Key Points
The MLL fusion partner ENL engages PAF1 to induce antisilencing H2B ubiquitination.
YEATS domain mutations or fusion with MLL increases affinity for PAF1 and transforms hematopoietic cells.
Abstract
Eleven-nineteen leukemia (ENL) is a chromatin reader present in complexes stimulating transcriptional elongation. It is fused to mixed-lineage leukemia (MLL) in leukemia, and missense mutations have been identified in Wilms tumor and acute myeloid leukemia. Here we demonstrate that ENL overcomes polycomb silencing through recruitment of PAF1 via the conserved YEATS domain, which recognizes acetylated histone H3. PAF1 was responsible for antirepressive activities of ENL in vitro, and it determined the transforming potential of MLL-ENL. MLL-ENL target loci showed supraphysiological PAF1 binding, hyperubiquitination of histone H2B and hypomodification with H2AUb, resulting in accelerated transcription rates. YEATS mutations induced a gain of function, transforming primary hematopoietic cells in vitro and in transplantation assays through aberrant transcription and H2B ubiquitination of Hoxa9 and Meis1. Mechanistically, H3 and PAF1 competed for ENL interaction, with activating mutations favoring PAF1 binding, whereas the MLL moiety provided a constitutive PAF1 tether allowing MLL fusions to circumvent H3 competition.
Introduction
The gene for the eleven-nineteen leukemia (ENL, or MLLT1) protein was initially discovered in leukemia as a mixed-lineage leukemia (MLL) fusion partner.1 More recently, somatic mutations of ENL have been discovered in a subset of Wilms tumors2 and in a case of pediatric acute myeloid leukemia (AML) (http://cancer.sanger.ac.uk/cosmic).
ENL copurifies with a large assembly of proteins called ENL associated proteins (EAP), which are necessary for efficient transcription by RNA polymerase II.3,4 EAP can be separated into 3 entities: the superelongation complex comprising positive transcription elongation factor b (P-TEFb) and several other MLL fusion partners such as AF4 (alternative name, AFF1)5 ; DOT1L, a histone H3K79 methyltransferase3,6 whose catalytic activity opposes epigenetic silencing by excluding histone deacetylase activities7 ; and paradoxically, polycomb repressive complex I (PRC1).8 As is implied by the name, PRC1 has a repressive function that renders chromatin less permissive for transcription. Biochemically, ENL acts as a chromatin reader through the highly conserved N-terminal YEATS domain. This moiety has a preference for acetylated histone H3,9-11 but experimentally it will also bind to unmodified H312 (for an overview of the various ENL interactions, see Figure 1A). Hence, ENL recruits its associated factors preferentially to active, open chromatin.
ENL links to PRC1 through a direct contact with its subunit CBX8.13 CBX8 is a chromatin reader recognizing methylated histone H3K27. This mark is deposited by the catalytic activity of the companion polycomb repressive complex 2. Because PRC1 contains the histone H2A-specific ubiquitin ligases RING1/2, H2AUb is a hallmark of repressed chromatin. Binding of CBX8 and other PRC1 components can physically compact chromatin also in the absence of any catalytic activity, supposedly by forming multimeric aggregates.14,15 Previously, we have found that ENL acts epistatic to CBX8, because ENL neutralizes CBX8-associated repressive activity, thus explaining the paradoxical interaction of 2 factors with opposite effects on transcription.8
In addition to EAP proteins, transcriptional activation by ENL has been linked to polymerase-associated factor 1 (PAF1). Although ENL does not readily copurify with PAF1, in certain contexts the elongation-stimulating properties of ENL are dependent on a direct interaction with this protein.16,17 PAF1 binds to chromatin with preference for methylated H3K4, but in vitro interaction was also possible with unmodified full-length H3.18,19 PAF1 is the central constituent of a larger complex (PAFc) that coordinates various stages of transcription from initiation to termination. A hallmark of PAFc activity is the deposition of monoubiquitin on histone H2B, catalyzed by the associated RNF20/RNF40 ubiquitin ligase. H2BUb modification is a prerequisite for H3K4- and H3K79 methylation, with H2BUb posing a steric obstruction to chromatin compaction20 with HOX genes as sentinel loci that react first to a perturbation of H2BUb deposition.21 PAF1 also binds to MLL and MLL fusion proteins.22,23 Whereas it was first believed that PAF1 mainly aids the targeting of MLL fusions, a recent report24 rather ascribes a role for PAF1 in MLL-fusion-induced gene activation.
