Evidence map›Paper›PMID 31576004›Full record

ArticleLeukemia2019

The acetyltransferase GCN5 maintains ATRA-resistance in non-APL AML.

Melanie Kahl, Annamaria Brioli, Martin Bens, Florian Perner, Anne Kresinsky, Ulf Schnetzke, Anna Hinze, Yordan Sbirkov, Sven Stengel, Giorgia Simonetti and 10 more

Erratum issuedAbstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 42 citations in OpenAlex.

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  16. Complex functions of Gcn5 and Pcaf in development and disease.Biochimica et biophysica acta. Gene regulatory mechanisms · 2021
    Review
  17. Article
  18. Cell cycle (Georgetown, Tex.) · 2020
    Review
  19. Article
  20. The transcriptional corepressor CBFA2T3 inhibits all-The Journal of biological chemistry · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 7 institutions in 6 countries.

Melanie KahlDepartment of Hematology/Oncology, Clinic of Internal Medicine II, Jena University Hospital, Jena, Germany.
Annamaria BrioliDepartment of Hematology/Oncology, Clinic of Internal Medicine II, Jena University Hospital, Jena, Germany.
Martin BensLeibniz-Institute on Aging, Fritz-Lipmann-Institute, Jena, Germany.ORCID http://orcid.org/0000-0001-7940-6668
Florian PernerDepartment of Hematology/Oncology, Clinic of Internal Medicine II, Jena University Hospital, Jena, Germany.
Anne KresinskyLeibniz-Institute on Aging, Fritz-Lipmann-Institute, Jena, Germany.
Ulf SchnetzkeDepartment of Hematology/Oncology, Clinic of Internal Medicine II, Jena University Hospital, Jena, Germany.
Anna HinzeDepartment of Hematology/Oncology, Clinic of Internal Medicine II, Jena University Hospital, Jena, Germany.
Yordan SbirkovDepartment of Medical Biology, Medical University-Plovdiv, Plovdiv, Bulgaria.
Sven StengelDepartment of Internal Medicine IV, Jena University Hospital, Jena, Germany.
Giorgia SimonettiIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Giovanni MartinelliIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Kevin PetrieSchool of Natural Sciences, University of Stirling, Stirling, UK.
Arthur ZelentMillitary Institute of Hygiene and Epidemiology, Warsaw, Poland.
Frank-Dietmar BöhmerInstitute of Molecular Cell Biology, Center for Molecular Biomedicine Jena (CMB), Jena University Hospital, Jena, Germany.
Marco GrothLeibniz-Institute on Aging, Fritz-Lipmann-Institute, Jena, Germany.ORCID http://orcid.org/0000-0002-9199-8990
Thomas ErnstDepartment of Hematology/Oncology, Clinic of Internal Medicine II, Jena University Hospital, Jena, Germany.
Florian H HeidelDepartment of Hematology/Oncology, Clinic of Internal Medicine II, Jena University Hospital, Jena, Germany.
Sebastian SchollDepartment of Hematology/Oncology, Clinic of Internal Medicine II, Jena University Hospital, Jena, Germany.
Andreas HochhausDepartment of Hematology/Oncology, Clinic of Internal Medicine II, Jena University Hospital, Jena, Germany.
Tino SchenkDepartment of Hematology/Oncology, Clinic of Internal Medicine II, Jena University Hospital, Jena, Germany. tino.schenk@med.uni-jena.de.
Jena University Hospital · DELeibniz Institute on Aging - Fritz Lipmann Institute (FLI) · DEIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITBoston Children's Hospital · USMedical University Plovdiv · BGUniversity of Stirling · GBWojskowy Instytut Higieny i Epidemiologii · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To date, only one subtype of acute myeloid leukemia (AML), acute promyelocytic leukemia (APL) can be effectively treated by differentiation therapy utilizing all-trans retinoic acid (ATRA). Non-APL AMLs are resistant to ATRA. Here we demonstrate that the acetyltransferase GCN5 contributes to ATRA resistance in non-APL AML via aberrant acetylation of histone 3 lysine 9 (H3K9ac) residues maintaining the expression of stemness and leukemia associated genes. We show that inhibition of GCN5 unlocks an ATRA-driven therapeutic response. This response is potentiated by coinhibition of the lysine demethylase LSD1, leading to differentiation in most non-APL AML. Induction of differentiation was not correlated to a specific AML subtype, cytogenetic, or mutational status. Our study shows a previously uncharacterized role of GCN5 in maintaining the immature state of leukemic blasts and identifies GCN5 as a therapeutic target in AML. The high efficacy of the combined epigenetic treatment with GCN5 and LSD1 inhibitors may enable the use of ATRA for differentiation therapy of non-APL AML. Furthermore, it supports a strategy of combined targeting of epigenetic factors to improve treatment, a concept potentially applicable for a broad range of malignancies.

Indexed as

Drug Resistance, NeoplasmApoptosisBone MarrowCell DifferentiationCell Line, TumorCell MembraneEpigenesis, GeneticGenotypeHEK293 CellsHistone DemethylasesHistonesHL-60 CellsHumansLeukemia, Myeloid, AcuteLeukemia, Promyelocytic, AcuteLeukocytes, MononuclearHistone DemethylasesHistonesKDM1A protein, humanp300-CBP-Associated Factorp300-CBP Transcription FactorsTretinoin

Identifiers

PMID31576004
OpenAlexW2977902417

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.