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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 4

ETV6 P214L–derived platelets and MKs lacking nuclear ETV6 demonstrate transcriptional dysregulation and impaired proplatelet formation.

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ETV6 P214L–derived platelets and MKs lacking nuclear ETV6 demonstrate tr...
(A) Proinflammatory interferon response genes are dysregulated in platelet transcripts from ETV6 P214L patients (n = 2) as compared with healthy controls (n = 5) (adjusted P > 0.0001 for all genes displayed). (B) Western blot demonstrating complete knockout of ETV6 protein mediated by CRISPR sgRNA. Representative of 2 independent experiments. Histone H3 loading control is previously shown in Figure 2G, as these experiments were conducted on the same set of knockout samples. (C) Transcriptional dysregulation of ETV6-knockout MK cells, upregulated genes enriched in the interferon response pathway, downregulated genes enriched in cytoskeletal biology. Heatmap displays mean transcript counts of 1 experiment in a series of 3 independent experiments. (D) Proplatelet formation is significantly impaired (Mann-Whitney U test, P < 0.0001, 3 independent experiments) when ETV6 is deleted in cord blood–derived MKs. CD34+ cells were differentiated into MKs, and proplatelet-forming cells were scored on day 12–14. More than 300 proplatelet-forming cells were counted per condition.

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