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Ectopic expression of the transcription factor ONECUT3 drives a complex karyotype in myelodysplastic syndromes
Yingwan Luo, … , Gang Huang, Hongyan Tong
Yingwan Luo, … , Gang Huang, Hongyan Tong
Published February 22, 2024
Citation Information: J Clin Invest. 2024;134(8):e172468. https://doi.org/10.1172/JCI172468.
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Research Article Hematology Article has an altmetric score of 11

Ectopic expression of the transcription factor ONECUT3 drives a complex karyotype in myelodysplastic syndromes

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Abstract

Chromosomal instability is a prominent biological feature of myelodysplastic syndromes (MDS), with over 50% of patients with MDS harboring chromosomal abnormalities or a complex karyotype (CK). Despite this observation, the mechanisms underlying mitotic and chromosomal defects in MDS remain elusive. In this study, we identified ectopic expression of the transcription factor ONECUT3, which is associated with CKs and poorer survival outcomes in MDS. ONECUT3-overexpressing cell models exhibited enrichment of several notable pathways, including signatures of sister chromosome exchange separation and mitotic nuclear division with the upregulation of INCENP and CDCA8 genes. Notably, dysregulation of chromosome passenger complex (CPC) accumulation, besides the cell equator and midbody, during mitotic phases consequently caused cytokinesis failure and defective chromosome segregation. Mechanistically, the homeobox (HOX) domain of ONECUT3, serving as the DNA binding domain, occupied the unique genomic regions of INCENP and CDCA8 and transcriptionally activated these 2 genes. We identified a lead compound, C5484617, that functionally targeted the HOX domain of ONECUT3, inhibiting its transcriptional activity on downstream genes, and synergistically resensitized MDS cells to hypomethylating agents. This study revealed that ONECUT3 promoted chromosomal instability by transcriptional activation of INCENP and CDCA8, suggesting potential prognostic and therapeutic roles for targeting high-risk MDS patients with a CK.

Authors

Yingwan Luo, Xiaomin Feng, Wei Lang, Weihong Xu, Wei Wang, Chen Mei, Li Ye, Shuanghong Zhu, Lu Wang, Xinping Zhou, Huimin Zeng, Liya Ma, Yanling Ren, Jie Jin, Rongzhen Xu, Gang Huang, Hongyan Tong

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Figure 2

ONECUT3 OE leads to multinucleation and a CK independent of TP53.

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ONECUT3 OE leads to multinucleation and a CK independent of TP53.
(A) Ov...
(A) Overview of experimental approach: WT TP53 embryos were acquired by breeding WT Tp53 male and WT Tp53 female mice. Tp53-KO embryos were acquired from breeding of Tp53-KO homozygotic males and Tp53-KO heterozygotic females. The E13.5 embryos were obtained from the above breeding, and MEFs were later isolated from these embryos, with Tp53+/+ and Tp53–/– genetic backgrounds, respectively. HSPCs were obtained from a healthy donor and isolated to obtain CD34+ cells. Onecut3 expression was enforced by the Retro-X Tet-One system in the MEFs, and by ssODN in the human CD34+ HSPCs. Then we assessed the morphology, karyotype, and indirect IF. (B) Cell lysates were harvested after treatment with or without Dox (100 ng/mL) in both WT Tp53 and Tp53-KO MEFs for 48 hours and were blotted against anti-ONECUT3 antibodies. Actin was used as a loading control. (C) Representative images of WT Tp53 and Tp53-KO MEFs after 4 days of Dox treatment, followed cytospin and then Wright-Giemsa staining. Graph shows a comparative analysis of the multinucleated cell percentage (n = 3). (D) Chromosome number analysis in over 30 mitotic cells. Data points represent individual WT Tp53 and Tp53-KO MEFs. Conventional MEF chromosome numbers (n = 40 or 80; in grayscale) were considered as a benchmark; deviations were deemed anomalous. (E) Cells were either subjected to induction of ONECUT3 OE (upper panel) or to treatment with 380 μM 5-FU to induce Tp53 expression or with DMSO for 24 hours (lower panel). (F) Analysis of morphology (left) and karyotype (right) for ssODN-mediated control and ONECUT3 expression in human CD34+ HSPCs. Red arrows indicate multinucleated cells. Scale bars: 100 μm. Error bars represent the SD. NS, not significant; *P < 0.05, **P < 0.01, and ***P < 0.001, by 2-tailed, paired Student’s t test (C and F–H) or χ2 test (D).

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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