Orientador: Fernando Ferreira Costa / Tese (doutorado) - Universidade Estadual de Campinas, Instituto de Biologia / Made available in DSpace on 2018-08-08T01:23:35Z (GMT). No. of bitstreams: 1 Hollanda_LucianaMariade_D.pdf: 4424025 bytes, checksum: 8c238f31a49b17fab4715981e3919ca2 (MD5) Previous issue date: 2006 / Resumo: Várias mutações hereditárias no gene GATA1 localizadas no éxon 4 e conseqüentemente que afetam o domínio dedo de zinco N-terminal foram descritas em algumas famílias que apresentavam graus variáveis de plaquetopenia com ou sem anemia. Por outro lado, mutações adquiridas no éxon 2 deste gene foram observadas em quase todos os casos estudados de pacientes com Síndrome de Down e que apresentavam TMD ou AMKL. Essas mutações impedem a síntese da proteína total, mas permite a síntese da isoforma menor da proteína, denominada GATA-1s. Experimentos em camundongo sugeriram que a síntese única da isoforma GATA-1s seria suficiente para induzir hemopoese normal nesses animais. Neste trabalho descrevemos em pacientes e portadores de uma família a mutação 332G--C localizada no éxon 2 do gene GATA 1 que conduz a produção apenas da proteína GATA-1s nos homens afetados. Os perfis hematológicos desses pacientes demonstraram anemia macrocítica, neutropenia em vários casos e número normal de plaquetas. Em seu conjunto, esses dados sugerem que a proteína GATA -1s, produzida em níveis normais ou baixos não é suficiente para conduzir à eritropoese normal. Além disso, este é o primeiro estudo onde uma mutação hereditária no éxon 2 do gene GATA1 origina apenas a proteína GATA-1s e não provoca AMKL ou TMD em indivíduos não portadores de síndrome de Down. Desta forma este estudo indica que outros eventos cooperativos, como outras mutações ou a trissomia do cromossomo 21 provavelmente podem ser os responsáveis por essas anomalias em crianças com síndrome de Down / Abstract: Inherited mutations in exon 4 of the GATA1 gene, which codes for the N-terminal zinc finger domain of GATA-1, have been found in some families, leading to a familial dyserythropoietic anemia with thrombocytopenia, X-linked thrombocytopenia and X-linked thalassemia with thrombocytopenia. Acquired somatic mutations in exon 2 of the hematopoietic transcription factor GATA-1 have been found in individuals with Down syndrome with both transient myeloproliferative disorder and acute megakaryoblastic leukemia . These mutations prevent the synthesis of the full-length protein but allow the synthesis of its short isoform, GATA-1s. Experiments in mice suggest that GATA-1s supports normal adult megakaryopoiesis, platelet formation and erythropoiesis. Here we report a mutation, 332G-C, in exon 2 of GATA1, leading to the synthesis of only the short isoform in seven affected males from two generations of a family. Hematological profiles of affected males demonstrate macrocytic anemia, normal platelet counts and neutropenia in most cases. Altogether, data suggest that GATA-1s alone, produced in low or normal levels, is not sufficient to support normal erythropoiesis. Moreover, this is the first study to indicate that a germline splicing mutation does not lead to leukemia in the absence of other cooperating events, such as Down syndrome / Doutorado / Genetica Animal e Evolução / Doutor em Genetica e Biologia Molecular

