DEK::NUP214 acts as an XPO1-dependent transcriptional activator of essential leukemia genes

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Kaya, Fadimana | Bewicke-Copley, Findlay | J Miettinen, Juho | Casado, Pedro | Leddy, Eve | Deniz, Özgen | Lavallée, Vincent-Philippe | Philippe, Céline | Zheng, Jiexin | Grebien, Florian | Khan, Naeem | Krizsán, Szilvia | Saad, Joseph | Nolin-Lapalme, Alexis | Hébert, Josée | Lemieux, Sebastien | Audemard, Eric | Matthews, Janet | Grantham, Marianne | Di Bella, Doriana | Wennerberg, Krister | Parsons, Alun | Gribben, John | D Cavenagh, James | Freeman, Sylvie | Bödör, Csaba | Sauvageau, Guy | Wang, Jun | Llamas-Sillero, Pilar | Cazier, Jean-Baptiste | C Taussig, David | Bonnet, Dominique | Cutillas, Pedro, R | Heckman, Caroline, A | Fitzgibbon, Jude | Rouault-Pierre, Kevin | Rio-Machin, Ana

Edité par CCSD ; Springer Nature -

International audience. The t(6;9)(p22.3;q34.1) translocation/DEK::NUP214 fusion protein defines a distinct subgroup of younger AML patients classified as a separate disease entity by the World Health Organization. DEK is a nuclear factor with multifunctional roles, including gene regulation, while its fusion partner, NUP214, plays a pivotal role in nuclear export by interacting with transport receptors such as XPO1. However, the precise mechanism by which DEK::NUP214 drives leukemia remains unclear. A comprehensive multi-omics comparison of 57 AML primary samples (including whole genome sequencing, targeted sequencing, transcriptomics, and drug screening with >500 compounds) revealed that t(6;9) cases display a selective response to XPO1 inhibitors (Selinexor & Eltanexor) and a distinct transcriptomic signature characterized by the overexpression of FOXC1 and HOX genes that are key leukemia mediators. CUT&RUN experiments demonstrated the direct binding of DEK::NUP214 to the promoters of FOXC1 and HOXA/B clusters. Strikingly, the expression of these genes and the binding of DEK::NUP214 to their regulatory regions were selectively reduced upon XPO1 inhibition in t(6;9) cells. Altogether, these results identified a novel function of DEK::NUP214 as an XPO1-dependent transcriptional activator of key leukemia drivers and provide a rationale to explore the use of XPO1 inhibitors in this patient population.

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