Molecular Definition of Cancer Cell-of-Origin in B-ALL
Acute lymphoblastic leukemia (ALL) is the most
common cancer type in children. Elucidating its etiology is crucial for
devising strategies to alleviate this leading cause of childhood morbidity and
mortality. The prevailing models for how cancers arise cannot explain why malignancy
develops so early in life without multiple genetic abnormalities. A new
conceptual framework for how malignancy arises from the cell-of-origin is
necessary to better understand how ALL develops. Our recent work identified
that transient cell cycle acceleration to a critical threshold speed (~8
hours/cycle) is a key step limiting pluripotency induction from somatic cells.
Since the cell fate control mechanism subverted in pluripotency induction is
fundamentally analogous to that altered during malignant transformation, our
work provided the conceptual foundation where cell cycle kinetics dictate how
the epigenome responds to genetic insult. Thus, I propose to test whether the
transiently ultrafast-cycling hematopoietic progenitors are permissive for transformation
due to their unique epigenetic state, using one of the rearranged MLL-fusion
oncogene MLL-AF9 as a model. We have generated novel oncogene models and
obtained supportive preliminary data in the initiation of acute myeloid
leukemias. We propose to use these models to test whether the initiation of ALL
follows the same principle at cellular and molecular level. While it is long
appreciated that proliferative cell types are more prone to malignancies, this
has been attributed to the replicative errors accumulated during successive
divisions. An alternative explanation, which distinguishes my hypothesis, is
that the epigenetic state of fast cycling cells is inherently more amenable to
cell fate altering genetic activities. By defining the leukemia cell-of-origin
in molecular details, this project promises new insights into basic cancer
mechanisms and etiology, as well as critical implications for cancer prevention
and treatment.