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Blood, 26 March 2009, Vol. 113, No. 13, pp. 3070-3079.
Prepublished online as a Blood First Edition Paper on January 29, 2009; DOI 10.1182/blood-2008-03-147207.
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Submitted March 25, 2008
Accepted January 11, 2009
CBF is critical for AML1-ETO and TEL-AML1 activity
Liya Roudaia, Matthew D. Cheney, Ekaterina Manuylova, Wei Chen, Michelle Morrow, Sangho Park, Chung-Tsai Lee, Prabhjot Kaur, Owen Williams, John H. Bushweller, and Nancy A Speck*
Department of Biochemistry, Dartmouth Medical School, Hanover, NH, United States
Molecular Haematology and Cancer Biology Unit, Institute of Child Health, University College London, London, United Kingdom
Department of Molecular Physiology and Biological Physics, University of Virginia, Charlottesville, VA, United States
Abramson Family Cancer Research Institute and Department of Cell and Developmental Biology, University of Pennsylvania, Philadelphia, PA, United States
Department of Pathology, Dartmouth Medical School, Hanover, NH, United States
Department of Chemistry, University of Virginia, Charlottesville, VA, United States
* Corresponding author; email: nancyas{at}exchange.upenn.edu.
AML1-ETO and TEL-AML1 are chimeric proteins resulting from the t(8;21)(q22;q22) in acute myeloid leukemia, and the t(12;21)(p13;q22) in pre-B cell leukemia, respectively. The Runt domain of AML1 in both proteins mediates DNA binding and heterodimerization with the core binding factor beta (CBF ) subunit. To determine whether CBF is required for AML1-ETO and TEL-AML1 activity, we introduced amino acid substitutions into the Runt domain that disrupt heterodimerization with CBF but not DNA binding. We show that CBF contributes to AML1-ETO's inhibition of granulocyte differentiation, is essential for its ability to enhance the clonogenic potential of primary mouse bone marrow cells, and is indispensable for its cooperativity with the activated receptor tyrosine kinase TEL-PDGF R in generating acute myeloid leukemia in mice. Similarly, CBF is essential for TEL-AML1's ability to promote self-renewal of B cell precursors in vitro. These studies validate the Runt domain/CBF interaction as a therapeutic target in core binding factor leukemias.

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