Acute myeloid leukaemia (AML) is a rapidly progressing haematopoietic malignancy, which is caused by diverse genetic aberrations. It is one of the most common myeloid malignancies with poor prognosis: the 5-year survival rate is only 19% for AML patients in Europe. The mutations in AML mainly occur in combinations and affect signaling molecules as well as important transcriptional and epigenetic regulators. High percentage of AML patients carries mutations in enzymes regulating DNA methylation and/or demethylation. Since DNA methylation is a reversible mark, it is a promising target for treatment of myeloid malignancies. However, to develop more efficient therapies there is a need to investigate potential functions of genome methylation and how its misregulation contributes to disease on mechanistic level.
TET2 is one of the most-frequently mutated genes in AML (12-32%) and other haematopoietic disorders. It catalyses removal of DNA methylation mark. Several studies have shown that loss of TET2 function impedes the normal haematopoietic program and promotes self-renewal. Enhancers are specialized DNA regions that are bound by transcription factors that remotely target genes. Active enhancers do not usually have DNA methylation, suggesting that demethylation can be crucial for their function. However, the mechanism of how TET2 influences enhancers’ function is not known. Thus, the goal of my proposal is to investigate aberrant DNA methylation on enhancers in malignant haematopoiesis and to explore its functional role. To attain it, I have set the following objectives: 1) Identification and functional validation of methylation-sensitive enhancers; 2) Identification and characterization of methylation-sensitive transcription factors involved in stem cell self-renewal in leukaemogenesis.