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In Vivo Modeling of CLL Transformation to Richter Syndrome Reveals Convergent Evolutionary Paths and Therapeutic Vulnerabilities.

Elisa Ten Hacken | Tomasz Sewastianik | Shanye Yin | Gabriela Brunsting Hoffmann | Michaela Gruber | Kendell Clement | Livius Penter | Robert A Redd | Neil Ruthen | Sébastien Hergalant | Alanna Sholokhova | Geoffrey Fell | Erin M Parry | Julien Broséus | Romain Guieze | Fabienne Lucas | María Hernández-Sánchez | Kaitlyn Baranowski | Jackson Southard | Heather Joyal | Leah Billington | Fara Faye D Regis | Elizabeth Witten | Mohamed Uduman | Binyamin A Knisbacher | Shuqiang Li | Haoxiang Lyu | Tiziana Vaisitti | Silvia Deaglio | Giorgio Inghirami | Pierre Feugier | Stephan Stilgenbauer | Eugen Tausch | Matthew S Davids | Gad Getz | Kenneth J Livak | Ivana Bozic | Donna S Neuberg | Ruben D Carrasco | Catherine J Wu
Blood cancer discovery | 2023

Transformation to aggressive disease histologies generates formidable clinical challenges across cancers, but biological insights remain few. We modeled the genetic heterogeneity of chronic lymphocytic leukemia (CLL) through multiplexed in vivo CRISPR-Cas9 B-cell editing of recurrent CLL loss-of-function drivers in mice and recapitulated the process of transformation from indolent CLL into large cell lymphoma [i.e., Richter syndrome (RS)]. Evolutionary trajectories of 64 mice carrying diverse combinatorial gene assortments revealed coselection of mutations in Trp53, Mga, and Chd2 and the dual impact of clonal Mga/Chd2 mutations on E2F/MYC and interferon signaling dysregulation. Comparative human and murine RS analyses demonstrated tonic PI3K signaling as a key feature of transformed disease, with constitutive activation of the AKT and S6 kinases, downmodulation of the PTEN phosphatase, and convergent activation of MYC/PI3K transcriptional programs underlying enhanced sensitivity to MYC/mTOR/PI3K inhibition. This robust experimental system presents a unique framework to study lymphoid biology and therapy.

Pubmed ID: 36468984 RIS Download

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Associated grants

  • Agency: NCI NIH HHS, United States
    Id: R50 CA251956
  • Agency: NCI NIH HHS, United States
    Id: P01 CA206978
  • Agency: NCI NIH HHS, United States
    Id: R21 CA267527

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GAPDH (D16H11) XP® Rabbit mAb (HRP Conjugate) (antibody)

RRID:AB_11129865

This unknown targets GAPDH (D16H11) XP® Rabbit mAb (HRP Conjugate)

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c-Myc antibody [Y69] (antibody)

RRID:AB_731658

This monoclonal targets c-Myc antibody [Y69]

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IRF-4 (E8H3S) XP® Rabbit mAb (antibody)

RRID:AB_2877647

This monoclonal targets IRF-4

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PAX5 (D7H5X) XP® Rabbit mAb (antibody)

RRID:AB_2798001

This monoclonal targets PAX5

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PTEN (D4.3) XP Rabbit mAb (antibody)

RRID:AB_2253290

This monoclonal targets PTEN (D4.3) XP Rabbit mAb

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c-Myc (D84C12) XP Rabbit mAb (antibody)

RRID:AB_1903938

This monoclonal targets c-Myc (D84C12) XP Rabbit mAb

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Akt Antibody (antibody)

RRID:AB_329827

This polyclonal targets Akt

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Stat3 (D3Z2G) Rabbit mAb #12640 (antibody)

RRID:AB_2629499

This monoclonal targets Human, Mouse, Rat, Monkey

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Phospho-Akt (Ser473) (D9E) XP® Rabbit mAb (antibody)

RRID:AB_2315049

This monoclonal targets Phospho-Akt (Ser473)

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Phospho-Stat3 (Tyr705) (D3A7) XP Rabbit mAb (antibody)

RRID:AB_2491009

This monoclonal targets Phospho-Stat3 (Tyr705)

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PerCP/Cy5.5 Rat IgG2b, kappa Isotype Ctrl (antibody)

RRID:AB_893677

This unknown targets Rat IgG2b k Isotype Control PerCP / Cy5.5 Clone RTK4530

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Alexa Fluor(R) 700 anti-mouse Ig light chain kappa (antibody)

RRID:AB_2563583

This monoclonal targets Ig light chain kappa

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PE/Cyanine7 anti-mouse CD5 (antibody)

RRID:AB_2562773

This monoclonal targets CD5

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APC anti-mouse/human CD11b (antibody)

RRID:AB_312795

This monoclonal targets CD11b

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APC anti-mouse CD117 (c-kit) (antibody)

RRID:AB_313221

This monoclonal targets CD117

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PE anti-mouse Ly-6A/E (Sca-1) (antibody)

RRID:AB_313345

This monoclonal targets Ly-6A/E

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Pacific Blue anti-mouse Lineage Cocktail (antibody)

RRID:AB_11150779

This monoclonal targets Pacific Blue anti-mouse Lineage Cocktail

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GAPDH (D16H11) XP® Rabbit mAb (HRP Conjugate) (antibody)

RRID:AB_11129865

This unknown targets GAPDH (D16H11) XP® Rabbit mAb (HRP Conjugate)

View all literature mentions

c-Myc antibody [Y69] (antibody)

RRID:AB_731658

This monoclonal targets c-Myc antibody [Y69]

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IRF-4 (E8H3S) XP® Rabbit mAb (antibody)

RRID:AB_2877647

This monoclonal targets IRF-4

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PAX5 (D7H5X) XP® Rabbit mAb (antibody)

RRID:AB_2798001

This monoclonal targets PAX5

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PTEN (D4.3) XP Rabbit mAb (antibody)

RRID:AB_2253290

This monoclonal targets PTEN (D4.3) XP Rabbit mAb

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Stat3 (D3Z2G) Rabbit mAb #12640 (antibody)

RRID:AB_2629499

This monoclonal targets Human, Mouse, Rat, Monkey

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Phospho-Akt (Ser473) (D9E) XP® Rabbit mAb (antibody)

RRID:AB_2315049

This monoclonal targets Phospho-Akt (Ser473)

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Phospho-Stat3 (Tyr705) (D3A7) XP Rabbit mAb (antibody)

RRID:AB_2491009

This monoclonal targets Phospho-Stat3 (Tyr705)

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PerCP/Cy5.5 Rat IgG2b, kappa Isotype Ctrl (antibody)

RRID:AB_893677

This unknown targets Rat IgG2b k Isotype Control PerCP / Cy5.5 Clone RTK4530

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Alexa Fluor(R) 700 anti-mouse Ig light chain kappa (antibody)

RRID:AB_2563583

This monoclonal targets Ig light chain kappa

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PE/Cyanine7 anti-mouse CD5 (antibody)

RRID:AB_2562773

This monoclonal targets CD5

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APC anti-mouse/human CD11b (antibody)

RRID:AB_312795

This monoclonal targets CD11b

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APC anti-mouse CD117 (c-kit) (antibody)

RRID:AB_313221

This monoclonal targets CD117

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PE anti-mouse Ly-6A/E (Sca-1) (antibody)

RRID:AB_313345

This monoclonal targets Ly-6A/E

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Pacific Blue anti-mouse Lineage Cocktail (antibody)

RRID:AB_11150779

This monoclonal targets Pacific Blue anti-mouse Lineage Cocktail

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