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314    Part IV  Disorders of Hematopoietic Cell Development


        factors implicated in the control of erythropoiesis are listed in Table   zinc finger domains, only the first of which is required for GATA1
        26.2.                                                 binding. The function of its other nine zinc finger domains is not
           Studies of mice with targeted gene disruption have provided key   clear  because  they  appear  to  be  dispensable  in  structure-function
        insights into the complex molecular pathways that regulate hemato-  studies, but they are well conserved in evolution. The GATA1-FOG-1
                                              1,2
        poiesis in general and erythropoiesis in particular.  These studies,   heterodimeric complex binds to the two flanking sites of the minimal
        complemented by in vitro differentiation of mutated embryonic stem   erythroid  transcription  activation  domain.  Experimentally  induced
        cells into different lineages, have provided clear evidence about dis-  genetic mutations, such as GATA1 V205M , impairing GATA1-FOG-1
        tinct regulatory requirements of primitive (yolk sac) versus definitive   interaction  in  mice  lead  to  impaired  megakaryocytopoiesis  and
        (fetal liver and bone marrow) erythropoiesis, or of early versus late   absence of definitive erythropoiesis, whereas primitive erythropoiesis
                                                                     486
        stages of erythroid differentiation. Because erythropoiesis is the first   is normal.  Rescue experiments indicate that GATA1 V205M  newborns
        differentiated lineage in embryonic yolk sac hematopoiesis and the   are severely anemic with anisocytosis and spherocytosis with striking
        predominant lineage in fetal liver hematopoiesis, factors that affect   reduction  mainly  in  the  expression  of  genes  encoding  membrane
        hematopoiesis  in  general  will  disturb  erythropoiesis  during  early   proteins, whereas expression of other erythroid-specific genes, such as
                                                                               487
        stages of development and lead to lethality at different gestational   Alas2, was not affected.  These results indicate that DNA binding of
        days, depending on the defect. The time in development at which   the GATA1-FOG-1 complex is necessary for activation of a subset of
        disruption of each specific gene manifests its phenotype is used to   GATA1 target genes in definitive erythroid cells but is dispensable for
        establish  a  hierarchical  control  among  the  different  transcription   their activation in primitive erythroblasts. It should be emphasized
        factors. The earliest disruption of erythroid differentiation is observed   that GATA1-FOG-1 interaction, while activating the expression of
        in mice lacking the bHLH factor TAL1/SCL, which is encoded by   erythroid genes, inhibits target gene activation in testicular Sertoli
                                                                  488
        a gene initially identified on the basis of its localization in a chro-  cells.  This  result  provides  insight  into  how  one  factor  regulates
        mosomal breakpoint region frequently associated with T-cell acute   more than one differentiation program by suggesting that its func-
                     null
               478
        leukemia.  SCL  embryos are bloodless and die very early, with   tion,  but  not  its expression,  is  different  depending  on the cellular
                                                   479
        abrogation of both yolk sac and fetal liver erythropoiesis.  Because   context.  (Whether  GATA1-FOG-1  interaction  inhibits  erythroid
        of  the  requirement  for  SCL  in  the  formation  of  the  transcription   gene expression in myelomonocytic cells has not been investigated.)
        complex with the nuclear protein Rbtn2/LMO2 rhombotin 2/LIM   The CF domain, on the other hand, recognizes and binds to the
        domain  only  2  (Rbtn2/LMO2)  and  GATA1  (detailed  later),  it  is   GATA site localized in the core of the minimal erythroid transcrip-
        not  surprising  that  targeted  disruption  of  Rbtn2  and  LMO2  also   tion sequence 10 bp downstream to the SCL binding site. SCL and
        produces a bloodless phenotype. 480                   GATA1 bind simultaneously to their respective sites of the core as
           Mice  lacking  expression  of  GATA2,  a  member  of  the  GATA   multimeric complexes formed by SCL/E47/LMO2 on the one hand
        family of transcription factors, exhibit an early and severe quantitative   and by GATA1/LMO2 on the other. Binding of the two complexes
                                              481
        defect in hematopoiesis that influences all lineages.  Other regula-  to  the  core  is  stabilized  by  Lbd1,  which  forms  a  physical  bridge
        tory factors seem to totally spare embryonic (yolk sac) hematopoiesis   between  them.  The  paramount  importance  of  the  CF  finger  for
        and  have  a  specific  effect  only  on  fetal  liver  hematopoiesis,  with   GATA1  function  is  proved  by  the  fact  that  GATA1  genes  lacking
        death  occurring  at  later  days  (12.5  days  postconception).  In  this   the region encoding this domain are unable to rescue erythroid dif-
                                                                                                 489
                                                                               null
        category are the proto-oncogene c-Myb and the core-binding factors   ferentiation in GATA1  embryonic stem cells,  whereas minigenes
        CBF-α 2 /AML1 and CBF-β. 482–484  Embryonic erythropoiesis is spared   containing only the CF of either GATA1 or GATA2 are sufficient
                                                                                                               490
        in  mice  with  targeted  ablation  of  these  genes.  Both  c-Myb,  the   to  induce  megakaryocytic  differentiation  of  myeloid  cell  lines.
