Frontiers in Oncology (Apr 2018)

NOTCH1 Is Aberrantly Activated in Chronic Lymphocytic Leukemia Hematopoietic Stem Cells

  • Mauro Di Ianni,
  • Mauro Di Ianni,
  • Stefano Baldoni,
  • Beatrice Del Papa,
  • Patrizia Aureli,
  • Erica Dorillo,
  • Filomena De Falco,
  • Elisa Albi,
  • Emanuela Varasano,
  • Ambra Di Tommaso,
  • Raffaella Giancola,
  • Patrizia Accorsi,
  • Gianluca Rotta,
  • Chiara Rompietti,
  • Estevão Carlos Silva Barcelos,
  • Estevão Carlos Silva Barcelos,
  • Antonio Francesco Campese,
  • Paolo Di Bartolomeo,
  • Isabella Screpanti,
  • Emanuela Rosati,
  • Franca Falzetti,
  • Paolo Sportoletti

DOI
https://doi.org/10.3389/fonc.2018.00105
Journal volume & issue
Vol. 8

Abstract

Read online

To investigate chronic lymphocytic leukemia (CLL)-initiating cells, we assessed NOTCH1 mutation/expression in hematopoietic stem cells (HSCs). In NOTCH1-mutated CLL, we detected subclonal mutations in 57% CD34+/CD38− HSCs. NOTCH1 mutation was present in 66% CD34+/CD38+ progenitor cells displaying an increased mutational burden compared to HSCs. Flow cytometric analysis revealed significantly higher NOTCH1 activation in CD34+/CD38− and CD34+/CD38+ cells from CLL patients, regardless NOTCH1 mutation compared to healthy donors. Activated NOTCH1 resulted in overexpression of the NOTCH1 target c-MYC. We conclude that activated NOTCH1 is an early event in CLL that may contribute to aberrant HSCs in this disease.

Keywords