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Blood, 12 February 2009, Vol. 113, No. 7, pp. 1432-1443.
Prepublished online as a Blood First Edition Paper on October 14, 2008; DOI 10.1182/blood-2008-06-162263.
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Submitted June 10, 2008
Accepted September 18, 2008
Loss of MLL5 results in pleiotropic hematopoietic defects, reduced neutrophil immune function and extreme sensitivity to DNA demethylation
Michael Heuser, Damian B. Yap, Malina Leung, Teresa Ruiz de Algara, Alaeddin Tafech, Steven McKinney, John Dixon, Rosemary Thresher, Bill Colledge, Mark Carlton, R. Keith Humphries, and Samuel A. Aparicio*
Terry Fox Laboratory, British Columbia Cancer Agency, Vancouver, BC, Canada
Department of Molecular Oncology, British Columbia Cancer Research Centre, Vancouver, BC, Canada
Takeda Pharmaceuticals Cambridge Ltd., Cambridge, United Kingdom
Physiological Laboratory, Department of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, United Kingdom
Department of Medicine, University of British Columbia, Vancouver, BC, Canada
Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada
* Corresponding author; email: saparicio{at}bccrc.ca.
MLL5 is a divergent member of the Drosophila Trithorax-related SET and PHD domain-containing chromatin regulators that are involved in the regulation of transcriptional "memory" during differentiation. Human MLL5 is located on chromosome 7q22, that is frequently deleted in myeloid leukemias, suggesting a possible role in hemopoiesis. To address this question, we generated a loss of function allele (Mll5tm1Apa) in the murine Mll5 locus. Unlike other Mll genes, Mll5tm1Apa homozygous mice are viable but display defects in immunity and hematopoiesis. First, Mll5tm1Apa homozygous mice show increased susceptibility to spontaneous eye infections, associated with a cell-autonomous impairment of neutrophil function. Second, Mll5tm1Apa/tm1Apa mice exhibit a mild impairment of erythropoiesis. Third, Mll5tm1Apa/tm1Apa hematopoietic stem cells (HSCs) have impaired competitive repopulating capacity both under normal conditions and when subjected to self-renewal stimulation by NUP98-HOXA10. Fourth, Mll5tm1Apa homozygous HSCs show a dramatic sensitivity to DNA demethylation-induced differentiation (5-Azadeoxycytidine). Taken together our data show that MLL5 is involved in terminal myeloid differentiation and the regulation of HSC self-renewal by a mechanism that involves DNA methylation. These data warrant investigation of MLL5 expression levels as predictive marker of demethylating-agent response in patients with myelodysplastic syndromes and leukemias and identify MLL5 as a key regulator of normal hematopoiesis.

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