Antagonism of B cell enhancer networks by STAT5 drives leukemia and poor patient survival

  • Casey D.S. Katerndahl
  • , Lynn M. Heltemes-Harris
  • , Mark J.L. Willette
  • , Christine M. Henzler
  • , Seth Frietze
  • , Rendong Yang
  • , Hilde Schjerven
  • , Kevin A.T. Silverstein
  • , Laura B. Ramsey
  • , Gregory Hubbard
  • , Andrew D. Wells
  • , Roland P. Kuiper
  • , Blanca Scheijen
  • , Frank N. Van Leeuwen
  • , Markus Müschen
  • , Steven M. Kornblau
  • , Michael A. Farrar

Research output: Contribution to journalArticlepeer-review

70 Scopus citations

Abstract

The transcription factor STAT5 has a critical role in B cell acute lymphoblastic leukemia (B-ALL). How STAT5 mediates this effect is unclear. Here we found that activation of STAT5 worked together with defects in signaling components of the precursor to the B cell antigen receptor (pre-BCR), including defects in BLNK, BTK, PKCβ, NF-κ B1 and IKAROS, to initiate B-ALL. STAT5 antagonized the transcription factors NF-κ B and IKAROS by opposing regulation of shared target genes. Super-enhancers showed enrichment for STAT5 binding and were associated with an opposing network of transcription factors, including PAX5, EBF1, PU.1, IRF4 and IKAROS. Patients with a high ratio of active STAT5 to NF-κ B or IKAROS had more-aggressive disease. Our studies indicate that an imbalance of two opposing transcriptional programs drives B-ALL and suggest that restoring the balance of these pathways might inhibit B-ALL.

Original languageEnglish
Pages (from-to)694-704
Number of pages11
JournalNature immunology
Volume18
Issue number6
DOIs
StatePublished - May 18 2017

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