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Blood, 1 January 2008, Vol. 111, No. 1, pp. 309-319.
Prepublished online as a Blood First Edition Paper on September 12, 2007; DOI 10.1182/blood-2007-04-085407.
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Submitted April 12, 2007
Accepted September 3, 2007
Overexpression of CDX2 perturbs HOX gene expression in murine progenitors depending on its N-terminal domain and is closely correlated with deregulated HOX gene expression in human acute myeloid leukemia
Vijay P.S. Rawat, Silvia Thoene, Vegi M. Naidu, Natalia Arseni, Bernhard Heilmeier, Klaus Metzeler, Konstantin Petropoulos, Aniruddha Deshpande, Leticia Quintanilla-Martinez, Stefan K. Bohlander, Karsten Spiekermann, Wolfgang Hiddemann, Michaela Feuring-Buske, and Christian Buske*
Department of Medicine III, Klinikum Grosshadern, Munich, Germany
Clinical Cooperative Group Leukemia, GSF - National Research Center for Environment and Health, Munich, Germany
Institute of Pathology, GSF, Neuherberg, Germany
* Corresponding author; email: buske{at}gsf.de.
The mechanisms underlying deregulation of HOX gene expression in AML are poorly understood. The ParaHox gene CDX2 was shown to act as positive upstream regulator of several HOX genes. In this study constitutive expression of Cdx2 caused perturbation of leukemogenic Hox genes such as Hoxa10 and Hoxb8 in murine hematopoietic progenitors. Deletion of the N-terminal domain of Cdx2 abrogated its ability to perturb Hox gene expression and to cause AML in mice. In contrast inactivation of the putative Pbx interacting site of Cdx2 did not change the leukemogenic potential of the gene. In an analysis of 115 AML patients expression levels of CDX2 were closely correlated with deregulated HOX gene expression. Patients with normal karyotype showed a 14fold higher expression of CDX2 and deregulated HOX gene expression compared to patients with chromosomal translocations such as t(8:21) or t(15;17). All AML patients with normal karyotype tested were negative for CDX1 and CDX4 expression. These data link the leukemogenic potential of Cdx2 to its ability to dysregulate Hox genes. They furthermore correlate the level of CDX2 expression with HOX gene expression in human AML and support a potential role of CDX2 in the development of human AML with aberrant Hox gene expression.

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