        cellular homologue of v-Myb proto-oncogene, and the heterodimeric   In  addition  to  forming  heterodimers  with  LMO2,  CF  can  form
        transcription factor CBF are abundantly expressed early in normal   complexes with Sp1 and PU.1, two factors essential for myelomono-
        myelolymphoid  cells,  with  decreasing  expression  as  differentiation   cytic differentiation. The GATA1-PU.1 complex is unable to bind
        proceeds.  Their  expression  pattern  and  their  functional  influence   DNA, so its function might be to establish either an erythroid- or a
        on growth factor receptor genes (i.e., IL-3, GM-CSF, CSF1, T-cell   myeloid-permissive cellular environment depending on which factor
                                                                                             2
        antigen receptor [TCR] α, β) may underlie their importance in the   is expressed at the highest concentration.  The presence of relatively
        development of all definitive hematopoietic lineages. 1  higher  concentrations  of  GATA1  would  favor  the  formation  of
           Of  paramount  importance  for  adult  erythropoiesis  is  the  tran-  GATA1-LMO2 complexes leading to activation of erythroid-specific
                                                          1
        scription factor GATA1, the founder of the GATA family of factors.    genes,  whereas  the  presence  of  relatively  higher  concentrations  of
        The GATA1 protein controls erythroid differentiation at several levels   PU.1  would  lead  mainly  to  the  formation  of  the  transcriptionally
        by controlling (in cooperation with GATA2) the proliferative capacity   inactive GATA1-PU.1 complexes.
        of erythroid progenitor/precursor cells, the apoptotic rate of erythro-  Although  early  experiments  on  cell  lines  failed  to  identify  any
        blasts, and the expression of lineage-specific genes. These effects are   function  for  the  N-terminal  domain  of  GATA1, 490,491   knock-in
        mediated through activation of expression of target genes by binding   experiments in mice indicated that this domain, although dispensable
        to specific sequences (WGATAR) present in the regulatory domains   for primitive erythropoiesis, is required for appropriate production
                                                                                489
        of virtually any erythroid gene, including EPOR and GATA1 itself.   of  definitive  red  cells.   A  truncated  GATA1  gene  lacking  the
        However, WGATAR binding sites are also present in genes specific   N-terminal  domain  is  10  times  less  efficient  than  the  full-length
                                                                                                     null
                                                                                                           489
        for megakaryocytic, eosinophilic, mast cell, and dendritic lineages, as   gene in rescuing erythroid differentiation in GATA1  mice.  This
        well as in genes expressed in testicular Sertoli cells. Insights into the   experiment  suggests  that  interaction  of  the  N-terminal  domain  of
        specificity of GATA1 in erythroid differentiation have been provided   GATA1 with a suitable partner(s) is required for optimal definitive
        by studies on the organization of WGATAR sites in erythroid-specific   erythropoiesis. Structure function studies have identified that interac-
        regulatory  sequences.  A  minimal  erythroid  transcription-activation   tion  between  the  N-terminal  domain  of  GATA1  and  the  product
        sequence that consists of a core-binding motif flanked by two canoni-  of  the  retinoblastoma  (RB)  gene  is  essential  for  proper  terminal
        cal GATA1 binding sites has been identified. The core-binding motif   erythroid maturation, providing a unifying mechanism for the similar
        is composed of one SCL binding site and one GATA binding site   phenotype of several GATA1 and RB mouse mutants and of human
                       2
        separated by 10 bp.  Different domains of the GATA1 protein are   diseases associated with mutations in these two genes. 492
        responsible for binding to the core and the flanking sequences. At   In addition to all the evidence pointing to GATA1 as exerting a
        least  three  functional  domains  in  the  GATA1  protein  have  been   predominant but ontogenetic-specific role in the control of erythroid
        identified:  two  zinc  finger  domains  (amino-terminal  [N-terminal]   differentiation, other evidence indicates that this gene exerts exquisite
        finger [NF] and C-terminal finger [CF)]) and an active N-terminal   control in the differentiation of other hemopoietic lineages, such as
                                                                                              494
                                                                                                               495
                                                                          1
                                                                                   493
        domain.  The  NF  domain  is  required  for  association  with  Friend   megakaryocytes,  mast cells,  eosinophils,  and dendritic cells.
        of GATA1 (FOG-1), a protein encoded by a gene identified using   The mechanism used by one single factor in guiding differentiation
                                          485
        GATA1 as bait in the two-hybrid yeast assay.  FOG-1 contains 10   along  different  lineages  does  not  rely  on  specific  domains  in  the
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