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Blood, 15 February 2008, Vol. 111, No. 4, pp. 2374-2377.
Prepublished online as a Blood First Edition Paper on November 9, 2007; DOI 10.1182/blood-2007-05-088344.
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Submitted May 7, 2007
Accepted October 28, 2007
DNA methylation-independent loss of RARA gene expression in acute myeloid leukemia
Annegret Glasow, Angela Barrett, Kevin Petrie, Rajeev Gupta, Manuel Boix-Chornet, Da-Cheng Zhou, David Grimwade, Robert Gallagher, Marieke von Lindern, Samuel Waxman, Tariq Enver, Guido Hildebrandt, and Arthur Zelent*
Section of Haemato-Oncology, Institute of Cancer Research, Sutton, United Kingdom
MRC Molecular Haematology Unit, Weatherall Institute of Molecular Medicien, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom
Department of Oncology and Pathology, Albert Einstein Cancer Centre, New York, NY, United States
Department of Medical and Molecular Genetics, King's College, London, United Kingdom
Department of Hematology, Erasmus Medical Centre, Rotterdam, Netherlands
Department of Medicine, Mount Sinai School of Medicine, New York, NY, United States
Department of Radiotherapy and Radio-oncology, University of Leipzig, Leipzig, Germany
* Corresponding author; email: arthur.zelent{at}icr.ac.uk.
Retinoic acid receptor (RARA) encodes two major isoforms and mediates positive effects of all-trans-retinoic acid (ATRA) on myelomonocytic differentiation. Expression of the ATRA-inducible (RAR 2) isoform increases with myelomonocytic differentiation and appears to be downregulated in many acute myeloid leukemia (AML) cell lines. Here we demonstrate that relative to normal myeloid stem/progenitor cells, RAR 2 expression is dramatically reduced in primary AML blasts. Expression of the RAR 1 isoform is also significantly reduced in primary AML cells, but not in AML cell lines. Although the promoters directing expression of RAR 1 and RAR 2 are respectively unmethylated and methylated in AML cell lines, these regulatory regions are unmethylated in all the AML patient cell samples analyzed. Moreover, in primary AML cells histones associated with the RAR 2 promoter possessed diminished levels of H3 acetylation and lysine 4 methylation. These results underscore the complexities of the mechanisms responsible for deregulation of gene expression in AML and support the notion that diminished RARA expression contributes to leukemogenesis.

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