SUMMARY
Inhibition of anti-apoptotic proteins BCL-2 and MCL-1 to release pro-apoptotic protein BIM and reactivate cell death could potentially be an efficient strategy for the treatment of leukemia. Here, we show that a lncRNA,
MORRBID
, a selective transcriptional repressor of
BIM
, is overexpressed in human acute myeloid leukemia (AML), which is associated with poor overall survival. In both human and animal models,
MORRBID
hyperactivation correlates with two recurrent AML drivers,
TET2
and
FLT3
ITD
. Mice with individual mutations of
Tet2
or
Flt3
ITD
develop features of chronic myelomonocytic leukemia (CMML) and myeloproliferative neoplasm (MPN), respectively, and combined presence results in AML. We observe increased levels of
Morrbid
in murine models of CMML, MPN, and AML. Functionally, loss of
Morrbid
in these models induces increased expression of Bim and cell death in immature and mature myeloid cells, which results in reduced infiltration of leukemic cells in tissues and prolongs the survival of AML mice.