1. A Human IPS Model Implicates Embryonic B-Myeloid Fate Restriction as Developmental Susceptibility to B Acute Lymphoblastic Leukemia-Associated ETV6-RUNX1
- Author
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Böiers, Charlotta, Richardson, Simon E, Laycock, Emma, Zriwil, Alya, Turati, Virginia A, Brown, John, Wray, Jason P, Wang, Dapeng, James, Chela, Herrero, Javier, Sitnicka, Ewa, Karlsson, Stefan, Smith, Andrew J H, Jacobsen, Sten Erik W, and Enver, Tariq
- Subjects
Oncogene Proteins, Fusion ,Induced Pluripotent Stem Cells ,Embryonic Development ,acute lymphoblastic leukemia ,Models, Biological ,Article ,Pregnancy ,hemic and lymphatic diseases ,human fetal lymphopoiesis ,Humans ,Myeloid Cells ,B-Lymphocytes/metabolism ,human pluripotent stem cells ,CRISPR/Cas9 ,B cell ,B-Lymphocytes ,Receptors, Interleukin-7 ,Gene Expression Regulation, Leukemic ,Core Binding Factor Alpha 2 Subunit/genetics ,Myeloid Cells/metabolism ,ETV6-RUNX1 ,Precursor Cell Lymphoblastic Leukemia-Lymphoma ,Induced Pluripotent Stem Cells/metabolism ,Pregnancy Trimester, First ,Acute Disease ,Core Binding Factor Alpha 2 Subunit ,Oncogene Proteins, Fusion/genetics ,in vitro B cell differentiation ,Female ,Precursor Cell Lymphoblastic Leukemia-Lymphoma/metabolism ,genome engineering ,Transcriptome - Abstract
Summary ETV6-RUNX1 is associated with childhood acute B-lymphoblastic leukemia (cALL) functioning as a first-hit mutation that initiates a clinically silent pre-leukemia in utero. Because lineage commitment hierarchies differ between embryo and adult, and the impact of oncogenes is cell-context dependent, we hypothesized that the childhood affiliation of ETV6-RUNX1 cALL reflects its origins in a progenitor unique to embryonic life. We characterize the first emerging B cells in first-trimester human embryos, identifying a developmentally restricted CD19−IL-7R+ progenitor compartment, which transitions from a myeloid to lymphoid program during ontogeny. This developmental series is recapitulated in differentiating human pluripotent stem cells (hPSCs), thereby providing a model for the initiation of cALL. Genome-engineered hPSCs expressing ETV6-RUNX1 from the endogenous ETV6 locus show expansion of the CD19−IL-7R+ compartment, show a partial block in B lineage commitment, and produce proB cells with aberrant myeloid gene expression signatures and potential: features (collectively) consistent with a pre-leukemic state., Highlights • High-resolution characterization of the earliest human B lineage progenitors • Fetal CD19–IL-7R+ progenitors uniquely co-express B/myeloid genes during development • Lymphoid commitment in hPSC culture recapitulates human fetal B lymphopoiesis • hPSC-derived proB cells expressing ETV6-RUNX1 aberrantly co-express myeloid genes, Böiers, Richardson et al. explore the potential for a developmental susceptibility to childhood acute lymphoblastic leukemia. Characterization of earliest B cell progenitors in human fetal liver identified a unique progenitor compartment that can be recapitulated using human pluripotent stem cells to model the impact of the pre-leukemia-initiating oncogene ETV6-RUNX1.
- Published
- 2018
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