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Blood, 1 August 2007, Vol. 110, No. 3, pp. 994-1003.
Prepublished online as a Blood First Edition Paper on May 2, 2007; DOI 10.1182/blood-2007-03-078303.


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NEOPLASIA

High levels of the BCR/ABL oncoprotein are required for the MAPK-hnRNP-E2–dependent suppression of C/EBP{alpha}-driven myeloid differentiation

Ji Suk Chang1, Ramasamy Santhanam1, Rossana Trotta1, Paolo Neviani1, Anna M. Eiring1, Edward Briercheck1, Mattia Ronchetti2, Denis C. Roy3, Bruno Calabretta2, Michael A. Caligiuri1, and Danilo Perrotti1

1 Human Cancer Genetics Program, Department of Molecular Virology, Immunology and Medical Genetics and The Comprehensive Cancer Center, The Ohio State University, Columbus; 2 Division of Hematology-Immunology, Maisonneuve-Rosemont Hospital Research Center, Montreal, QC, Canada; 3 Department of Microbiology and Immunology, Kimmel Cancer Institute, Thomas Jefferson University, Philadelphia, PA

The inability of myeloid chronic myelogenous leukemia blast crisis (CML-BC) progenitors to undergo neutrophil differentiation depends on suppression of C/EBP{alpha} expression through the translation inhibitory activity of the RNA-binding protein hnRNP-E2. Here we show that "oncogene dosage" is a determinant factor for suppression of differentiation in CML-BC. In fact, high levels of p210-BCR/ABL are required for enhanced hnRNP-E2 expression, which depends on phosphorylation of hnRNP-E2 serines 173, 189, and 272 and threonine 213 by the BCR/ABL-activated MAPKERK1/2. Serine/threonine to alanine substitution abolishes hnRNP-E2 phosphorylation and markedly decreases its stability in BCR/ABL-expressing myeloid precursors. Similarly, pharmacologic inhibition of MAPKERK1/2 activity decreases hnRNP-E2 binding to the 5'UTR of C/EBP{alpha} mRNA by impairing hnRNP-E2 phosphorylation and stability. This, in turn, restores in vitro and/or in vivo C/EBP{alpha} expression and G-CSF–driven neutrophilic maturation of differentiation-arrested BCR/ABL+ cell lines, primary CML-BCCD34+ patient cells and lineage-negative mouse bone marrow cells expressing high levels of p210-BCR/ABL. Thus, increased BCR/ABL oncogenic tyrosine kinase activity is essential for suppression of myeloid differentiation of CML-BC progenitors as it is required for sustained activation of the MAPKERK1/2-hnRNP-E2-C/EBP{alpha} differentiation-inhibitory pathway. Furthermore, these findings suggest the inclusion of clinically relevant MAPK inhibitors in the therapy of CML-BC.


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