Abstract:Mouse mutants with an impaired DNA damage response frequently exhibit a set of remarkably similar defects in the HSPC compartment that are of largely unknown molecular basis. Using Mixed-Lineage-Leukemia-5 (Mll5)-deficient mice as prototypical examples, we have identified a mechanistic pathway linking DNA damage and HSPC malfunction. We show that Mll5 deficiency results in accumulation of DNA damage and reactive oxygen species (ROS) in HSPCs. Reduction of ROS efficiently reverses hematopoietic defects, establi… Show more
“…Several Kmt2e (Mll5) deficiency mouse models have been created and characterized 15,[19][20][21][22] . These mice present with growth restriction and increased mortality, as well as impaired hematopoiesis.…”
Section: Facial Analysismentioning
confidence: 99%
“…A neurological phenotype in these mice has not been reported. Both homozygous and heterozygous loss of Kmt2e in mice results in DNA damage and elevated levels of reactive oxygen species (ROS) 22 . The cellular effects were effectively reversed by supplementation with the glutathione precursor, Nacetylcysteine (NAC) 22 .…”
We delineate a KMT2E gene-related neurodevelopmental disorder based on 38 individuals in 36 families. This includes 31 distinct heterozygous variants in the KMT2E gene (28 ascertained from Matchmaker Exchange and 3 previously reported), and 4 individuals with chromosome 7q22.2-22.23 microdeletions encompassing the KMT2E gene (1 previously reported). Almost all variants occurred de novo, and most were truncating. Most affected individuals with protein-truncating variants presented with mild intellectual disability. One-quarter of individuals met criteria for autism. Additional common features include macrocephaly, hypotonia, functional gastrointestinal abnormalities, and a subtle facial gestalt. Epilepsy was present in about one-fifth of individuals with truncating variants, and was responsive to treatment with anti-epileptic medications in almost all. Over 70% of the individuals were male and expressivity was variable by sex, with epilepsy more common in females and autism more common in males. The four individuals with microdeletions encompassing KMT2E generally presented similarly to those with truncating variants, but the degree of developmental delay was greater. The group of four individuals with missense variants in KMT2E presented with the most severe developmental delays. Epilepsy was present in all individuals with missense variants, often manifesting as treatment-resistant infantile epileptic encephalopathy. Microcephaly was also common in this group. Haploinsufficiency versus gain-of-function or dominant negative effects specific to these missense variants in KMT2E may explain this divergence in phenotype, but requires independent validation. Disruptive variants in KMT2E are an under-recognized cause of neurodevelopmental abnormalities.
“…Several Kmt2e (Mll5) deficiency mouse models have been created and characterized 15,[19][20][21][22] . These mice present with growth restriction and increased mortality, as well as impaired hematopoiesis.…”
Section: Facial Analysismentioning
confidence: 99%
“…A neurological phenotype in these mice has not been reported. Both homozygous and heterozygous loss of Kmt2e in mice results in DNA damage and elevated levels of reactive oxygen species (ROS) 22 . The cellular effects were effectively reversed by supplementation with the glutathione precursor, Nacetylcysteine (NAC) 22 .…”
We delineate a KMT2E gene-related neurodevelopmental disorder based on 38 individuals in 36 families. This includes 31 distinct heterozygous variants in the KMT2E gene (28 ascertained from Matchmaker Exchange and 3 previously reported), and 4 individuals with chromosome 7q22.2-22.23 microdeletions encompassing the KMT2E gene (1 previously reported). Almost all variants occurred de novo, and most were truncating. Most affected individuals with protein-truncating variants presented with mild intellectual disability. One-quarter of individuals met criteria for autism. Additional common features include macrocephaly, hypotonia, functional gastrointestinal abnormalities, and a subtle facial gestalt. Epilepsy was present in about one-fifth of individuals with truncating variants, and was responsive to treatment with anti-epileptic medications in almost all. Over 70% of the individuals were male and expressivity was variable by sex, with epilepsy more common in females and autism more common in males. The four individuals with microdeletions encompassing KMT2E generally presented similarly to those with truncating variants, but the degree of developmental delay was greater. The group of four individuals with missense variants in KMT2E presented with the most severe developmental delays. Epilepsy was present in all individuals with missense variants, often manifesting as treatment-resistant infantile epileptic encephalopathy. Microcephaly was also common in this group. Haploinsufficiency versus gain-of-function or dominant negative effects specific to these missense variants in KMT2E may explain this divergence in phenotype, but requires independent validation. Disruptive variants in KMT2E are an under-recognized cause of neurodevelopmental abnormalities.
“…72 This phenomenon was mainly due to Type-I-IFN-induced accumulation of reactive oxygen species (ROS). 73 Additional indirect proofs of the tumor growth promoting role of Type-I-IFNs come from recent studies showing that, in cancer cells, Type-I-IFNs upregulated the ISG programmed death-ligand (PD-L)1 74 (panel 8, Fig. 2).…”
Section: Cancer-intrinsic Effects Of Type-i-ifnsmentioning
If there is a great new hope in the treatment of cancer, the immune system is it. Innate and adaptive immunity either promote or attenuate tumorigenesis and so can have opposing effects on the therapeutic outcome. Originally described as potent antivirals, Type-I interferons (IFNs) were quickly recognized as central coordinators of tumor-immune system interactions. Type-I-IFNs are produced by, and act on, both tumor and immune cells being either host-protecting or tumor-promoting. Here, we discuss Type-I-IFNs in infectious and cancer diseases highlighting their dichotomous role and raising the importance to deeply understand the underlying mechanisms so to reshape the way we can exploit Type-I-IFNs therapeutically.
“…Several observations, including upregulation of Sca-1, phosphorylation of STAT-1 and transcriptional induction of select IFN-1 target genes, indicated active type I interferon (IFN-1) signaling in HSPCs lacking MLL5. 1 Remarkably, genetic abrogation of IFN-1 signaling in Mll5 ¡/¡ x Ifnar1 ¡/¡ mice lacking an essential subunit of the IFN-1 receptor reduced ROS to near wild-type levels and markedly restored HSPC function despite absence of MLL5. This striking result identifies IFN-1 signaling as hitherto unknown link between DNA damage and toxic ROS accumulation.…”
mentioning
confidence: 98%
“…1 Indeed, appropriate assays revealed accrued DNA damage in HSPCs lacking MLL5. Moreover, MLL5-deficient HSPCs had drastically increased levels of ROS, and in vivo anti-oxidant treatment efficiently restored HSPC function, as reported previously for mice lacking Ataxia Telangiectasia Mutated (ATM) kinase, a key player in DDR.…”
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