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Blood, 15 August 2007, Vol. 110, No. 4, pp. 1317-1325.
Prepublished online as a Blood First Edition Paper on May 2, 2007; DOI 10.1182/blood-2006-10-052175.
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NEOPLASIA
Reintroduction of C/EBP in leukemic CD34+ stem/progenitor cells impairs self-renewal and partially restores myelopoiesis
Hein Schepers1,2,
Albertus T. J. Wierenga1,
Djoke van Gosliga1,
Bart J. L. Eggen2,
Edo Vellenga1, and
Jan Jacob Schuringa1
1 Division of Hematology, Department of Medicine, University Medical Center Groningen, Groningen;
2 Department of Developmental Genetics, University of Groningen, Groningen, The Netherlands
The CCAAT/enhancer binding protein (C/EBP) transcription factor is indispensable for myeloid differentiation. In various myeloid leukemias, C/EBP is mutated or functionally impaired due to decreased C/EBP expression or phosphorylation. In order to investigate the functional consequences of decreased C/EBP function in AML, we reintroduced C/EBP in primary CD34+ sorted acute myeloid leukemia (AML) cells using a lentiviral approach. Self-renewal and differentiation of primary AML stem cells were studied on long-term MS5 cocultures. Activation of C/EBP immediately led to a growth arrest in all AML cultures (N = 7), resulting in severely reduced expansion compared with control cultures. This growth arrest corresponded with enhanced myeloid differentiation as assessed by fluorescence-activated cell sorter (FACS) analysis for CD14, CD15, and CD11b. Myeloid differentiation was further confirmed by the up-regulation of neutrophil elastase and granulocyte colony-stimulating factor (G-CSF) receptor in C/EBP transduced cells. C/EBP -expressing AML CD34+ cells failed to generate second and third leukemic cobblestone areas (L-CAs) in serial replating experiments, while control cultures could be sequentially passaged for more than 4 times, indicating that reintroduction of C/EBP impaired the self-renewal capacity of the leukemic CD34+ compartment. Together, our data indicate that low C/EBP levels are necessary to maintain self-renewal and the immature character of AML stem cells.

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H. Schepers, D. van Gosliga, A. T. J. Wierenga, B. J. L. Eggen, J. J. Schuringa, and E. Vellenga
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