Novel working hypothesis for pathogenesis of hematological malignancies: combination of mutations-induced cellular phenotypes determines the disease (cMIP-DD)

作者:Kitamura Toshio*; Watanabe Okochi Naoko; Enomoto Yutaka; Nakahara Fumio; Oki Toshihiko; Komeno Yukiko; Kato Naoko; Doki Noriko; Uchida Tomoyuki; Kagiyama Yuki; Togami Katsuhiro; Kawabata Kimihito C; Nishimura Koutarou; Hayashi Yasutaka; Nagase Reina; Saika Makoto; Fukushima Tsuyoshi; Asada Shuhei; Fujino Takeshi; Izawa Yuto; Horikawa Sayuri; Fukuyama Tomofusa; Tanaka Yosuke; Ono Ryoichi; Goyama Susumu; Nosaka Tetsuya; Kitaura Jiro; Inoue Daichi
来源:Journal of Biochemistry, 2016, 159(1): 17-25.
DOI:10.1093/jb/mvv114

摘要

Recent progress in high-speed sequencing technology has revealed that tumors harbor novel mutations in a variety of genes including those for molecules involved in epigenetics and splicing, some of which were not categorized to previously thought malignancy-related genes. However, despite thorough identification of mutations in solid tumors and hematological malignancies, how these mutations induce cell transformation still remains elusive. In addition, each tumor usually contains multiple mutations or sometimes consists of multiple clones, which makes functional analysis difficult. Fifteen years ago, it was proposed that combination of two types of mutations induce acute leukemia; Class I mutations induce cell growth or inhibit apoptosis while class II mutations block differentiation, co-operating in inducing acute leukemia. This notion has been proven using a variety of mouse models, however most of recently found mutations are not typical class I/II mutations. Although some novel mutations have been found to functionally work as class I or II mutation in leukemogenesis, the classical class I/II theory seems to be too simple to explain the whole story. We here overview the molecular basis of hematological malignancies based on clinical and experimental results, and propose a new working hypothesis for leukemogenesis.