alexa Leukemia-associated NPM Mutations Promote Quiescence Of Hematopoietic Stem Cells And Prevent Their Functional Exhaustion Upon Oncogene-induced Hyper-proliferation
ISSN: 1948-5956

Journal of Cancer Science & Therapy
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10th International Conference on CANCER STEM CELLS AND ONCOLOGY RESEARCH
June 26-28, 2017 London, UK

Maria Mallardo, Maria Elena Boggio Merlo, Giulia De Conti, Valentina Tabanelli, Angelica Calleri, Stefano Pileri, Pier Giuseppe Pelicci and Emanuela Colombo
European Institute of Oncology, Italy
University of Milan, Milan, Italy
Bologna University School of Medicine, Italy
King’s College London, UK
Posters & Accepted Abstracts: J Cancer Sci Ther
DOI: 10.4172/1948-5956-C1-103
Abstract
Current acute myeloid leukemia (AML) chemotherapy allows survival of a small number of quiescent cells called Leukemia initiating cells (LICs) that can recapitulate the tumor after remission. How AML mutations lead to LIC selection still need to be elucidated. Mutated nucleophosmin (NPMc+) represents an ideal candidate to study LIC selection mechanisms since is usually found in primary leukemia and is highly conserved between primary and relapsed AML, establishing it as a founder lesion. Our NPMc+ mouse model develops a long latency/low penetrance AML. The analysis of the pre- leukemic phase showed that the expression of NPMc+ in the bone marrow (BM) leaded to the expansion of the hematopoietic stem cells (HSCs) compartment by the enforcement of a stem-cell transcriptional program that increases HSC self-renewal promoting quiescence. To investigate if this program is instrumental to initiation/progression of leukemogenesis, we next analyzed the HSC compartment of mice expressing both NPMc+ and FLT3-ITD mutations (the most frequent concurrent mutations in AML patients). We showed that the expression of NPMc+ in the FLT3- ITD background prevents the HSCs exhaustion imposed by FLT3-ITD that it is known to prevent AML development in FLT3-ITD mice. In particular, NPMc+ expression reduced the high proliferative rate imposed by FLT3-ITD by enforcing its peculiar HSC transcriptional program. Accordingly, NPMc+/FLT3-ITD mice developed high penetrant AML. Our data indicate that the NPMc+ quiescence program is instrumental to LIC selection and it could be responsible for AML therapy resistance thus suggesting that it represents a critical target for the design of novel anti- leukemic strategies.
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