Chromosomal translocation is a common cause of leukaemia 1 and the most common chromosome translocations found in leukaemia patients involve the mixed lineage leukaemia (MLL) gene 2,3 . AF10 is one of more than 30 MLL fusion partners in leukaemia 4 . We have recently demonstrated that the H3K79 methyltransferase hDOT1L contributes to MLL-AF10-mediated leukaemogenesis through its interaction with AF10 (ref. 5). In addition to MLL, AF10 has also been reported to fuse to CALM (clathrin-assembly protein-like lymphoid-myeloid) in patients with T-cell acute lymphoblastic leukaemia (T-ALL) and acute myeloid leukaemia (AML) 6,7 . Here, we analysed the molecular mechanism of leukaemogenesis by CALM-AF10. We demonstrate that CALM-AF10 fusion is both necessary and sufficient for leukaemic transformation. Additionally, we provide evidence that hDOT1L has an important role in the transformation process. hDOT1L contributes to CALM-AF10-mediated leukaemic transformation by preventing nuclear export of CALM-AF10 and by upregulating the Hoxa5 gene through H3K79 methylation. Thus, our study establishes CALM-AF10 fusion as a cause of leukaemia and reveals that mistargeting of hDOT1L and upregulation of Hoxa5 through H3K79 methylation is the underlying mechanism behind leukaemia caused by CALM-AF10 fusion.
© 2006 Nature Publishing GroupReprints and permissions information is available online at http://npg.nature.com/naturecellbiology/ 6 Correspondence should be addressed to Y.Z. (yi_zhang@med.unc.edu).Note: Supplementary Information is available on the Nature Cell Biology website.
COMPETING FINANCIAL INTERESTSThe authors declare that they have no competing financial interests.
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Author ManuscriptOur interest in CALM-AF10 fusion protein stems from our recent demonstration that hDOT1L, a histone H3K79 methyltransferase 8 , has an important role in MLL-AF10-mediated leukaemogenesis 5 . We demonstrated that mistargeting of hDOT1L to the Hoxa9 gene by MLL-AF10 results in H3K79 methylation and Hoxa9 upregulation, which contributes to leukaemic transformation 5 . We further demonstrated that the hDOT1L and MLL-AF10 interaction involves the octapeptide motif-leucine zipper (OM-LZ) region of AF10, this is also required for MLL-AF10-mediated leukaemic transformation 9 . The observation that the OM-LZ region is retained in the CALM-AF10 fusion protein raises the possibility that hDOT1L may also function in CALM-AF10-mediated leukaemia. To examine the potential role for hDOT1L in CALM-AF10-mediated leukaemia, we first attempted to establish a causal relationship between the CALM-AF10 fusion protein and leukaemia.Previous studies have established that the human monocytic leukemia cell line U937 expresses the CALM-AF10 fusion protein 10,11 . To determine whether CALM-AF10 is relevant for cell proliferation and transformation, CALM-AF10 was knocked down in U937 cells using a vector-based RNA interference (RNAi) approach 5 . Results shown in Fig. 1a indicate that we were...