Here, we show that an interaction of ENL with PAF1 is key to the relief from PRC1 repression, and we provide information on how this process can be controlled by explaining the gain of oncogenic properties by ENL mutants and MLL-ENL fusion proteins.
Methods
Detailed methods can be found in the supplemental Methods, available on the Blood Web site.
Transplantation assays
For transplantation experiments, sublethally irradiated (Balb/C; 7Gy) syngenic recipients were injected with 1 × 106 transduced cells and 1 × 106 total bone marrow cells for radioprotection.
Elongation reporter assays
Elongation was assessed by a special reporter described by Gold and Rice.25 In essence, this system is based on a HIV long terminal repeat (LTR) promoter that is known to be controlled at the elongation step at which effects on pausing/elongation of RNA polymerase can then be directly read out as luciferase activity.
Chromatin immunoprecipitation sequence (ChIP-seq) and RNA seq
ChIP was done on formaldehyde crosslinked cells according to Milne et al.26 Antibodies used are described in the supplemental Methods. Raw data were submitted to the European Bioinformatics Institute under accession number E-MTAB-5569. Nascent RNA seq was done exactly as described by Garcia-Cuellar et al.27
Results
ENL requires PAF1 to counteract CBX8-induced repression
Previously, we have shown that ENL counteracts polycomb-mediated repression upon binding the PRC1 component CBX8 through the C-terminus.8 Because deletion studies showed that this C-terminal domain is necessary but not sufficient for derepression,8 we surmised that the N-terminal YEATS domain of ENL may play an additional role for this activity. This moiety interacts with PAF116,17 and histone H3.10,12 To discriminate whether PAF1 or histone binding is essential for relief from CBX8-induced repression, we constructed 2 mutants with differential binding capabilities. Aided by the YEATS structure (Figure 1A), we deleted a small internal fragment (aa21-26, KKPTTE) opposite to the histone-interacting surface to target PAF1 interaction (ENL∆21-26). A construct deleting the entire domain up to aa125 (ENL∆N) served as a control. Although the YEATS peptide preferentially binds to acetylated histone tails, experimentally it also interacts with unmodified H3, enabling immunoprecipitations in the presence of recombinant histone (Figure 1B). The ∆21-26 mutant did not affect association with H3, whereas a loss of the entire YEATS domain abolished this interaction. In contrast, both deletions significantly reduced affinity for PAF1 (Figure 1C). YEATS mutants were consistently expressed at lower levels, supporting an involvement of this domain in transcriptional autoactivation of the plasmid-encoded promoter. Because CBX8 could simultaneously coprecipitate ENL and PAF1 (supplemental Figure 1A), CBX8 binding did not interfere with PAF1 interaction. Likewise, the ENL∆21-26 deletion mutant did not affect interaction of ENL with DOT1L, AF5, or CBX8 (supplemental Figure 1B). Next, the capability of ENL∆N and ENL∆21-26 to overcome CBX8-induced repression was tested in an elongation reporter system (Figure 1D). In this assay, CBX8 is recruited via the Rev-RNA binding protein to nascent RNA that trails behind a stalled RNA polymerase on a HIV LTR promotor. Whereas wt-ENL counteracted CBX8-induced repression, both mutants were largely ineffective, with only spurious activity remaining for the ∆21-26 deletion. Because ENL∆21-26 loses most of PAF1 affinity but still binds to H3, this suggested PAF1 as the critical component mediating antirepressive activity. Because PAF1 is associated with monoubiquitination of H2B, ChIP assays were done on the reporter plasmid. Even though this was a transient assay, H2BUb could be detected on reporter chromatin, with ENL∆21-26 sustaining much lower modification levels than did wt-ENL (Figure 1E). Further support for an involvement of PAF1 in antirepression was seen in cotransfection experiments (Figure 1F). Increasing available PAF1 boosted ENL-mediated neutralization of CBX8-induced repression. Concomitant with a residual affinity for PAF1, higher PAF1 concentrations also slightly strengthened the antirepressive activity of ENL∆21-26; however, this effect was significantly weaker than that observed with wt-ENL (Figure 1F). To specifically perturb the ENL-PAF1 interaction, we created a PAF1 fragment encompassing aa 266 to 400 (PAF266), corresponding to a minimal ENL interaction domain (Figure 1Gi). Addition of PAF266 to the elongation assay reduced CBX8 neutralization (Figure 1Gii). In summary, these experiments support an essential role of PAF1 for the antirepressive process mediated by ENL.
