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Common nonmutational NOTCH1 activation in chronic lymphocytic leukemia

  • Giulia Fabbri
  • , Antony B. Holmes
  • , Mara Viganotti
  • , Claudio Scuoppo
  • , Laura Belver
  • , Daniel Herranz
  • , Xiao Jie Yan
  • , Yasmine Kieso
  • , Davide Rossi
  • , Gianluca Gaidano
  • , Nicholas Chiorazzi
  • , Adolfo A. Ferrando
  • , Riccardo Dalla-Favera

Research output: Contribution to journalArticlepeer-review

Abstract

Activating mutations of NOTCH1 (a well-known oncogene in T-cell acute lymphoblastic leukemia) are present in ?4-13% of chronic lymphocytic leukemia (CLL) cases, where they are associated with disease progression and chemorefractoriness. However, the specific role of NOTCH1 in leukemogenesis remains to be established. Here, we report that the active intracellular portion of NOTCH1 (ICN1) is detectable in ?50% of peripheral blood CLL cases lacking gene mutations. We identify a "NOTCH1 gene-expression signature" in CLL cells, and show that this signature is significantly enriched in primary CLL cases expressing ICN1, independent of NOTCH1 mutation. NOTCH1 target genes include key regulators of B-cell proliferation, survival, and signal transduction. In particular, we show that NOTCH1 transactivates MYC via binding to B-cell-specific regulatory elements, thus implicating this oncogene in CLL development. These results significantly extend the role of NOTCH1 in CLL pathogenesis, and have direct implications for specific therapeutic targeting.

Original languageEnglish
Pages (from-to)E2911-E2919
JournalProceedings of the National Academy of Sciences of the United States of America
Volume114
Issue number14
DOIs
Publication statusPublished - 4 Apr 2017

Keywords

  • Chronic lymphocytic leukemia
  • NOTCH1
  • Transcriptional network

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