The CCAAT/enhancer binding protein alpha (C/EBP␣) is an essential transcription factor for granulocytic differentiation. C/EBP␣ mutations are found in approximately 8% of acute myeloid leukemia (AML) patients. Most of these mutations occur in the N-terminal coding region, resulting in a frame shift and the enhanced translation of a dominant-negative 30-kDa protein, which may be responsible for the differentiation block observed in AML. To test this hypothesis, we introduced a cDNA encoding an Nterminal mutated C/EBP␣ (mut10) into primary hematopoietic progenitors using a retroviral vector. Expression of mut10 in human CD34 ؉ cord blood cells dramatically inhibited differentiation of both myeloid and erythroid lineages. Immunohistochemical analysis demonstrated coexpression of both myeloid and erythroid markers in the immature transformed cells. Surprisingly, mut10 did not block myelocytic differentiation in murine progenitors but did alter their differentiation kinetics and clonogenicity. Experiments were performed to confirm that the differential effect of mut10 on murine and human progenitors was not due to species-specific differences in C/EBP␣ protein sequences, expression levels, or inefficient targeting of relevant cells. Taken together, our results underline the intrinsic differences between hematopoietic controls in mouse and human and support the hypothesis that mutations in CEBPA are critical events in the disruption of myeloid differentiation in AMLs.
IntroductionThe hallmark of acute leukemia is the clonal, neoplastic proliferation of immature hematopoietic cells. The observed inhibition or complete arrest in differentiation can conceivably be due to an indirect mechanism, in which genetic mutations that disrupt cell cycle controls support proliferation at the expense of differentiation, and/or due to genetic abnormalities that directly interfere with the differentiation program. In support of the latter hypothesis, growing evidence suggests that the transcription factors that play pivotal roles in lineage-specific differentiation may be important targets of transformation in acute leukemias. 1 The basic zipper (B-ZIP) transcription factor CCAAT/enhancer binding protein ␣ (C/EBP␣) and the ETS-family transcription factor PU.1 are 2 major regulators of myeloid differentiation. 2,3 Unlike PU.1, which governs transcription of a wide spectrum of myeloid-specific genes found in both early hematopoietic stem cells and mature monocytes and granulocytes, C/EBP␣ regulation has a more specific function in granulopoiesis. Indeed, C/EBP␣ knockout mice show a selective block in the differentiation of granulocytes, including neutrophils and eosinophils. 4 Furthermore, the constitutive expression of C/EBP␣ in myeloid progenitors results in the induction of granulocytic development and partial inhibition of monocytic and erythroid development. [5][6][7] Several independent studies have demonstrated mutations in the CEBPA gene encoding C/EBP␣ in approximately 8% of acute myeloid leukemia (AML). [8][9][10][11] These m...