PAF1 and transformation by MLL-ENL
Previously, structure function analyses of MLL-ENL uncovered that the YEATS domain is actually dispensable for transformation.28 This was corroborated by clinical samples that only join the C-terminus of ENL to MLL (Figure 2A). Although at first sight this argues against a role of PAF1 for transformation, actually the MLL moiety of the fusion itself also binds to PAF1. Two independent laboratories22,23 have demonstrated that MLL needs PAF1 for efficient leukemogenesis. In these studies, PAF1 interaction could be abrogated either by introducing a point mutation (R1153A) or by deleting amino acids from position 1258 to the fusion breakpoint (∆1258). This enabled complementation experiments using flag-tagged MLL derivatives that joined wt-MLL or the PAF1-defective mutants R1153A/∆1258 to either full-length ENL or a shorter version containing the ENL C-terminus. Expression of the resulting fusion proteins was confirmed by immunoblot (Figure 2B). The oncogenic capacity of the individual constructs was assessed by replating assays of transduced hematopoietic precursors (Figure 2B-C). Whereas we could confirm that MLL-mediated PAF1 binding was crucial for oncogenic activity, this held true only for the shorter fusions. Constructs including the YEATS domain efficiently complemented for PAF1-binding deficiency of MLL mutants, and they transformed cells regardless of whether MLL-wt or a PAF1-defective MLL derivative was included. Interestingly, PAF1 binding capacity was the major determinant of colony counts. Constructs with a single PAF1 interaction domain formed significantly fewer colonies than did those that offered 2 possibilities for interaction. Juxtaposing MLL and MLL mutants with impaired PAF1 binding to ENL∆21-26, which itself has some residual PAF1 affinity (see above), reduced colony formation significantly, but not to the extent as observed with fusions that delete the complete YEATS domain (supplemental Figure 2A-B). Biochemically, MLL-ENL precipitated more PAF1 than MLL-ENL∆21-26 (supplemental Figure 2C). ENL complemented the function of PAF1-negative MLL mutants also in vivo. MLL_R1153A-ENL- and MLL-ENL-transduced cells caused lethal disease with comparable latency after injection into sublethally irradiated recipients (Figure 2D). However, animals receiving the “single PAF1 binder” MLL_R1153A-ENL had significantly lower spleen weights and showed a trend to lower white blood cell counts. Permanent cell lines could be recovered from all animals consisting of myeloid precursors with a Kitnegative/lowCD11bpositiveGr1negative phenotype and occasional differentiation toward a Gr1positive status (supplemental Figure 2D).
Complementation of the MLL PAF1-binding deficiency by the ENL YEATS domain was also seen in quantitative polymerase chain reaction (qPCR) experiments checking the 2 most crucial MLL-ENL downstream target genes Hoxa9 and Meis1 (Figure 2E). In line with the replating results, PAF1 was necessary for activation of Hoxa9 and Meis1, but it could be supplied by either MLL or ENL. This was congruent with ChIP results detecting H2BUb, the major histone modification associated with PAF1 at Hoxa9 and Meis1 loci (Figure 2F) where H2BUb deposition depended on recruitment of PAF1.
