[PDF][PDF] HDAC8 inhibition specifically targets Inv (16) acute myeloid leukemic stem cells by restoring p53 acetylation

J Qi, S Singh, WK Hua, Q Cai, SW Chao, L Li, H Liu… - Cell stem cell, 2015 - cell.com
J Qi, S Singh, WK Hua, Q Cai, SW Chao, L Li, H Liu, Y Ho, T McDonald, A Lin, G Marcucci
Cell stem cell, 2015cell.com
Acute myeloid leukemia (AML) is driven and sustained by leukemia stem cells (LSCs) with
unlimited self-renewal capacity and resistance to chemotherapy. Mutation in the TP53 tumor
suppressor is relatively rare in de novo AML; however, p53 can be regulated through post-
translational mechanisms. Here, we show that p53 activity is inhibited in inv (16)+ AML LSCs
via interactions with the CBFβ-SMMHC (CM) fusion protein and histone deacetylase 8
(HDAC8). HDAC8 aberrantly deacetylates p53 and promotes LSC transformation and …
Summary
Acute myeloid leukemia (AML) is driven and sustained by leukemia stem cells (LSCs) with unlimited self-renewal capacity and resistance to chemotherapy. Mutation in the TP53 tumor suppressor is relatively rare in de novo AML; however, p53 can be regulated through post-translational mechanisms. Here, we show that p53 activity is inhibited in inv(16)+ AML LSCs via interactions with the CBFβ-SMMHC (CM) fusion protein and histone deacetylase 8 (HDAC8). HDAC8 aberrantly deacetylates p53 and promotes LSC transformation and maintenance. HDAC8 deficiency or inhibition using HDAC8-selective inhibitors (HDAC8i) effectively restores p53 acetylation and activity. Importantly, HDAC8 inhibition induces apoptosis in inv(16)+ AML CD34+ cells, while sparing the normal hematopoietic stem cells. Furthermore, in vivo HDAC8i administration profoundly diminishes AML propagation and abrogates leukemia-initiating capacity of both murine and patient-derived LSCs. This study elucidates an HDAC8-mediated p53-inactivating mechanism promoting LSC activity and highlights HDAC8 inhibition as a promising approach to selectively target inv(16)+ LSCs.
cell.com