PU.1 eviction at lymphocyte-specific chromatin domains mediates glucocorticoid response in acute lymphoblastic leukemia

Dominik Beck, Honghui Cao, Feng Tian, Yizhou Huang, Miao Jiang, Han Zhao, Xiaolu Tai, Wenqian Xu, Hansen J Kosasih, David J Kealy, Weiye Zhao, Samuel J Taylor, Timothy A Couttas, Gaoxian Song, Diego Chacon-Fajardo, Yashna Walia, Meng Wang, Adam A Dowle, Andrew N Holding, Katherine S BridgeChao Zhang, Jin Wang, Jian-Qing Mi, Richard B Lock, Charles E de Bock, Duohui Jing

Research output: Contribution to journalArticlepeer-review

Abstract

The epigenetic landscape plays a critical role in cancer progression, yet its therapeutic potential remains underexplored. Glucocorticoids are essential components of treatments for lymphoid cancers, but resistance, driven in part by epigenetic changes at glucocorticoid-response elements, poses a major challenge to effective therapies. Here we show that glucocorticoid treatment induces distinct patterns of chromosomal organization in glucocorticoid-sensitive and resistant acute lymphoblastic leukemia xenograft models. These glucocorticoid-response elements are primed by the pioneer transcription factor PU.1, which interacts with the glucocorticoid receptor. Eviction of PU.1 promotes receptor binding, increasing the expression of genes involved in apoptosis and facilitating a stronger therapeutic response. Treatment with a PU.1 inhibitor enhances glucocorticoid sensitivity, demonstrating the clinical potential of targeting this pathway. This study uncovers a mechanism involving PU.1 and the glucocorticoid receptor, linking transcription factor activity with drug response, and suggesting potential therapeutic strategies for overcoming resistance.

Original languageEnglish
Article number9697
JournalNature Communications
Volume15
DOIs
Publication statusPublished - 8 Nov 2024

Bibliographical note

© 2024. The Author(s).

Keywords

  • Humans
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy
  • Animals
  • Trans-Activators/metabolism
  • Chromatin/metabolism
  • Glucocorticoids/pharmacology
  • Receptors, Glucocorticoid/metabolism
  • Proto-Oncogene Proteins/metabolism
  • Mice
  • Cell Line, Tumor
  • Drug Resistance, Neoplasm/genetics
  • Lymphocytes/metabolism
  • Xenograft Model Antitumor Assays
  • Apoptosis/drug effects
  • Response Elements
  • Epigenesis, Genetic/drug effects
  • Gene Expression Regulation, Leukemic/drug effects
  • Female

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