Hematopoietic and leukemic stem cells (HSCs and LSCs, respectively) are endowed with unlimited self-renewal capacity. This unique ability of HSCs is responsible for sustaining lifetime production of multiple blood lineages, and HSC transplantation represents the most widely deployed regenerative therapy. On the other hand, LSCs are responsible for initiation, maintenance, and propagation of various types of leukemia. A cure for leukemia depends on the ability to eradicate LSCs after effective debulking of leukemic cells with conventional chemo- or radiotherapy. Therefore, there are imperative needs to seek in-depth understanding of how HSC and LSC self-renewal is regulated by intrinsic and environmental factors. ?-catenin activation can be elicited by Wnt proteins or prostaglandin E2 (PGE2), and its roles in HSCs and LSCs remain an extensively debated issue. It is known that activated ?-catenin translocate into the nucleus where it interacts with Tcf/Lef transcription factors, thus far there is little informationon how ?- catenin activity is connected to transcriptional program changes. Based on our focused analysis on Tcf1 and Lef1, we hypothesize that Tcf/Lef and ?/?-catenin proteins constitute distinct regulatory modules in HSCs, and their respective transcriptional programs are therapeutic targets for eradicating LSCs. In the following 2 aims, we seek to systematically elucidate distinct roles of each module in HSC biology and mechanistically assess beneficial roles of PGE1 in targeting LSCs, as outlined in the figure below.
Specific Aim 1. To dissect the roles of Tcf3/Tcf4 and ?/?-catenin modules in HSCs and LSCs.
Specific Aim 2. To investigate the therapeutic benefits of PGE1 in treating CML. Veterans have increased exposure to harmful environments, such as herbicides, which link to increased risk of leukemia's. Our proposed study directly addresses the needs for veterans who require leukemia treatment and blood reconstitution. Through comprehensive dissection of the regulatory roles of Tcf/Lef and ?/?-catenin in HSCs, we will acquire essential knowledge that helps improve the efficacy of bone marrow transplantation. By delving into the concept of using Tcf/Lef- and ?/?-catenin-dependent transcriptional programs as druggable targets in LSCs, we expect to devise novel therapies to treat CML and other hematological malignancies. These studies, from both basic and translational fronts, will help realize the promise of stem cells in regenerative medicine, improve the prognosis of hematological malignancies, and enhance the healthcare for veterans.

Public Health Relevance

Transplantation of hematopoietic stem cells (HSCs) is the most widely deployed regenerative therapy, and leukemic stem cells (LSCs) are responsible for relapse of leukemia in patients after chemo- or radiotherapy-induced remission. Both HSCs and LSCs have self-renewing ability and frequently share similar regulatory mechanisms. In this application, we will investigate the regulatory roles of Tcf/Lef transcription factors in HSC self-renewal, and further explore their transcription programs as therapeutic targets to eradicate LSCs. These studies will provide critical information to devise novel clinical practice for improving blood reconstitution and leukemia therapy for veterans.

Agency
National Institute of Health (NIH)
Institute
Veterans Affairs (VA)
Type
Non-HHS Research Projects (I01)
Project #
7I01BX002903-05
Application #
10163369
Study Section
Hematology (HEMA)
Project Start
2016-04-01
Project End
2020-09-30
Budget Start
2020-04-26
Budget End
2020-09-30
Support Year
5
Fiscal Year
2019
Total Cost
Indirect Cost
Name
VA New Jersey Health Care System
Department
Type
DUNS #
087286308
City
East Orange
State
NJ
Country
United States
Zip Code
07018
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