The neuropeptide receptor calcitonin receptor-like (CALCRL) is a potential therapeutic target in acute myeloid leukemia

Autor: Wolfgang Hiddemann, Eike Bormann, Christoph Schliemann, Caroline Pabst, Linus Angenendt, Tobias Herold, Guy Sauvageau, Maria Francisca Arteaga, Klaus H. Metzeler, Klaus Wethmar, Wolfgang E. Berdel, Hubert Serve, Vijay Alla, Jan-Henrik Mikesch, Carsten Müller-Tidow, Georg Lenz, Kim Dohlich, Bob Löwenberg, Wolfgang Hartmann, Torsten Kessler, Adrian Angenendt, Matthias Stelljes, Rolf M. Mesters, Peter J. M. Valk, Karsten Spiekermann, Josée Hébert, Dennis Görlich, Stefan K. Bohlander, Utz Krug, Christian Schwöppe, M Christina Sauerland, Bernhard Wörmann, Leonie Braun, Maja Rothenberg-Thurley
Přispěvatelé: Hematology
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Leukemia 33, 2830-2841 (2019)
Leukemia, 33(12), 2830-2841. Nature Publishing Group
ISSN: 0887-6924
Popis: Calcitonin receptor-like (CALCRL) is a G-protein-coupled neuropeptide receptor involved in the regulation of blood pressure, angiogenesis, cell proliferation, and apoptosis, and is currently emerging as a novel target for the treatment of migraine. This study characterizes the role of CALCRL in acute myeloid leukemia (AML). We analyzed CALCRL expression in collectively more than 1500 well-characterized AML patients from five international cohorts (AMLCG, HOVON, TCGA, Leucegene, and UKM) and evaluated associations with survival. In the AMLCG analytic cohort, increasing transcript levels of CALCRL were associated with decreasing complete remission rates (71.5%, 53.7%, 49.6% for low, intermediate, high CALCRL expression), 5-year overall (43.1%, 26.2%, 7.1%), and event-free survival (29.9%, 15.8%, 4.7%) (all P < 0.001). CALCRL levels remained associated with all endpoints on multivariable regression analyses. The prognostic impact was confirmed in all validation sets. Genes highly expressed in CALCRLhigh AML were significantly enriched in leukemic stem cell signatures and CALCRL levels were positively linked to the engraftment capacity of primary patient samples in immunocompromised mice. CRISPR- Cas9-mediated knockout of CALCRL significantly impaired colony formation in human myeloid leukemia cell lines. Overall, our study demonstrates that CALCRL predicts outcome beyond existing risk factors and is a potential therapeutic target in AML.
Databáze: OpenAIRE