[HTML][HTML] Single-nucleotide human disease mutation inactivates a blood-regenerative GATA2 enhancer

AA Soukup, Y Zheng, C Mehta, J Wu… - The Journal of …, 2019 - Am Soc Clin Investig
AA Soukup, Y Zheng, C Mehta, J Wu, P Liu, M Cao, I Hofmann, Y Zhou, J Zhang…
The Journal of clinical investigation, 2019Am Soc Clin Investig
The development and function of stem and progenitor cells that produce blood cells are vital
in physiology. GATA-binding protein 2 (GATA2) mutations cause GATA-2 deficiency
syndrome involving immunodeficiency, myelodysplastic syndrome, and acute myeloid
leukemia. GATA-2 physiological activities necessitate that it be strictly regulated, and cell
type–specific enhancers fulfill this role. The+ 9.5 intronic enhancer harbors multiple
conserved cis-elements, and germline mutations of these cis-elements are pathogenic in …
The development and function of stem and progenitor cells that produce blood cells are vital in physiology. GATA-binding protein 2 (GATA2) mutations cause GATA-2 deficiency syndrome involving immunodeficiency, myelodysplastic syndrome, and acute myeloid leukemia. GATA-2 physiological activities necessitate that it be strictly regulated, and cell type–specific enhancers fulfill this role. The +9.5 intronic enhancer harbors multiple conserved cis-elements, and germline mutations of these cis-elements are pathogenic in humans. Since mechanisms underlying how GATA2 enhancer disease mutations impact hematopoiesis and pathology are unclear, we generated mouse models of the enhancer mutations. While a multi-motif mutant was embryonically lethal, a single-nucleotide Ets motif mutant was viable, and steady-state hematopoiesis was normal. However, the Ets motif mutation abrogated stem/progenitor cell regeneration following stress. These results reveal a new mechanism in human genetics, in which a disease predisposition mutation inactivates enhancer regenerative activity, while sparing developmental activity. Mutational sensitization to stress that instigates hematopoietic failure constitutes a paradigm for GATA-2 deficiency syndrome and other contexts of GATA-2–dependent pathogenesis.
The Journal of Clinical Investigation