Oncorequisite role of an aldehyde dehydrogenase in the pathogenesis of T-cell acute lymphoblastic leukemia

Haematologica. 2021 Jun 1;106(6):1545-1558. doi: 10.3324/haematol.2019.245639.

Abstract

Aldehyde dehydrogenases (ALDHs) are overexpressed in various types of cancers. One of the ALDH family genes, ALDH1A2, is aberrantly expressed in more than 50% of T-cell acute lymphoblastic leukemia (T-ALL) cases. However, its molecular function and role in T-ALL pathogenesis are largely unknown. ChIP-seq and RNA-seq analyses showed that the oncogenic transcription factor TAL1 and its regulatory partners bind to the intronic regulatory element of the ALDH1A2 gene, directly inducing a T-ALL-specific isoform with enzymatic activity. ALDH1A2 was preferentially expressed in the TAL1-positive T-ALL subgroup. In T-ALL cell lines, depletion of ALDH1A2 inhibited cell viability and induced apoptosis. Interestingly, gene expression and metabolomic profiling revealed that ALDH1A2 supported glycolysis and the TCA cycle, accompanied by NADH production, by affecting multiple metabolic enzymes to promote ATP production. Depletion of ALDH1A2 increased the levels of reactive oxygen species (ROS), while ROS levels were reduced by ALDH1A2 overexpression both in vitro and in vivo. Overexpression of ALDH1A2 accelerated tumor onset and increased tumor penetrance in a zebrafish T-ALL model. Taken together, our results indicate that ALDH1A2 protects against intracellular stress and promotes T-ALL cell metabolism and survival. ALDH1A2 overexpression enables leukemic clones to sustain a hyper-proliferative state driven by oncogenes.

MeSH terms

  • Aldehyde Dehydrogenase* / genetics
  • Animals
  • Precursor T-Cell Lymphoblastic Leukemia-Lymphoma* / genetics
  • T-Cell Acute Lymphocytic Leukemia Protein 1
  • T-Lymphocytes
  • Transcription Factors
  • Zebrafish

Substances

  • T-Cell Acute Lymphocytic Leukemia Protein 1
  • Transcription Factors
  • Aldehyde Dehydrogenase

Grants and funding

Funding The research was supported by the National Research Foundation (NRF) Singapore and the Singapore Ministry of Education (MOE) under its Research Centers of Excellence initiative. The research was also supported by the NRF under its Competitive Research Programme (NRF-NRFF2013-02) and the RNA Biology Center at CSI Singapore, NUS, from funding by the Singapore MOE’s Tier 3 grants (MOE2014-T3-1-006). AEJY is supported by the National Medical Research Council, Singapore (NMRC/CSA/0053/2013 and MOH-CSASI18may-0004).