MLL-ENL target genes are characterized by an unusual H2B ubiquitination pattern
To determine the global relation of PAF1 and PRC1 activities, we performed ChIP-seq experiments in Meer cells (Figure 3). These cells carry a conditional Mll-ENL fusion under control of the endogenous murine promoter and have been extensively characterized previously.27 Precipitations for H2AUb (a hallmark activity of PRC1) and for H2BUb as well as PAF1 were performed (Figure 3). H2AUb and H2BUb were perfectly countercorrelated not only at the crucial Hox and Meis1 loci (Figure 3A) but equally well on a global scale (Figure 3B). Generally, H2AUb was organized in large domains extending upstream and downstream of transcribed units. Levels of H2AUb were inversely correlated with transcript rates, and MLL-ENL targets showed the lowest H2AUb modification of all transcribed genes.
H2BUb spread across the complete transcribed region, with the highest density recorded immediately downstream of the transcription initiation site. Similarly to DOT1L-catalyzed H3K79 methylation,29 H2BUb domains extended well beyond narrow MLL-ENL peaks. Genes in the upper tertile of transcription rates were more densely decorated with H2BUb than were those in the middle and lower ranges. MLL-ENL targets were characterized by the highest concentration of H2BUb of all active genes correlating to their accelerated transcription rates. A similar pattern was seen for PAF1. In line with previous results published by Roeder and colleagues30 and reflecting the multiple functions of PAF1 during transcript processing, binding was detectable across the whole transcribed region, with a particularly strong signal beyond the transcription end sites.
Wilms tumor–specific ENL alterations create gain-of-function mutants that transform myeloid cells
Mutations in the YEATS domain of ENL have been reported in a subset of Wilms tumors marked by a relative overexpression of HOX genes, particularly HOXA13.2 Superimposing the Wilms mutations on the YEATS structure showed that these alterations cluster in a region mediating histone contacts (Figure 4A; for sequence, see supplemental Figure 3A). To examine the effect of these pathogenic ENL derivatives on transcriptional elongation, we introduced 2 patient-specific mutations into the ENL framework. A deletion changing a PPV peptide to a single leucine (ENLdel) and a duplication of a NHL tripeptide (ENLins) were created. These alterations led to a slight reduction in protein expression levels; nonetheless, ENLdel and in particular ENLins had a considerably stronger output in HIV-LTR reporter elongation assays overcoming CBX8-mediated repression more efficiently than did wt-ENL (Figure 4B-C).
ENLins and ENLdel were retrovirally transduced into hematopoietic precursors and subjected to replating assays in which ENLdel and particularly ENLins enhanced self-renewal ability. ENLins cells formed up to 5-fold more colonies after 2 rounds of replating, whereas overexpression of wt-ENL had no effect (Figure 4D). Despite this transient enhancement of self-renewal, there was no complete transformation in vitro because the cells eventually exhausted their replating potential. The partial differentiation block accompanying the increased self-renewal could be detected by fluorescence-activated cell sorter (FACS) (Figure 4E). Cell populations transduced with ENLdel or ENLins showed lower levels of the differentiation marker Gr1 (Ly6g) than did wt-ENL or vector controls. Although Kit expression was generally low, the relative levels of this precursor-specific molecule corroborated the differentiation retardation induced by the ENL mutants (supplemental Figure 3B). Unexpectedly, ENLins caused fully malignant disease in transplantation studies. Sublethally irradiated syngenic recipients of ENLins-transduced cells succumbed to a myeloproliferative disorder/leukemia after an average latency of 139 days, whereas control animals receiving ENL-transduced cells stayed healthy until the termination of the experiment at 175 days (Figure 4F). Disease was characterized by hepato/splenomegaly and high blood counts (supplemental Figure 3C). Blood, spleen, and bone marrow showed a prominent