Long-range enhancer activity determines <i>Myc</i> sensitivity to Notch inhibitors in T cell leukemia

  • Yumi Yashiro-Ohtani
    Abramson Family Cancer Research Institute, Department of Pathology and Laboratory Medicine, and
  • Hongfang Wang
    Department of Pathology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115;
  • Chongzhi Zang
    Departments of cBiostatistics and Computational Biology and
  • Kelly L. Arnett
    Department of Biological Chemistry and Molecular Pharmacology,
  • Will Bailis
    Abramson Family Cancer Research Institute, Department of Pathology and Laboratory Medicine, and
  • Yugong Ho
    Department of Genetics, and
  • Birgit Knoechel
    Boston Children’s Hospital, Harvard Medical School, Boston, MA 02115;
  • Claudia Lanauze
    Abramson Family Cancer Research Institute, Department of Pathology and Laboratory Medicine, and
  • Lumena Louis
    Abramson Family Cancer Research Institute, Department of Pathology and Laboratory Medicine, and
  • Katherine S. Forsyth
    Abramson Family Cancer Research Institute, Department of Pathology and Laboratory Medicine, and
  • Sujun Chen
    Department of Bioinformatics, School of Life Science and Technology, Tongji University, Shanghai, China 200092
  • Yoonjie Chung
    Abramson Family Cancer Research Institute, Department of Pathology and Laboratory Medicine, and
  • Jonathan Schug
    Department of Genetics, and
  • Gerd A. Blobel
    Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA 19104;
  • Stephen A. Liebhaber
    Department of Genetics, and
  • Bradley E. Bernstein
    Broad Institute and Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02115;
  • Stephen C. Blacklow
    Department of Biological Chemistry and Molecular Pharmacology,
  • Xiaole Shirley Liu
    Departments of cBiostatistics and Computational Biology and
  • Jon C. Aster
    Department of Pathology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115;
  • Warren S. Pear
    Abramson Family Cancer Research Institute, Department of Pathology and Laboratory Medicine, and

説明

<jats:title>Significance</jats:title> <jats:p> The protooncogene c-Myc (Myc) is an oncogenic driver in many cancers, but is difficult to target directly with drugs. An alternative strategy is to use drugs that inhibit factors that regulate <jats:italic>Myc</jats:italic> expression. Notch drives <jats:italic>Myc</jats:italic> expression in most T-cell leukemias, but clinical trials of Notch inhibitors have been disappointing, possibly because cells emerge that express <jats:italic>Myc</jats:italic> in a Notch-independent fashion. Here we identify the genomic switches that regulate <jats:italic>Myc</jats:italic> expression in the Notch-inhibitor–sensitive and –resistant states. Our findings suggest that Notch inhibitor resistance occurs through a “switch swap” that relieves Notch dependency while increasing dependency on a different factor, bromodomain containing 4 (Brd4). These studies provide a rationale for targeting <jats:italic>Myc</jats:italic> in T cell leukemias with combinations of Notch and Brd4 inhibitors. </jats:p>

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