EZH2, a catalytic component of the polycomb repressive complex 2, trimethylates histone H3 at lysine 27 (H3K27) to repress the transcription of target genes. Although EZH2 is overexpressed in various cancers, including some hematologic malignancies, the role of EZH2 in acute myeloid leukemia (AML) has yet to be examined in vivo. In the present study, we transformed granulocyte macrophage progenitors from Cre-ERT;Ezh2 flox/flox mice with the MLL-AF9 leukemic fusion gene to analyze the function of Ezh2 in AML.Deletion of Ezh2 in transformed granulocyte macrophage progenitors compromised growth severely in vitro and attenuated the progression of AML significantly in vivo. Ezh2-deficient leukemic cells developed into a chronic myelomonocytic leukemia-like disease with a lower frequency of leukemia-initiating cells compared with the control. Chromatin immunoprecipitation followed by sequencing revealed a significant reduction in the levels of trimethylation at H3K27 in Ezh2-deficient leukemic cells, not only at Cdkn2a, a known major target of Ezh2, but also at a cohort of genes relevant to the developmental and differentiation processes. Overexpression of Egr1, one of the derepressed genes in Ezh2-deficient leukemic cells, promoted the differentiation of AML cells profoundly. Our findings suggest that Ezh2 inhibits differentiation programs in leukemic stem cells, thereby augmenting their leukemogenic activity.
IntroductionThe polycomb group (PcG) of proteins function in gene silencing through histone modifications, forming the chromatin-associated multiprotein complexes known as polycomb repressive complex 1 (PRC1) and PRC2. These 2 complexes work together to maintain heritable chromatin modifications, mediating transcriptional repression of target genes, 1 and have been characterized as general regulators of stem cells.Among the PcG proteins, BMI1, a core component of PRC1, plays an essential role in the maintenance of the self-renewal ability of hematopoietic stem cells (HSCs), at least partially by silencing the CDKN2A (INK4A/ARF) locus. 2-5 BMI1 also maintains the multipotency of HSCs by keeping developmental regulator gene promoters poised for activation. 6 EZH2 is a catalytic component of PRC2 that trimethylates histone H3 at lysine 27 (H3K27) to repress its target genes transcriptionally. We recently reported that Ezh2 is essential for fetal but not adult HSCs. 7 Ezh2-deficient embryos die of anemia because of insufficient expansion of hematopoietic stem/progenitor cells and defective erythropoiesis in the fetal liver. Deletion of Ezh2 in adult BM perturbs lymphopoiesis but does not otherwise affect hematopoiesis. 7-9 Ezh1 has been shown to compensate for Ezh2 deficiency in mouse embryonic stem cells, 10 and may also act in a compensatory fashion in Ezh2-deficient BM HSCs. 7 In contrast, overexpression of Ezh2 in HSCs reportedly prevents exhaustion of the long-term repopulating potential of HSCs during repeated serial transplantation. 11PcG genes have also been linked to cancer. 12-14 Aberrant regulation of E...