• Heterozygous CBF-SMMHC⌬C95 knock-in mice have normal hematopoiesis.• Heterozygous CBF-SMMHC⌬C95 knock-in mice do not develop leukemia.The C-terminus of CBF-SMMHC, the fusion protein produced by a chromosome 16 inversion in acute myeloid leukemia subtype M4Eo, contains domains for selfmultimerization and transcriptional repression, both of which have been proposed to be important for leukemogenesis by CBF-SMMHC. To test the role of the fusion protein's C-terminus in vivo, we generated knock-in mice expressing a C-terminally truncated CBF-SMMHC (CBF-SMMHC⌬C95). Embryos with a single copy of CBF-SMMHC⌬C95 were viable and showed no defects in hematopoiesis, whereas embryos homozygous for the CBF-SMMHC⌬C95 allele had hematopoietic defects and died in mid-gestation, similar to embryos with a single-copy of the full-length CBF-SMMHC. Importantly, unlike mice expressing full-length CBF-SMMHC, none of the mice expressing CBF-SMMHC⌬C95 developed leukemia, even after treatment with a mutagen, although some of the older mice developed a nontransplantable myeloproliferative disease. Our data indicate that the CBF-SMMHC's C-terminus is essential to induce embryonic hematopoietic defects and leukemogenesis. (Blood. 2013;121(4):638-642)
IntroductionInversion 16 (Inv16) results in the fusion of the transcription factor gene, CBFB, and MYH11, which encodes smooth muscle myosin heavy chain (SMMHC). 1 Expression of CBF-SMMHC is probably the initiating event in Inv16 AML 2 ; however, its mechanism is not well understood.Previously, we generated knock-in mice expressing Cbfb-MYH11 3 to address the role of the fusion gene in vivo. Mice expressing a single allele of the fusion gene (Cbfb ϩ/MYH11 ) showed defective primitive hematopoiesis, blocked definitive hematopoiesis, and embryonic lethality. 3,4 Interestingly, except for the primitive hematopoietic defect, this phenotype is indistinguishable from mice lacking functional Cbfb 5-7 or its dimerization partner Runx1, 8,9 implying that Cbfb-MYH11 has dominant negative activities. Importantly, nearly 100% of the Cbfb-MYH11 mice develop AML within 6 months after treatment with a mutagen. 2,10 This demonstrates that expression of Cbfb-MYH11 is necessary, but not sufficient for AML.The C-terminus of CBF-SMMHC consists of repeated ␣-helical rod domains that facilitate self-dimerization and multimerization. [11][12][13] Work in myeloid cells indicates CBF-SMMHC's ability to form multimers correlates with its ability to repress proliferation and transcription. 12,13 In addition, CBF-SMMHC C-terminus can interact with transcriptional corepressors, 14,15 providing a possible mechanism for its dominant negative effects on transcriptional regulation by CBF/RUNX1. CBF-SMMHC multimerization and transcriptional repression are potential mechanisms for leukemogenesis, implying that the C-terminal region is critically important. To test the requirement of this region in vivo, we generated knock-in mice expressing a truncated Cbfb-MYH11 that encodes a CBF-SMMHC fusion protein missin...