La leucémie aiguë à basophile du Nourrisson est un sous-type rare de leucémie aiguë myéloïde.Notre équipe avait précédemment participé à la caractérisation moléculaire de la translocationrécurrente t(X;6)(p11;q23) générant un gène de fusion MYB-GATA1 chez les nourrissons desexe masculin. Pour mieux comprendre son rôle, le facteur de transcription MYB-GATA1résultant de cette fusion a été exprimé dans des cellules progénitrices de l’hématopoïèsehumaine, CD34+ avant xénogreffe chez des souris immunodéficientes. Les cellules exprimantMYB-GATA1 présentaient une augmentation de l’expression des marqueurs d’immaturité(CD34), des marqueurs de la lignée granuleuse (CD33, CD117) et des signes de différenciationbasophile (CD203c, FcƐRI). Des cellules de lignée UT-7 ont également montré descaractéristiques de différenciation basophile après transduction par MYB-GATA1. Une analysetranscriptomique a permis de mettre en évidence 9 gènes dérégulés à la fois par la présence deMYB-GATA1 et par la différenciation basophile. L’augmentation de l’expression de 3 de cesgènes (CCL23, IL1RL1 et NTRK1) a été confirmée en RT-PCRq dans des cellules CD34+transduites avec MYB-GATA1. L’IL-33 (Interleukine 33) et le NGF (Nerve Growth Factor),les ligands respectifs de IL1RL1 et NTRK1, augmentent la différenciation basophile de cellulesUT-7 exprimant MYB-GATA1, démontrant l’importance de ces voies de signalisation dans ladifférenciation basophiles de cellules leucémiques et de cellules primaires de l’hématopoïèsehumaine CD34+. Enfin une expérience utilisant la luciférase a confirmé que MYB et MYBGATA1augmentaient l’activité des facteurs de transcription NTRK1 et IL1RL1 conduisant àl’acquisition de caractéristiques basophiles. Nos résultats soulignent ainsi l’importance desrécepteurs à l’IL-33 et au NGF dans la différenciation basophile des cellules normales etleucémiques. / Acute basophilic leukaemia (ABL) is a rare subtype of acute myeloblastic leukaemia. Wepreviously described a recurrent t(X;6)(p11;q23) translocation generating a MYB-GATA1fusion gene in male infants with ABL. To better understand its role, the chimeric MYB-GATA1transcription factor was expressed in CD34-positive hematopoietic progenitors which weretransplanted into immunodeficient mice. Cells expressing MYB-GATA1 showed increasedexpression of markers of immaturity (CD34), of granulocytic lineage (CD33, CD117) and ofbasophilic differentiation (CD203c, FcƐRI). UT-7 cells also showed basophilic differentiationafter MYB-GATA1 transfection. A transcriptomic study identified 9 genes deregulated by bothMYB-GATA1 and by basophilic differentiation. Induction of three of these genes (CCL23,IL1RL1 and NTRK1) was confirmed in MYB-GATA1-expressing CD34-positive cells byRTqPCR. IL-33 and NGF (Nerve Growth Factor), the ligands of IL1RL1 and NTRK1,respectively, enhanced the basophilic differentiation of MYB-GATA1-expressing UT-7 cells,thus demonstrating the importance of this pathway in basophilic differentiation of leukemiccells and CD34 positive primary cells. Finally, gene reporter assays confirmed that MYB andMYB-GATA1 activated NTRK1 and IL1RL1 transcription leading to basophilic skewing ofthe blasts. Our results highlight the role of IL-33 and NGF receptors in basophilic differentiationof normal and leukemic cells.

京都大学 / 新制・課程博士 / 博士(医科学) / 甲第23472号 / 医科博第131号 / 新制||医科||9(附属図書館) / 京都大学大学院医学研究科医科学専攻 / (主査)教授 滝田 順子, 教授 髙折 晃史, 教授 江藤 浩之 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Childhood acute leukemias are genetically complex disorders, with recurrent or random aberrations found in most patients. Their proper functional characterization is crucial for understanding the role they play in the process of leukemogenesis. We aimed to identify and characterize the genetic background of two leukemic entities. The transient myeloproliferative disorder (TMD) is a preleukemic condition that occurs in 10% of newborns with Down syndrome. Trisomy 21 together with in-utero gained mutations in the GATA1 gene are essential in TMD and represent an ideal "multi-hit" model to study leukemogenesis. We investigated an alternative pathogenic mechanism enabling TMD development in a confirmed absence of trisomy 21. Novel deletions in the GATA1 and JAK1 genes were described as potential drivers of this TMD. The deletion D65_C228 in GATA1 results in the expression of an aberrant isoform, which is predicted to lose transactivation potential and, more importantly, to partially lose the ability of recognizing physiological DNA binding sites, possibly triggering TMD alone. Our thorough characterization of JAK1 F636del questions its role in TMD development. Analysis of JAK/STAT signaling suggested decrease of kinase activity upon F636 loss. Cells harboring the aberrant JAK1 did not obtain cytokine-...

京都大学 / 0048 / 新制・課程博士 / 博士(人間健康科学) / 甲第21038号 / 人健博第54号 / 新制||人健||4(附属図書館) / 京都大学大学院医学研究科人間健康科学系専攻 / (主査)教授 藤井 康友, 教授 岡 昌吾, 教授 髙折 晃史 / 学位規則第4条第1項該当 / Doctor of Human Health Sciences / Kyoto University / DFAM

Childhood acute leukemias are genetically complex disorders, with recurrent or random aberrations found in most patients. Their proper functional characterization is crucial for understanding the role they play in the process of leukemogenesis. We aimed to identify and characterize the genetic background of two leukemic entities. The transient myeloproliferative disorder (TMD) is a preleukemic condition that occurs in 10% of newborns with Down syndrome. Trisomy 21 together with in-utero gained mutations in the GATA1 gene are essential in TMD and represent an ideal "multi-hit" model to study leukemogenesis. We investigated an alternative pathogenic mechanism enabling TMD development in a confirmed absence of trisomy 21. Novel deletions in the GATA1 and JAK1 genes were described as potential drivers of this TMD. The deletion D65_C228 in GATA1 results in the expression of an aberrant isoform, which is predicted to lose transactivation potential and, more importantly, to partially lose the ability of recognizing physiological DNA binding sites, possibly triggering TMD alone. Our thorough characterization of JAK1 F636del questions its role in TMD development. Analysis of JAK/STAT signaling suggested decrease of kinase activity upon F636 loss. Cells harboring the aberrant JAK1 did not obtain cytokine-...