T-cell acute lymphoblastic leukemia (T-ALL) is a type of hematologic tumor with malignant proliferation of hematopoietic progenitor cells. However, traditional clinical treatment of T-ALL included chemotherapy and stem cell transplantation always lead to recurrence and poor prognosis, thus new therapeutic targets and drugs are urgently needed for T-ALL treatment. In this study, we showed that TET1 (ten-eleven translocation 1), a key participant of DNA epigenetic control, which catalyzes the conversion of 5-methylcytosine (5mC) to 5-hydroxymethylcytosine (5hmC) to modulate gene expression, was highly upregulated in human T-ALL and negatively correlated with the prognosis of patients. Knockdown of TET1 suppressed T-ALL growth and progression, suggesting that TET1 inhibition maybe an effective way to fight T-ALL via DNA epigenetic modulation. Combining structure-guided virtual screening and cell-based high-throughput screening of FDA-approved drug library, we discovered that auranofin, a gold-containing compound, is a potent TET1 inhibitor. Auranofin inhibited the catalytic activity of TET1 through competitive binding to its substrates binding pocket and thus downregulated the genomic level of 5hmC marks and particularly epigenetically reprogramed the expression of oncogene c-Myc in T-ALL in TET1-dependent manner and resulted in suppression of T-ALL in vitro and in vivo. These results revealed that TET1 is a potential therapeutic target in human T-ALL and elucidated the mechanism that TET1 inhibitor auranofin suppressed T-ALL through the TET1/5hmC/c-Myc signaling pathway. Our work thus not only provided mechanism insights for T-ALL treatment, but also discovered potential small molecule therapeutics for T-ALL.
Long Chen, Anqi Ren, and Yuan Zhao have contributed equally to this work.
Wu Zhong, Jian Lin and Haichuan Zhu: shared senior authorship.
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Abkürzungen
T-ALL
T-cell acute lymphoblastic leukemia
TETs
TET family proteins (TET1, TET2, TET3)
TET1
Ten-eleven translocation 1
5mC
5-Methylcytosine
5hmC
5-Hydroxymethylcytosine
SPR
Surface Plasmon Resonance
NOG
N-Oxalylglycine
2-OG
2-Oxoglutarate
TET1-CD
Catalytic domain of TET1
TET1-C2
Catalytic domain of TET2
TET3-CD
Catalytic domain of TET3
ROS
Reactive oxygen species
WGBS
Whole-genome bisulfite sequencing
To the editor,
TETs is diversely expressed in hematological malignancies and serves as potential therapeutic targets [1‐5]. However, the roles of TET1 in T-ALL have not been fully unveiled, and potent TET1 inhibitors are needed to promote TET1 as a druggable target [6‐8].
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We analyzed gene expression from previous T-ALL cohorts and found TET1, but not TET2/3, is highly expressed in T-ALL and drug-resistant patients (Fig. 1a, b, Additional file 2: Fig. S1a–c). Validation in T-ALL cell lines confirmed TET1 upregulation in T-ALL cells compared to normal T cells and further upregulation in dexamethasone-resistant cells (Fig. 1c). TET1 expression negatively correlates (even though not significant) with poor prognosis (Fig. S1d). Silencing of TET1 impaired the proliferation of T-ALL cells (Fig. 1d, Additional file 2: Fig. S1e–i), indicating crucial roles of TET1 in T-ALL. However, treatment of T-ALL cells with two reported TET1 inhibitors only showed minimum proliferation inhibition (Additional file 2: Fig. S2), due to low potency of the inhibitors 6, suggesting more potent TET1 inhibitors are needed.
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To identify potent TET1 inhibitors, we performed virtual- and cell-based screening (Fig. 1e). Auranofin was identified from both screening (Fig. 1f, Additional file 1: Table S1–S2). SPR revealed that auranofin binds to TET1 (Fig. 1g), with reduced affinity to TET2/3 (Additional file 2: Fig. S3).
Methylation-related pathways were enriched after auranofin treatment in T-ALL (Additional file 2: Fig. S4a, b, Additional file 1: Table S3), which induced dose-dependent decrease in cellular 5hmC and increase in 5mC, as indicated by dot blot and genome-wide 5hmC/5mC sequencing (Fig. 1h-i, Additional file 2: Figs. S4c, S5). LC–MS/MS confirmed inhibition of TET1 catalyzed 5mC to 5hmC conversion by auranofin (Additional file 2: Fig. S6). In vitro assay determined a IC50 of 76 nM (Fig. 1j).
