Infectious stimuli promote malignant B-cell acute lymphoblastic leukemia in the absence of AID

Nat Commun. 2019 Dec 5;10(1):5563. doi: 10.1038/s41467-019-13570-y.

Abstract

The prerequisite to prevent childhood B-cell acute lymphoblastic leukemia (B-ALL) is to decipher its etiology. The current model suggests that infection triggers B-ALL development through induction of activation-induced cytidine deaminase (AID; also known as AICDA) in precursor B-cells. This evidence has been largely acquired through the use of ex vivo functional studies. However, whether this mechanism governs native non-transplant B-ALL development is unknown. Here we show that, surprisingly, AID genetic deletion does not affect B-ALL development in Pax5-haploinsufficient mice prone to B-ALL upon natural infection exposure. We next test the effect of premature AID expression from earliest pro-B-cell stages in B-cell transformation. The generation of AID off-target mutagenic activity in precursor B-cells does not promote B-ALL. Likewise, known drivers of human B-ALL are not preferentially targeted by AID. Overall these results suggest that infections promote B-ALL through AID-independent mechanisms, providing evidence for a new model of childhood B-ALL development.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • B-Lymphocytes / metabolism*
  • B-Lymphocytes / pathology
  • Cell Transformation, Neoplastic / genetics
  • Cell Transformation, Neoplastic / metabolism*
  • Child
  • Cytidine Deaminase / genetics
  • Cytidine Deaminase / metabolism*
  • Gene Expression Profiling
  • Gene Expression Regulation, Neoplastic
  • High-Throughput Nucleotide Sequencing / methods
  • Humans
  • Infections / genetics
  • Infections / physiopathology*
  • Kaplan-Meier Estimate
  • Mice, Inbred C57BL
  • Mice, Inbred CBA
  • Mice, Knockout
  • PAX5 Transcription Factor / genetics
  • PAX5 Transcription Factor / metabolism
  • Precursor B-Cell Lymphoblastic Leukemia-Lymphoma / genetics
  • Precursor B-Cell Lymphoblastic Leukemia-Lymphoma / metabolism*

Substances

  • PAX5 Transcription Factor
  • Cytidine Deaminase