B-Lymphocytes
- Chromatin Immunoprecipitation
- Flow Cytometry
- Gene Expression Regulation, Neoplastic
- Humans
- Ikaros Transcription Factor/genetics
- Interferon Regulatory Factors/genetics
- Mice
- Multiplex Polymerase Chain Reaction
- NF-kappa B p50 Subunit/genetics
- PAX5 Transcription Factor/genetics
- Pre-B Cell Receptors/genetics
- Precursor Cell Lymphoblastic Leukemia-Lymphoma/genetics
- Prognosis
- Protein Kinase C beta/genetics
- Protein-Tyrosine Kinases/genetics
- Proto-Oncogene Proteins/genetics
- Real-Time Polymerase Chain Reaction
- STAT5 Transcription Factor/metabolism
- Signal Transduction
- Survival Rate
- Trans-Activators/genetics