miR-29c&b2 encourage extramedullary infiltration resulting in the poor prognosis of acute myeloid leukemia

Extramedullary infiltration (EMI), as a concomitant symptom of acute myeloid leukemia (AML), is associated with low complete remission and poor prognosis in AML. However, the mechanism of EMI remains indistinct. Clinical trials showed that increased miR-29s were associated with a poor overall surviv...

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Veröffentlicht in:Oncogene 2021-05, Vol.40 (19), p.3434-3448
Hauptverfasser: Wei, Yanyu, Lu, Wei, Yu, Yehua, Zhai, Yuanmei, Guo, Hezhou, Yang, Shaoxin, Zhao, Chong, Zhang, Yanjie, Liu, Jiali, Liu, Yuhui, Fei, Jian, Shi, Jun
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container_issue 19
container_start_page 3434
container_title Oncogene
container_volume 40
creator Wei, Yanyu
Lu, Wei
Yu, Yehua
Zhai, Yuanmei
Guo, Hezhou
Yang, Shaoxin
Zhao, Chong
Zhang, Yanjie
Liu, Jiali
Liu, Yuhui
Fei, Jian
Shi, Jun
description Extramedullary infiltration (EMI), as a concomitant symptom of acute myeloid leukemia (AML), is associated with low complete remission and poor prognosis in AML. However, the mechanism of EMI remains indistinct. Clinical trials showed that increased miR-29s were associated with a poor overall survival in AML [ 14 ]. Nevertheless, they were proved to work as tumor suppressor genes by encouraging apoptosis and inhibiting proliferation in vitro. These contradictory results led us to the hypothesis that miR-29s may play a notable role in the prognosis of AML rather than leukemogenesis. Thus, we explored the specimens of AML patients and addressed this issue into miR-29c&b2 knockout mice. As a result, a poor overall survival and invasive blast cells were observed in high miR-29c&b2-expression patients, and the wildtype mice presented a shorter survival with heavier leukemia infiltration in extramedullary organs. Subsequently, we found that the miR-29c&b2 inside leukemia cells promoted EMI, but not the one in the microenvironment. The analysis of signal pathway revealed that miR-29c&b2 could target HMG-box transcription factor 1 (Hbp1) directly, then reduced Hbp1 bound to the promoter of non-muscle myosin IIB (Myh10) as a transcript inhibitor. Thus, increased Myh10 encouraged the migration of leukemia cells. Accordingly, AML patients with EMI were confirmed to have high miR-29c&b2 and MYH10 with low HBP1. Therefore, we identify that miR-29c&b2 contribute to the poor prognosis of AML patients by promoting EMI, and related genes analyses are prospectively feasible in assessment of AML outcome.
doi_str_mv 10.1038/s41388-021-01775-9
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However, the mechanism of EMI remains indistinct. Clinical trials showed that increased miR-29s were associated with a poor overall survival in AML [ 14 ]. Nevertheless, they were proved to work as tumor suppressor genes by encouraging apoptosis and inhibiting proliferation in vitro. These contradictory results led us to the hypothesis that miR-29s may play a notable role in the prognosis of AML rather than leukemogenesis. Thus, we explored the specimens of AML patients and addressed this issue into miR-29c&b2 knockout mice. As a result, a poor overall survival and invasive blast cells were observed in high miR-29c&b2-expression patients, and the wildtype mice presented a shorter survival with heavier leukemia infiltration in extramedullary organs. Subsequently, we found that the miR-29c&b2 inside leukemia cells promoted EMI, but not the one in the microenvironment. The analysis of signal pathway revealed that miR-29c&b2 could target HMG-box transcription factor 1 (Hbp1) directly, then reduced Hbp1 bound to the promoter of non-muscle myosin IIB (Myh10) as a transcript inhibitor. Thus, increased Myh10 encouraged the migration of leukemia cells. Accordingly, AML patients with EMI were confirmed to have high miR-29c&b2 and MYH10 with low HBP1. 