METTL3 is upregulated in acute myeloid leukemia compared with other tumors and normal HSPCs.

  • Major finding: METTL3 is upregulated in acute myeloid leukemia compared with other tumors and normal HSPCs.

  • Mechanism: m6A regulates translation efficiency to promote MYC, BCL2, and PTEN expression.

  • Impact: METTL3 may be a therapeutic target to induce differentiation in patients with myeloid leukemia.

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The reversible mRNA nucleotide modification N6-methyladenosine (m6A) is essential for mouse embryonic stem cell differentiation, but its role in normal and malignant myeloid hematopoietic cells is not clear. The METTL3 methyltransferase is responsible for forming m6A, prompting Vu, Pickering, Cheng, and colleagues to investigate the effects of METTL3 depletion in CD34+ hematopoietic stem/progenitor cells (HSPC). METTL3 depletion globally reduced m6A levels as expected, suppressed cell growth, and increased differentiation. Conversely, overexpression of wild-type METTL3, but not catalytically inactive METTL3, suppressed myeloid differentiation and enhanced proliferation and colony formation. METTL3 expression was upregulated in human acute myeloid leukemia (AML) samples compared with other tumor types and HSPCs, consistent with the dysregulated myeloid differentiation observed in AML. Further, METTL3 depletion delayed leukemogenesis in vivo, indicating a role for METTL3 and m6A in promoting AML. Single-nucleotide resolution mapping of m6A in an AML cell line to identify methylated mRNAs found that m6A sites were highly enriched near stop codons, and METTL3 depletion increased the abundance of transcripts with m6A sites, suggesting that m6A destabilizes mRNA. Ribosome profiling revealed that m6A regulated translation efficiency to promote translation of MYC, BCL2, and PTEN mRNAs in AML cells. Further, METTL3 suppressed AKT phosphorylation to inhibit differentiation. Catalytically dead METTL3 also reduced phospho-AKT levels, suggesting an m6A-independent mechanism. Taken together, these results indicate that increased m6A levels in AML suppress differentiation to promote leukemogenesis, and these findings suggest the potential for therapeutic targeting of METTL3 in myeloid malignancies.

Vu LP, Pickering BF, Cheng Y, Zaccara S, Nguyen D, Minuesa G, et al. The N6-methyladenosine (m6A)-forming enzyme METTL3 controls myeloid differentiation of normal hematopoietic and leukemia cells. Nat Med 2017 Sep 18 [Epub ahead of print].

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