infiltration of myeloid cells at various stages of differentiation (supplemental Figure 3D). The visual impression was supported by FACS of cells recovered from spleen that demonstrated a dominance of myeloid cells that were double-positive for CD11b and Gr-1 (supplemental Figure 3E). Corroborating the replating assays, cells reisolated from ENLins animals could not be grown permanently in vitro. In culture these cells differentiated within 2 to 3 weeks into granulocytes and macrophages, indicating that additional self-renewal signals must be present in bone marrow that were not adequately replaceable by growth medium. Because differentiation and self-renewal are strongly influenced by the Hox/Meis system, we tested the molecular changes at Hoxa9 and Meis1 loci by qPCR and ChIP. Indeed, ENLdel and ENLins cells had higher levels of Hoxa9 and to a lesser extent of Meis1. This was paralleled by a higher modification density with H2BUb at these loci in relation to vector and wt-ENL controls (Figure 4G). Cells directly reisolated from animals with ENLins-induced disease also showed an abnormally abundant transcription of Hoxa9 and Meis1 in comparison with normal bone marrow, although expression did not reach the levels induced by MLL-ENL transformed cells (supplemental Figure 3F). ChIP-seq and nascent RNA-seq experiments were performed on ENL/ENLins cells (supplemental Figure 4). Because ENL-wt by itself does not transform or retard differentiation, expansion of transduced cells was curbed by their endogenous self-renewal capacity, and thus the available number of cells was very limited. Nevertheless, ChIP and RNA-seq profiles could be obtained for genes with either high occupation density or high expression, respectively. Confirming the predominant role of Hoxa9 and Meis1 for transformation, ENLins was present at Hox/Meis1 loci, but no binding was visible in ENL-wt- transduced cells (supplemental Figure 4A). Overall the genomic pattern of ENLins was very similar to that observed for ENL-wt, but ENLins seemed to possess a generally higher chromatin affinity (supplemental Figure 4B). As was expected, nascent RNA-seq confirmed the physiological status of ENLins and ENL-wt cells (supplemental Table 1). Whereas the former were still in a proliferative state, the latter were located further along a differentiation trajectory. Gene Set Enrichment Analysis revealed a prevalent Myc signature in ENLins cells (supplemental Figure 4C). ENL-wt cells scored highly positive for a tumor necrosis factor (TNF)α-induced signal, with TNFα being the major cytokine produced by mature macrophages. Interestingly, ENLins-induced gene expression resembled an acute leukemia characterized by FLT3 internal tandem duplications (Valk, cluster 331 ), and ENL-wt cells overexpressed genes that are specifically underrepresented in Wilms tumor in comparison with normal kidney. Finally, independent corroboration for a role of ENL YEATS mutations in human hematopoietic malignancies was found in the latest version of the Cosmic database. A case of pediatric AML (COSM5487400) was identified that contained an ENL mutation strongly resembling the characteristic changes occurring in Wilms tumor. In AML the amino acids HLR within the YEATS sequence NHLR were duplicated, whereas in Wilms cases the immediately adjacent NHL tripeptide was affected (supplemental Figure 4D).
Wilms mutations change the YEATS binding properties
We examined the consequences of Wilms mutations for binding to PAF1 and histone H3 by coprecipitation. Flag-tagged wt-ENL and the mutants ENLdel and ENLins were each coexpressed with PAF1, and mutual interaction was probed by flag-specific immunoprecipitation. Unexpectedly, and despite the previous indications that Wilms mutants of ENL are associated with higher PAF1 activity, no difference in PAF1 affinity could be detected in these experiments (Figure 5A). Conversely, in analogous experiments, histone H3 binding was clearly reduced, particularly for the ENLins derivative (Figure 5B). This was in line with the previous results of Perlman et al,2 who noted a lower affinity of Wilms-specific ENL mutants for acetylated H3-peptides in isothermal titration calorimetry.