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However, the mechanism of EMI remains indistinct. Clinical trials showed that increased miR-29s were associated with a poor overall survival in AML [ 14 ]. Nevertheless, they were proved to work as tumor suppressor genes by encouraging apoptosis and inhibiting proliferation in vitro. These contradictory results led us to the hypothesis that miR-29s may play a notable role in the prognosis of AML rather than leukemogenesis. Thus, we explored the specimens of AML patients and addressed this issue into miR-29c&b2 knockout mice. As a result, a poor overall survival and invasive blast cells were observed in high miR-29c&b2-expression patients, and the wildtype mice presented a shorter survival with heavier leukemia infiltration in extramedullary organs. Subsequently, we found that the miR-29c&b2 inside leukemia cells promoted EMI, but not the one in the microenvironment. 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However, the mechanism of EMI remains indistinct. Clinical trials showed that increased miR-29s were associated with a poor overall survival in AML [ 14 ]. Nevertheless, they were proved to work as tumor suppressor genes by encouraging apoptosis and inhibiting proliferation in vitro. These contradictory results led us to the hypothesis that miR-29s may play a notable role in the prognosis of AML rather than leukemogenesis. Thus, we explored the specimens of AML patients and addressed this issue into miR-29c&b2 knockout mice. As a result, a poor overall survival and invasive blast cells were observed in high miR-29c&b2-expression patients, and the wildtype mice presented a shorter survival with heavier leukemia infiltration in extramedullary organs. Subsequently, we found that the miR-29c&b2 inside leukemia cells promoted EMI, but not the one in the microenvironment. The analysis of signal pathway revealed that miR-29c&b2 could target HMG-box transcription factor 1 (Hbp1) directly, then reduced Hbp1 bound to the promoter of non-muscle myosin IIB (Myh10) as a transcript inhibitor. Thus, increased Myh10 encouraged the migration of leukemia cells. Accordingly, AML patients with EMI were confirmed to have high miR-29c&b2 and MYH10 with low HBP1. Therefore, we identify that miR-29c&b2 contribute to the poor prognosis of AML patients by promoting EMI, and related genes analyses are prospectively feasible in assessment of AML outcome.]]></abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33888868</pmid><doi>10.1038/s41388-021-01775-9</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0002-5127-0321</orcidid><orcidid>https://orcid.org/0000-0003-0780-5242</orcidid><orcidid>https://orcid.org/0000-0002-5952-8948</orcidid><orcidid>https://orcid.org/0000-0001-7755-0818</orcidid></addata></record>
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subjects 13/31
13/51
14/34
14/63
38/91
631/67/1990/283
631/80/84
64/60
Acute myeloid leukemia
Adult
Aged
Animals
Apoptosis
Blast cells
Cell Biology
Cell Line, Tumor
Cell migration
Clinical trials
Computational Biology - methods
Databases, Genetic
Disease Models, Animal
Female
Health aspects
High Mobility Group Proteins - metabolism
Human Genetics
Humans
Infiltration
Internal Medicine
Invasiveness
Leukemia
Leukemia, Myeloid, Acute - genetics
Leukemia, Myeloid, Acute - metabolism
Leukemia, Myeloid, Acute - pathology
Leukemic Infiltration - genetics
Leukemic Infiltration - metabolism
Leukemic Infiltration - pathology
Leukemogenesis
Male
Medical prognosis
Medicine
Medicine & Public Health
Metastases
Mice
Mice, Knockout
Microenvironments
MicroRNA
MicroRNAs - genetics
MicroRNAs - metabolism
Middle Aged
Myeloid leukemia
Myosin
Myosin Heavy Chains - metabolism
Nonmuscle Myosin Type IIB - metabolism
Oncology
Prognosis
Remission
Repressor Proteins - metabolism
Survival Rate
Tumor suppressor genes
Young Adult
title miR-29c&b2 encourage extramedullary infiltration resulting in the poor prognosis of acute myeloid leukemia
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