Haematologica (Sep 2024)

BCAT1 is a NOTCH1 target and sustains the oncogenic function of NOTCH1

  • Valeria Tosello,
  • Ludovica Di Martino,
  • Adonia E. Papathanassiu,
  • Silvia Dalla Santa,
  • Marco Pizzi,
  • Lara Mussolin,
  • Jingjing Liu,
  • Pieter van Vlierberghe,
  • Erich Piovan

DOI
https://doi.org/10.3324/haematol.2024.285552
Journal volume & issue
Vol. 999, no. 1

Abstract

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High levels of branched-chain amino acid (BCAA) transaminase 1 (BCAT1) have been associated with tumor aggressiveness and drug resistance in several cancer types. Nevertheless, the mechanistic role of BCAT1 in T-cell acute lymphoblastic leukemia (T-ALL) remains uncertain. We provide evidence that Bcat1 was over-expressed following NOTCH1-induced transformation of leukemic progenitors and that NOTCH1 directly controlled BCAT1 expression by binding to a BCAT1 promoter. Further, using a NOTCH1 gain-of-function retroviral model of T-ALL, mouse cells genetically deficient for Bcat1 showed defects in developing leukemia. In murine T-ALL cells, Bcat1 depletion or inhibition redirected leucine metabolism towards production of 3-hydroxy butyrate (3-HB), an endogenous histone deacetylase inhibitor. Consistently, BCAT1 depleted cells showed altered protein acetylation levels which correlated with a pronounced sensitivity to DNA damaging agents. In human NOTCH1-dependent leukemias, high expression levels of BCAT1 may predispose to worse prognosis. Therapeutically, BCAT1 inhibition specifically synergized with etoposide to eliminate tumors in patient-derived xenograft models suggesting that BCAT1 inhibitors may have a part to play in salvage protocols for refractory T-ALL.