Notwithstanding a more elaborate posttranscriptional mechanism that controls YEATS-mediated protein-protein interactions and that may be affected by these mutations, the most straightforward explanation for a relative gain of function would be competitive binding of PAF1 and H3. The closely adjacent binding sites within the YEATS domain make it difficult to envisage how the 80kDa PAF1 protein and a 17kDa histone should be accommodated simultaneously. If competition occurs, most of ENL should be bound to H3 because cellular amounts of histone H3 vastly exceed those of PAF1. Indeed, precipitation of endogenous ENL in cellular extracts readily brought down detectable levels of histone H3 but not of PAF1 (Figure 5C). To probe the mutual relationship among ENL, histone H3, and PAF1, we performed pulldowns (Figure 5D). The YEATS domain of ENL was purified and attached to agarose beads. Because PAF1 also contains a histone H3-binding domain in its C-terminus, a glutathione S-transferase (GST) fusion with the previously identified minimal ENL-binding fragment (PAF266 encompassing amino acids 266 to 400 of PAF1) was used. Whereas GST-PAF266 readily bound to ENL, addition of recombinant histone H3 significantly weakened this interaction, indicating mutual competition. Because ENLdel/ins bind H3 more weakly than does wt-ENL (see Figure 5B), this would result in a relative gain of PAF1 affinity for the mutants. To keep in line with previous results2,9-11 demonstrating that histone peptides are recognized by wt but not by mutant YEATS domains if they are acetylated, we repeated the experiment with H3K27ac peptides. Similarly to full-length H3 (which does not need to be acetylated for binding to ENL), H3K27ac peptides reduced binding of GST-PAF266 to ENL but not to ENLins, explaining the relatively higher PAF1 binding affinity also in an acetylated histone context.
The amino acids of ENL affected by the Wilms mutations form a surface at the bottom of a channel accommodating the acetylated side chain of histone H3 lysines. It was shown that the single amino acid Y78 closes this channel and hence participates in H3Kac recognition11 (supplemental Figure 5A). However, no mutation at this position has been found in tumors. To test the importance of this particular residue for the derepressive activity of ENL, we tested an Y78A mutant in elongation reporter and replating assays (supplemental Figure 5B-C). In comparison with wt ENL, ENLY78A did not show any increased readout in these experiments, underscoring the close correlation between derepression and transformation/replating. ENLY78A did not affect the direct interaction with PAF1 in immunopreciptiations, but in line with Wang et al’s results,11 it slightly reduced affinity toward full-length H3 (supplemental Figure 5D). However, this was obviously not sufficient to allow a stronger PAF1 binding within a cellular environment.
Discussion
It is well known that transcription requires accessory factors to modify the packing density of chromatin. Therefore it is not surprising that the elongation factor ENL has evolved a capacity to counteract chromatin compaction by harnessing the PAFc machinery. Two major negative regulators of DNA density are polycomb repressive complexes 1 and 2. The perfect anticorrelation of H2A ubiquitination and transcription rates makes PRC1 a prime candidate that regulates “transcribability” of chromatin. The spatial distribution of H2AUb covering large domains that transgress transcriptional boundaries strongly suggests that PRC1 activity is not directly related to the known stalling or pausing of RNA polymerase shortly after initiation. Rather this initial pause is induced by dedicated antielongation factors such as negative elongation factor and 5,6-dichloro-1-β-D-ribofuranosylbenzimidazole sensitivity-inducing factor and can be overcome by the activity of P-TEFb.32 Beyond that and in particular for longer transcribed regions, additional effectors such as PAFc appear to be increasingly necessary for decompaction of chromatin during transcription. Although the supportive role for PAFc for transcriptional elongation and therefore the correlation of H2B ubiquitination and transcription rates has been noted before,33 the underlying mechanism is not completely clear. So far, no reader for H2BUb has been identified, but it was suggested that this modification affects nucleosome geometry opposing tight packing.20 Previous publications demonstrated that inhibiting H2B ubiquitination by a knock-down of the PAFc component LEO1 had profound consequences on overall transcription as well as elongation-associated H3K79 methylation, and both most strongly affected the HOX-loci.21 A role for ENL in establishing antirepression seems to be supported also by the results of Erb et al.9 Rapid, targeted destruction of ENL in vivo reduced overall traveling ratios of RNAPolII, exactly what would be expected if ENL functions in decreasing chromatin package density besides working to release RNAPolII from initial pausing through recruitment of P-TEFb.
