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Dysregulated expression of Hoxa1isoforms in hematopoietic stem and progenitor cells causes myelodysplastic syndromes
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Dysregulated expression of Hoxa1isoforms in hematopoietic stem and progenitor cells causes myelodysplastic syndromes

ShuhYing Tan, Chacko Joseph, Alistair M Chalk, Jean Hendy, Stewart Fabb, Kelli Schleibs, Samuel C Lee, Gavin Tjin, Clea S Grace, Vinodini Madugalle, …
bioRxiv
Cold Spring Habor Laboratory
2023
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Preprint9.48 MBDownloadView
CC BY-NC-ND V4.0 Open Access

Abstract

The homeobox gene, Hoxa1, has two different isoforms generated by alternative splicing: a full-length homeodomain-containing Hoxa1 (Hoxa1-FL), and a truncated Hoxa1 (Hoxa1-T), that lacks the homeodomain. Oncoretroviral overexpression of wildtype Hoxa1 cDNA (WT-Hoxa1), which generates both Hoxa1 isoforms, in murine hematopoietic stem and progenitor cells (HSPCs) perturbed hematopoiesis, resulting in myelodysplastic syndromes (MDS) in mice. Overexpression of a mutated Hoxa1 cDNA (MUT-Hoxa1) that generates Hoxa1-FL but not Hoxa1-T led to a more severe MDS capable of transforming to secondary acute myeloid leukemia (sAML). Similar to human MDS, DNA damage repair pathways were downregulated in Hoxa1-overexpressing hematopoietic progenitor cells. Conditional knock-in mouse models revealed a Hoxa1-FL dosage-dependent effect on MDS disease severity. Our data reveal that increased expression of Hoxa1-FL in HSPCs is sufficient to initiate MDS in mice. CD34+ cells from up to 50% of patients with MDS had elevated HOXA1-FL expression, highlighting the clinical relevance of our mouse models.

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