Abstract Mast cells develop from hematopoietic progenitors under SCF-dependent activation of KIT encoding a type III receptor tyrosine kinase. In addition, KIT signaling also enhances release of chemical mediators from stimulated mast cells. KIT D816V mutation, a gain-of-function mutation which is often found in mastocytosis, causes SCF-independent activation of KIT, leading to autonomous mast cell survival and proliferation. ChIP-seq analysis of mouse bone marrow-derived mast cells showed that hematopoietic transcription factor RUNX1 bound to several genomic regions between KIT exon 1 and intron 1. We therefore investigated an association between RUNX1 and the transcriptional regulation of KIT in the human mast cell lines. The global gene expression profile revealed that KIT gene expression in the cells was positively linked to RUNX1 gene expression. Using ChIP assay coupled to PCR, we found RUNX1 binding at KIT intron 1 in the cells with KIT D816V mutation. RUNX1 knockdown reduced KIT expression in both cell lines with and without KIT D816V mutation, and led to a significant decrease in cell growth of those with D816V mutation. In the RUNX1-knockdown cells, PI3K-Akt pathway of KIT downstream signaling was suppressed, and G0/G1 cell-cycle arrest occurred, which was followed by apoptosis. The chlorambucil-conjugated compound that we developed to inhibit RUNX1 binding to its DNA targets successfully and effectively decreased the KIT expression of the mast cells with KIT D816V mutation, which resulted in the cell growth suppression. These findings suggested that RUNX1 upregulates KIT expression and may be a potential therapeutic target in mast-cell diseases.
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