[PDF][PDF] A druggable TCF4-and BRD4-dependent transcriptional network sustains malignancy in blastic plasmacytoid dendritic cell neoplasm

M Ceribelli, ZE Hou, PN Kelly, G Wright, K Ganapathi… - Cancer cell, 2016 - cell.com
M Ceribelli, ZE Hou, PN Kelly, G Wright, K Ganapathi, MO Evbuomwan, S Pittaluga…
Cancer cell, 2016cell.com
Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is an aggressive and largely
incurable hematologic malignancy originating from plasmacytoid dendritic cells (pDCs).
Using RNAi screening, we identified the E-box transcription factor TCF4 as a master
regulator of the BPDCN oncogenic program. TCF4 served as a faithful diagnostic marker of
BPDCN, and its downregulation caused the loss of the BPDCN-specific gene expression
program and apoptosis. High-throughput drug screening revealed that bromodomain and …
Summary
Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is an aggressive and largely incurable hematologic malignancy originating from plasmacytoid dendritic cells (pDCs). Using RNAi screening, we identified the E-box transcription factor TCF4 as a master regulator of the BPDCN oncogenic program. TCF4 served as a faithful diagnostic marker of BPDCN, and its downregulation caused the loss of the BPDCN-specific gene expression program and apoptosis. High-throughput drug screening revealed that bromodomain and extra-terminal domain inhibitors (BETis) induced BPDCN apoptosis, which was attributable to disruption of a BPDCN-specific transcriptional network controlled by TCF4-dependent super-enhancers. BETis retarded the growth of BPDCN xenografts, supporting their clinical evaluation in this recalcitrant malignancy.
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