Volume 182, Issue 3 pp. 373-383
Research Paper

Transcriptomic rationale for synthetic lethality-targeting ERCC1 and CDKN1A in chronic myelomonocytic leukaemia

Ana M. Hurtado

Ana M. Hurtado

Haematology Department, Hospital Morales Meseguer, IMIB, Murcia, Spain

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Gines Luengo-Gil

Gines Luengo-Gil

Haematology Department, Hospital Morales Meseguer, IMIB, Murcia, Spain

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Tzu H. Chen-Liang

Tzu H. Chen-Liang

Haematology Department, Hospital Morales Meseguer, IMIB, Murcia, Spain

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Fabio Amaral

Fabio Amaral

Leukaemia Biology Laboratory, Cancer Research UK, Manchester Institute, University of Manchester, Manchester, UK

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Kiran Batta

Kiran Batta

Division of Cancer Sciences, Cancer Research UK, Manchester Institute, University of Manchester, Manchester, UK

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Laura Palomo

Laura Palomo

Josep Carreras Leukaemia- Research Institute, ICO-Hospital Germans Trias i Pujol, Badalona, Spain

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Eva Lumbreras

Eva Lumbreras

Department of Haematology, Hospital Universitario de Salamanca, Salamanca, Spain

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Bartlomiej Przychodzen

Bartlomiej Przychodzen

Department of Translational Hematology and Oncology Research, Cleveland Clinic, Cleveland, USA

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Eva Caparros

Eva Caparros

Haematology Department, Hospital Morales Meseguer, IMIB, Murcia, Spain

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Marıa L. Amigo

Marıa L. Amigo

Haematology Department, Hospital Morales Meseguer, IMIB, Murcia, Spain

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Maria Dıez-Campelo

Maria Dıez-Campelo

Department of Haematology, Hospital Universitario de Salamanca, Salamanca, Spain

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Lurdes Zamora

Lurdes Zamora

Josep Carreras Leukaemia- Research Institute, ICO-Hospital Germans Trias i Pujol, Badalona, Spain

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Eduardo J. Salido Fierrez

Eduardo J. Salido Fierrez

Department of Haematology, Virgen de la Arrixaca University Hospital, IMIB, Murcia, Spain

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Jaroslaw P. Maciejewski

Jaroslaw P. Maciejewski

Department of Translational Hematology and Oncology Research, Cleveland Clinic, Cleveland, USA

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Francisco J. Ortuño

Francisco J. Ortuño

Haematology Department, Hospital Morales Meseguer, IMIB, Murcia, Spain

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Vicente Vicente

Vicente Vicente

Haematology Department, Hospital Morales Meseguer, IMIB, Murcia, Spain

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Marıa del Canizo

Marıa del Canizo

Department of Haematology, Hospital Universitario de Salamanca, Salamanca, Spain

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Francesc Sole

Francesc Sole

Josep Carreras Leukaemia- Research Institute, ICO-Hospital Germans Trias i Pujol, Badalona, Spain

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Francisca Ferrer-Marin

Francisca Ferrer-Marin

Haematology Department, Hospital Morales Meseguer, IMIB-CIBERERUCAM, Murcia, Spain

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Daniel H. Wiseman

Daniel H. Wiseman

Leukaemia Biology Laboratory, Cancer Research UK, Manchester Institute, University of Manchester, Manchester, UK

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Andres Jerez

Corresponding Author

Andres Jerez

Haematology Department, Hospital Morales Meseguer, IMIB, Murcia, Spain

Correspondence: Andres Jerez, Haematology and Medical Oncology Department, Hospital Morales Meseguer, Marqués de los Vélez s/n, Murcia 30008, Spain.

E-mail: [email protected]

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First published: 24 May 2018
Citations: 8

Summary

Despite the absence of mutations in the DNA repair machinery in myeloid malignancies, the advent of high-throughput sequencing and discovery of splicing and epigenetics defects in chronic myelomonocytic leukaemia (CMML) prompted us to revisit a pathogenic role for genes involved in DNA damage response. We screened for misregulated DNA repair genes by enhanced RNA-sequencing on bone marrow from a discovery cohort of 27 CMML patients and 9 controls. We validated 4 differentially expressed candidates in CMML CD34+ bone marrow selected cells and in an independent cohort of 74 CMML patients, mutationally contextualized by targeted sequencing, and assessed their transcriptional behavior in 70 myelodysplastic syndrome, 66 acute myeloid leukaemia and 25 chronic myeloid leukaemia cases. We found BAP1 and PARP1 down-regulation to be specific to CMML compared with other related disorders. Chromatin-regulator mutated cases showed decreased BAP1 dosage. We validated a significant over-expression of the double strand break-fidelity genes CDKN1A and ERCC1, independent of promoter methylation and associated with chemorefractoriness. In addition, patients bearing mutations in the splicing component SRSF2 displayed numerous aberrant splicing events in DNA repair genes, with a quantitative predominance in the single strand break pathway. Our results highlight potential targets in this disease, which currently has few therapeutic options.

Disclosure of Conflicts of interest

The authors have nothing to disclose.

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