We generated structure of TET1-CD-auranofin by molecular docking to explore the inhibition mechanism (Fig. 1k). Structure showed that auranofin was in very close conformation with NOG (analog of TET1 substrate 2-OG) and Fe (II), suggesting a potential inhibition mechanism of auranofin through competitively preventing substrates binding to TET1. Results indicated that both NOG and Fe (II) compete with auranofin for binding to TET1-CD and increasing concentration of 2-OG or Fe (II) attenuated auranofin inhibition on TET1 (Fig. 1l-m and Additional file 2: Fig. S7). Given that, 2-OG and Fe (II) are conserved in many demethylases, selectivity of auranofin to TET1 was verified by comparing to TET2 and KDM6B. Auranofin showed reduced affinity and very low inhibition at 1 μM to both proteins (Additional file 2: Fig. S8), indicating at least 13-fold selectivity for TET1 over TET2 and KDM6B. Structure and electrophoretic mobility shift assay also showed that auranofin did not affect DNA substrate binding to TET1 (Additional file 2: Fig. S9). Collectively, auranofin inhibits TET1 by competing with substrates for binding to TET1.
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Auranofin was highly cytotoxic to T-ALL cells, but not to normal T cells (Fig. 2a). Overexpressing either full length or the catalytic domain of TET1, but not the catalytic dead mutants or TET2/TET3-CD, in T-ALL attenuated the cytotoxicity of auranofin (Fig. 2b, c and Additional file 2: Figs. S10–S12), revealing that the auranofin-mediated cytotoxicity depends on the catalytic activity of TET1. In vivo T-ALL xenograft model showed that treatment with auranofin significantly inhibited progression, as well as bone marrow invasion, of T-ALL and prolonged mice survival (Fig. 2d–i), indicating therapeutic potential of auranofin for T-ALL.
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Auranofin has been reported to exert anti-tumor activity via Thioredoxin reductases and ROS [9, 10]. While, mechanism in T-ALL is different as neutralizing ROS or genetic manipulation of Thioredoxin reductases did not affect auranofin cytotoxicity to T-ALL (Additional file 2: Fig. S13).
Auranofin treatment altered genome-wide distribution of 5hmC/5mC in the promoter region (Fig. 1i, Additional file 2: Fig. S5, Additional file 1: Tables S4, S5), enlightened potential mechanism of action of auranofin via epigenetic control of transcription and translation of certain genes. Conjointly analysis of 5hmC-Seal, WGBS, and RNA-Seq data, identified 31 genes with 5hmC/RNA down-regulation and 5mC up-regulation, among which c-Myc, a central oncogene in T-ALL [11, 12], was discovered (Fig. 2j, Additional file 2: Fig. S14, Additional file 1: Table S6). Auranofin treatment down-regulated both c-Myc transcription and translation (Fig. 2k, Additional file 2: Fig. S15a, b). TET1 correlates with c-Myc expression (Additional file 2: Fig. S15c, d), as validated by genetic manipulation of TET1 (Fig. 2l–m). Overexpression of c-Myc in T-ALL attenuated auranofin-induced cytotoxicity (Fig. 2n, Additional file 2: Fig. S15e), suggesting c-Myc as downstream effector.
Collectively, we confirmed TET1 is a promising therapeutic target for T-ALL and discovered potent TET1 inhibitor, auranofin, with anti-T-ALL activity in vitro and in vivo. Mechanistically, auranofin-induced TET1 inhibition epigenetically alters transcription and translation of c-Myc to induce T-ALL cell death (Fig. 2o).
Acknowledgements
We are obliged to Dr. Chengqi Yi and Dr. Bo He at Peking University of the assistance of LC-MS/MS, and Yuan Cao, Piao Zou (Analytical & Testing Center, Wuhan University of Science and Technology) for their assistance in the experiments.
Declarations
Ethics approval and consent to participate
All procedures performed on the mice were approved by the Animal Ethics Committee of Wuhan University of Science and Technology with ID WKD-Zhu-2.
Consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
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