Our results suggest that the derepressive activity of ENL would be highly self-limiting. As soon as open chromatin is accessible for histone acetyl transferases, a large number of acetylated histone H3 tails become available for binding to the YEATS domain. This would tether ENL directly to chromatin, allow the release and transfer of PAF1 onto active RNAPolII, and permit ENL to assume its “elongation mode,” now recruiting either DOT1L or P-TEFb through AFF1/AF4 (Figure 5E). Given the large number of acetylated H3 tails that cover any active transcription unit, this also would explain why all ENL is effectively trapped with either AFF1 or DOT1L in elongation complexes, whereas PAF1 has never been detected copurifying with ENL unless overexpressed. Rather, the majority of PAF1 is found to be associated with RNAPolII.
Our biochemical experiments indicate that Wilms tumor–specific mutations reduce binding affinity of ENL for acetylated histone H3 without harming PAF1 interaction. Thus it would need a concentration of acetylated histones to compete off PAF1 from these mutants higher than those from wt ENL, thus effectively strengthening their derepressive activity. This could provide a plausible explanation for why Wilms-specific ENL alterations are gain-of-function mutations. HOX-loci are the sentinel sites for polycomb-mediated repression and should respond first to perturbations of PRC function. Indeed, introduction of mutated ENL into primary hematopoietic precursors elicited increased H2B ubiquitination of Hoxa9 and Meis1, resulting in higher transcription rates and a concomitant differentiation block. The same loci showed the most pronounced differential binding of Wilms mutant and wt ENL, not only explaining the overexpression of HOX genes in this Wilms tumor subtype but also giving a rationale for the presence of analogous mutations in human AML.
The involvement of PAF1 as “antirepressor” also has repercussions with regard to the function of MLL-ENL fusions. The continuous recruitment of PAF1 by MLL derails the self-organizing derepression/elongation sequence orchestrated by ENL. Tethering PAF1 constitutively to P-TEFb, DOT1L, or both contributes to the hyperactivity of MLL-ENL, acting effectively as a “supertranscription factor” that combines derepressive and elongation functions in 1 molecule. As a consequence, MLL-ENL targets have higher transcription rates and H2BUb modification levels than does any other gene in the genome, and they are also simultaneously hypermodified with H3K79me. The fact that MLL-ENL seems to misuse the H2B ubiquitination machinery and that previous results demonstrate that a knock-down of LEO1 is incompatible with transformation by MLL-ENL34 support H2BUb as a potential therapeutic intervention point. Unfortunately, no inhibitors of H2B ubiquitin ligases are known. However, if those become available and a therapeutic window can be identified that rectifies the overshooting activity without harming the normal levels that are required for most of transcription, H2BUb may become a rewarding target for pharmaceutical development.
The online version of this article contains a data supplement.
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Acknowledgments
The authors thank Renate Zimmermann and Daniel Leibinger for technical assistance.
This work was supported by research funding from Deutsche Forschungsgemeinschaft (grant SL27/7-2) and cofinanced by the Bavarian Ministry of Sciences, Research, and the Arts in the framework of the Bavarian Molecular Biosystems Research Network (R.K.S.). Additional funding was contributed by the Emerging Fields Initiative of the FAU University Erlangen-Nürnberg (R.K.S.).
Authorship
Contribution: K.H., M.-P.G.-C., and R.K.S. performed and analyzed experiments; C.B. performed high throughput sequencing and data analysis; R.K.S. conceived and supervised experiments; R.K.S. wrote the manuscript; and all authors read and discussed the manuscript.
Conflict-of-interest disclosure: The authors declare no competing financial interests.
Correspondence: Robert K. Slany, Institute for Genetics, University Erlangen, Erwin Rommel Str 3, 91058 Erlangen, Germany; e-mail: robert.slany@fau.de.
References
Author notes
K.H. and M.-P.G.-C. contributed equally to this study.