Cross-talk between GLI transcription factors and FOXC1 promotes T-cell acute lymphoblastic leukemia dissemination

Leukemia. 2021 Apr;35(4):984-1000. doi: 10.1038/s41375-020-0999-2. Epub 2020 Jul 30.

Abstract

T-cell acute lymphoblastic leukemia (T-ALL) is a highly malignant pediatric leukemia, where few therapeutic options are available for patients which relapse. We find that therapeutic targeting of GLI transcription factors by GANT-61 is particularly effective against NOTCH1 unmutated T-ALL cells. Investigation of the functional role of GLI1 disclosed that it contributes to T-ALL cell proliferation, survival, and dissemination through the modulation of AKT and CXCR4 signaling pathways. Decreased CXCR4 signaling following GLI1 inactivation was found to be prevalently due to post-transcriptional mechanisms including altered serine 339 CXCR4 phosphorylation and cortactin levels. We also identify a novel cross-talk between GLI transcription factors and FOXC1. Indeed, GLI factors can activate the expression of FOXC1 which is able to stabilize GLI1/2 protein levels through attenuation of their ubiquitination. Further, we find that prolonged GLI1 deficiency has a double-edged role in T-ALL progression favoring disease dissemination through the activation of a putative AKT/FOXC1/GLI2 axis. These findings have clinical significance as T-ALL patients with extensive central nervous system dissemination show low GLI1 transcript levels. Further, T-ALL patients having a GLI2-based Hedgehog activation signature are associated with poor survival. Together, these findings support a rationale for targeting the FOXC1/AKT axis to prevent GLI-dependent oncogenic Hedgehog signaling.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis
  • Biopsy
  • Cell Cycle Checkpoints
  • Computational Biology / methods
  • Disease Models, Animal
  • Disease Progression
  • Forkhead Transcription Factors / metabolism*
  • Gene Expression Profiling
  • Gene Expression Regulation, Neoplastic
  • Gene Silencing
  • Hedgehog Proteins / metabolism
  • Humans
  • Immunohistochemistry
  • Mice
  • Mutation
  • Precursor T-Cell Lymphoblastic Leukemia-Lymphoma / diagnosis
  • Precursor T-Cell Lymphoblastic Leukemia-Lymphoma / etiology
  • Precursor T-Cell Lymphoblastic Leukemia-Lymphoma / metabolism*
  • Precursor T-Cell Lymphoblastic Leukemia-Lymphoma / mortality
  • Prognosis
  • Protein Binding
  • Proto-Oncogene Proteins c-akt / metabolism
  • Receptor, Notch1 / genetics
  • Receptor, Notch1 / metabolism
  • Receptors, CXCR4 / metabolism
  • Signal Transduction*
  • Transcription Factors
  • Zinc Finger Protein GLI1 / metabolism*

Substances

  • CXCR4 protein, human
  • FOXC1 protein, human
  • Forkhead Transcription Factors
  • GLI1 protein, human
  • Hedgehog Proteins
  • NOTCH1 protein, human
  • Receptor, Notch1
  • Receptors, CXCR4
  • Transcription Factors
  • Zinc Finger Protein GLI1
  • Proto-Oncogene Proteins c-akt