Abstract

BackgroundDespite marked advances in the clinical therapies, clinical outcome of most T-cell acute lymphoblastic leukemia (T-ALL) patients remains poor, due to the high risk of relapse, even after complete remission. Previous studies suggest that the NAD-dependent deacetylase sirtuin 1 (SIRT1) has a dual role in hematologic malignancies, acting as a tumor suppressor or tumor promoter depending on the tumor type. However, little is known about the expression and functions of SIRT1 in T-ALL leukemogenesis.MethodsPublic RNA-seq data, a Notch1 driven T-ALL mouse model and γ-secretase inhibitor were used to identify SIRT1 expression in T-ALL. We knocked down SIRT1 expression with ShRNAs and assessed the impacts of SIRT1 deficiency on cell proliferation, colony formation, the cell cycle and apoptosis. Transgenic SIRT1 knockout mice were used to determine the function of SIRT1 in vivo. RT-PCR, western blot, co-immunoprecipitation and ubiquitination analyses were used to detect SIRT1, p27 and CDK2 expression and their interactions.ResultsSIRT1 protein expression was positively correlated with the activation of Notch1. Downregulation of SIRT1 expression suppressed the proliferation and colony formation of T-ALL cell lines, which was reversed by SIRT1 overexpression. SIRT1 silencing prolonged the lifespan of T-ALL model mice. We demonstrated that p27 was involved in the downstream mechanism of cell cycle arrest induced by silencing SIRT1. SIRT1 increased the phosphorylation of p27 on Thr187 by deacetylating CDK2 and enhanced the interaction between p27 and SKP2 leading to the degradation of p27.ConclusionOur findings suggest that SIRT1 is a promising target in T-ALL and offer a mechanistic link between the upregulation of SIRT1 and downregulation of p27.

Highlights

  • Despite marked advances in the clinical therapies, clinical outcome of most T-cell acute lymphoblastic leukemia (T-ALL) patients remains poor, due to the high risk of relapse, even after complete remission

  • We evaluated the association between Notch1 and increased sirtuin 1 (SIRT1) protein levels, as well as the contribution of SIRT1 to TALL cell growth in vitro and leukemogenesis in vivo

  • SIRT1 is highly expressed in T-ALL We first studied SIRT1 expression in public data base and found that the level of SIRT1 mRNA expression was higher in T-ALL than in normal samples or B-ALL (Fig. 1a)

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Summary

Introduction

Despite marked advances in the clinical therapies, clinical outcome of most T-cell acute lymphoblastic leukemia (T-ALL) patients remains poor, due to the high risk of relapse, even after complete remission. Improvements in the efficacy of multiagent chemotherapy have increased the first remission rate to 90%, the prognosis for relapsed T-ALL is dismal with cure rates less than 30% [15]. To address this clinical challenge, recent studies investigating the molecular understanding of TALL have paved the way for the development of precision medicine approaches for T-ALL therapy. Genomewide sequencing identified several genetic mutations or alterations in T-ALL, with Notch mutations identified in more than 50% of T-ALL cases [42]. These findings stressed the importance of the Notch pathway in T-ALL

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