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ETV6 germline mutations cause HDAC3/NCOR2 mislocalization and upregulation of interferon response genes
Marlie H. Fisher, Gregory D. Kirkpatrick, Brett Stevens, Courtney Jones, Michael Callaghan, Madhvi Rajpurkar, Joy Fulbright, Megan A. Cooper, Jesse Rowley, Christopher C. Porter, Arthur Gutierrez-Hartmann, Kenneth Jones, Craig Jordan, Eric M. Pietras, Jorge Di Paola
Marlie H. Fisher, Gregory D. Kirkpatrick, Brett Stevens, Courtney Jones, Michael Callaghan, Madhvi Rajpurkar, Joy Fulbright, Megan A. Cooper, Jesse Rowley, Christopher C. Porter, Arthur Gutierrez-Hartmann, Kenneth Jones, Craig Jordan, Eric M. Pietras, Jorge Di Paola
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Research Article Hematology

ETV6 germline mutations cause HDAC3/NCOR2 mislocalization and upregulation of interferon response genes

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Abstract

ETV6 is an ETS family transcription factor that plays a key role in hematopoiesis and megakaryocyte development. Our group and others have identified germline mutations in ETV6 resulting in autosomal dominant thrombocytopenia and predisposition to malignancy; however, molecular mechanisms defining the role of ETV6 in megakaryocyte development have not been well established. Using a combination of molecular, biochemical, and sequencing approaches in patient-derived PBMCs, we demonstrate abnormal cytoplasmic localization of ETV6 and the HDAC3/NCOR2 repressor complex that led to overexpression of HDAC3-regulated interferon response genes. This transcriptional dysregulation was also reflected in patient-derived platelet transcripts and drove aberrant proplatelet formation in megakaryocytes. Our results suggest that aberrant transcription may predispose patients with ETV6 mutations to bone marrow inflammation, dysplasia, and megakaryocyte dysfunction.

Authors

Marlie H. Fisher, Gregory D. Kirkpatrick, Brett Stevens, Courtney Jones, Michael Callaghan, Madhvi Rajpurkar, Joy Fulbright, Megan A. Cooper, Jesse Rowley, Christopher C. Porter, Arthur Gutierrez-Hartmann, Kenneth Jones, Craig Jordan, Eric M. Pietras, Jorge Di Paola

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Figure 1

Mislocalization of ETV6 P214L in all peripheral cell types.

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Mislocalization of ETV6 P214L in all peripheral cell types.
(A) Comparis...
(A) Comparison via immunofluorescence microscopy of ETV6 localization in PBMCs from ETV6 P214L and R369Q patients and healthy controls. Representative PBMCS stained for DNA (blue) and ETV6 (green). In cells from healthy controls, ETV6 is concentrated in the nucleus. In contrast, cells from patients carrying ETV6 P214L and ETV6 R369Q demonstrated ETV6 concentrated in the cytoplasm, with scarce staining in the nucleus. Scale bar: 20 μm. Original magnification, ×8 (inset). (B) Nuclear-to-cytoplasmic intensity ratio of ETV6 is significantly reduced in ETV6 P214L PBMCs (unpaired t test, ****P < 0.0001). Fluorescence intensity was calculated in the nucleus and cytoplasm. n = 5 random fields of view used to calculate N/C intensity ratio, representing over 100 cells analyzed in each condition.

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