Interleukin-7 receptor α mutational activation can initiate precursor B-cell acute lymphoblastic leukemia

  • Afonso R.M. Almeida
  • , João L. Neto
  • , Ana Cachucho
  • , Mayara Euzébio
  • , Xiangyu Meng
  • , Rathana Kim
  • , Marta B. Fernandes
  • , Beatriz Raposo
  • , Mariana L. Oliveira
  • , Daniel Ribeiro
  • , Rita Fragoso
  • , Priscila P. Zenatti
  • , Tiago Soares
  • , Mafalda R. de Matos
  • , Juliana Ronchi Corrêa
  • , Mafalda Duque
  • , Kathryn G. Roberts
  • , Zhaohui Gu
  • , Chunxu Qu
  • , Clara Pereira
  • Susan Pyne, Nigel J. Pyne, Vasco M. Barreto, Isabelle Bernard-Pierrot, Emannuelle Clappier, Charles G. Mullighan, Ana R. Grosso, J. Andrés Yunes, João T. Barata

Research output: Contribution to journalArticlepeer-review

46 Citations (Scopus)

Abstract

Interleukin-7 receptor α (encoded by IL7R) is essential for lymphoid development. Whether acute lymphoblastic leukemia (ALL)-related IL7R gain-of-function mutations can trigger leukemogenesis remains unclear. Here, we demonstrate that lymphoid-restricted mutant IL7R, expressed at physiological levels in conditional knock-in mice, establishes a pre-leukemic stage in which B-cell precursors display self-renewal ability, initiating leukemia resembling PAX5 P80R or Ph-like human B-ALL. Full transformation associates with transcriptional upregulation of oncogenes such as Myc or Bcl2, downregulation of tumor suppressors such as Ikzf1 or Arid2, and major IL-7R signaling upregulation (involving JAK/STAT5 and PI3K/mTOR), required for leukemia cell viability. Accordingly, maximal signaling drives full penetrance and early leukemia onset in homozygous IL7R mutant animals. Notably, we identify 2 transcriptional subgroups in mouse and human Ph-like ALL, and show that dactolisib and sphingosine-kinase inhibitors are potential treatment avenues for IL-7R-related cases. Our model, a resource to explore the pathophysiology and therapeutic vulnerabilities of B-ALL, demonstrates that IL7R can initiate this malignancy.

Original languageEnglish
Article number7268
JournalNature Communications
Volume12
Issue number1
DOIs
Publication statusPublished - Dec 2021
Externally publishedYes

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