Targeting the HTLV-I-Regulated BATF3/IRF4 Transcriptional Network in Adult T Cell Leukemia/Lymphoma

Masao Nakagawa, Arthur L. Shaffer, Michele Ceribelli, Meili Zhang, George Wright, Da Wei Huang, Wenming Xiao, John Powell, Michael N. Petrus, Yibin Yang, James D. Phelan, Holger Kohlhammer, Sigrid P. Dubois, Hee Min Yoo, Emmanuel Bachy, Daniel E. Webster, Yandan Yang, Weihong Xu, Xin Yu, Hong ZhaoBonita R. Bryant, Joji Shimono, Takashi Ishio, Michiyuki Maeda, Patrick L. Green, Thomas A. Waldmann, Louis M. Staudt

Research output: Contribution to journalArticlepeer-review

87 Scopus citations

Abstract

Adult T cell leukemia/lymphoma (ATLL) is a frequently incurable disease associated with the human lymphotropic virus type I (HTLV-I). RNAi screening of ATLL lines revealed that their proliferation depends on BATF3 and IRF4, which cooperatively drive ATLL-specific gene expression. HBZ, the only HTLV-I encoded transcription factor that is expressed in all ATLL cases, binds to an ATLL-specific BATF3 super-enhancer and thereby regulates the expression of BATF3 and its downstream targets, including MYC. Inhibitors of bromodomain-and-extra-terminal-domain (BET) chromatin proteins collapsed the transcriptional network directed by HBZ and BATF3, and were consequently toxic for ATLL cell lines, patient samples, and xenografts. Our study demonstrates that the HTLV-I oncogenic retrovirus exploits a regulatory module that can be attacked therapeutically with BET inhibitors. Nakagawa et al. show that BATF3 and IRF4 cooperatively drive adult T cell leukemia/lymphoma (ATLL)-specific gene expression and that human lymphotropic virus type I encoded HBZ regulates the expression of BATF3 and its downstream targets. BET inhibitors collapse the transcriptional network and kill ATLL cells.

Original languageEnglish
Pages (from-to)286-297.e10
JournalCancer Cell
Volume34
Issue number2
DOIs
StatePublished - Aug 13 2018

Keywords

  • ATLL
  • BATF3
  • BET inhibitor
  • HBZ
  • functional genomics

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