Mutation-Driven S100A8 Overexpression Confers Aberrant Phenotypes in Type 1 <i>CALR</i>-Mutated MPN

oleh: Ying-Hsuan Wang, Ying-Ju Chen, Yi-Hua Lai, Ming-Chung Wang, Yi-Yang Chen, Yu-Ying Wu, Yao-Ren Yang, Hsing-Yi Tsou, Chian-Pei Li, Chia-Chen Hsu, Cih-En Huang, Chih-Cheng Chen

Format: Article
Diterbitkan: MDPI AG 2023-05-01

Deskripsi

Numerous pathogenic <i>CALR</i> exon 9 mutations have been identified in myeloproliferative neoplasms (MPN), with type 1 (52bp deletion; <i>CALR</i><sup>DEL</sup>) and type 2 (5bp insertion; <i>CALR</i><sup>INS</sup>) being the most prevalent. Despite the universal pathobiology of MPN driven by various <i>CALR</i> mutants, it is unclear why different <i>CALR</i> mutations result in diverse clinical phenotypes. Through RNA sequencing followed by validation at the protein and mRNA levels, we found that S100A8 was specifically enriched in <i>CALR</i><sup>DEL</sup> but not in <i>CALR</i><sup>INS</sup> MPN-model cells. The expression of <i>S100a8</i> could be regulated by STAT3 based on luciferase reporter assay complemented with inhibitor treatment. Pyrosequencing demonstrated relative hypomethylation in two CpG sites within the potential pSTAT3-targeting <i>S100a8</i> promoter region in <i>CALR</i><sup>DEL</sup> cells as compared to <i>CALR</i><sup>INS</sup> cells, suggesting that distinct epigenetic alteration could factor into the divergent S100A8 levels in these cells. The functional analysis confirmed that S100A8 non-redundantly contributed to accelerated cellular proliferation and reduced apoptosis in <i>CALR</i><sup>DEL</sup> cells. Clinical validation showed significantly enhanced <i>S100A8</i> expression in <i>CALR</i><sup>DEL</sup>-mutated MPN patients compared to <i>CALR</i><sup>INS</sup>-mutated cases, and thrombocytosis was less prominent in those with <i>S100A8</i> upregulation. This study provides indispensable insights into how different <i>CALR</i> mutations discrepantly drive the expression of specific genes that contributes to unique phenotypes in MPN.