1. Downregulation of MTSS1 in acute myeloid leukemia is associated with a poor prognosis, chemotherapy resistance, and disease aggressiveness
- Author
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Alexander M. Grandits, Gerwin Heller, Florian Grebien, Hubert Hackl, Elizabeth Heyes, Heinz Sill, Chi Huu Nguyen, Rotraud Wieser, Dagmar Stoiber, Julia Etzler, and Angela Schlerka
- Subjects
Cancer Research ,Anthracycline ,Daunorubicin ,medicine.medical_treatment ,Cell Cycle Proteins ,Disease ,Article ,Acute myeloid leukaemia ,03 medical and health sciences ,0302 clinical medicine ,Downregulation and upregulation ,hemic and lymphatic diseases ,Antineoplastic Combined Chemotherapy Protocols ,Biomarkers, Tumor ,Medicine ,Animals ,Humans ,Anthracyclines ,neoplasms ,030304 developmental biology ,0303 health sciences ,Gene knockdown ,Chemotherapy ,biology ,business.industry ,Gene Expression Regulation, Leukemic ,Microfilament Proteins ,Cytarabine ,Myeloid leukemia ,Hematology ,Translational research ,Protein-Tyrosine Kinases ,Prognosis ,3. Good health ,Neoplasm Proteins ,Mice, Inbred C57BL ,Survival Rate ,Wee1 ,Leukemia, Myeloid, Acute ,Oncology ,Drug Resistance, Neoplasm ,030220 oncology & carcinogenesis ,Cancer research ,biology.protein ,Female ,business ,medicine.drug - Abstract
Despite recent approval of targeted drugs for acute myeloid leukemia (AML) therapy, chemotherapy with cytosine arabinoside and anthracyclines remains an important pillar of treatment. Both primary and secondary resistance are frequent and associated with poor survival, yet the underlying molecular mechanisms are incompletely understood. In previous work, we identified genes deregulated between diagnosis and relapse of AML, corresponding to therapy naïve and resistant states, respectively. Among them was MTSS1, whose downregulation is known to enhance aggressiveness of solid tumors. Here we show that low MTSS1 expression at diagnosis was associated with a poor prognosis in AML. MTSS1 expression was regulated by promoter methylation, and reduced by cytosine arabinoside and the anthracycline daunorubicin. Experimental downregulation of MTSS1 affected the expression of numerous genes. It induced the DNA damage response kinase WEE1, and rendered human AML cell lines more resistant to cytosine arabinoside, daunorubicin, and other anti-cancer drugs. Mtss1 knockdown in murine MLL-AF9-driven AML substantially decreased disease latency, and increased leukemic burden and ex vivo chemotherapy resistance. In summary, low MTSS1 expression represents a novel factor contributing to disease aggressiveness, therapy resistance, and poor outcome in AML.
- Published
- 2021