Abstract
The IL-7 pathway is required for normal T cell development and survival. In recent years the pathway has been shown to be a major driver of acute lymphoblastic leukemia (ALL), the most common cancer in children. Gain-of-function mutations in the alpha chain of the IL-7 receptor found in ALL patients clearly demonstrated that this pathway was a driver. However mutant IL-7R alone was insufficient to transform primary T cell progenitors, indicating that cooperating mutations were required. Here we review evidence for additional oncogenic mutations in the IL-7 pathway. We discuss several oncogenes, loss of tumor suppressor genes and epigenetic effects that can cooperate with mutant IL-7 receptor. These include NRas, HOXA, TLX3, Notch 1, Arf, PHF6, WT1, PRC, PTPN2 and CK2. As new therapeutics targeting the IL-7 pathway are developed, combination with agents directed to cooperating pathways offer hope for novel therapies for ALL.
Keywords:
Acute lymphoblastic leukemia; IL7R; Leukemia; Mutation.
Copyright © 2021. Published by Elsevier Ltd.
Publication types
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Research Support, N.I.H., Extramural
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Review
MeSH terms
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Casein Kinase II / genetics
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Casein Kinase II / metabolism
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Child
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Epigenesis, Genetic
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GTP Phosphohydrolases / genetics
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GTP Phosphohydrolases / metabolism
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Gene Expression Regulation, Leukemic*
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Homeodomain Proteins / genetics
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Homeodomain Proteins / metabolism
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Humans
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Interleukin-7 / genetics*
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Interleukin-7 / metabolism
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Membrane Proteins / genetics
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Membrane Proteins / metabolism
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Mutation*
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / genetics*
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / metabolism
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Precursor Cell Lymphoblastic Leukemia-Lymphoma / pathology
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Protein Tyrosine Phosphatase, Non-Receptor Type 2 / genetics
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Protein Tyrosine Phosphatase, Non-Receptor Type 2 / metabolism
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Receptor, Notch1 / genetics
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Receptor, Notch1 / metabolism
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Receptors, Interleukin-7 / genetics*
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Receptors, Interleukin-7 / metabolism
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Repressor Proteins / genetics
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Repressor Proteins / metabolism
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Signal Transduction / genetics*
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T-Lymphocytes / metabolism
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T-Lymphocytes / pathology
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Transcription Factors / genetics
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Transcription Factors / metabolism
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WT1 Proteins / genetics
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WT1 Proteins / metabolism
Substances
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Homeodomain Proteins
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IL7 protein, human
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Interleukin-7
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Membrane Proteins
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NOTCH1 protein, human
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PHF6 protein, human
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Receptor, Notch1
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Receptors, Interleukin-7
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Repressor Proteins
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TLX3 protein, human
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Transcription Factors
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WT1 Proteins
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WT1 protein, human
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interleukin-7 receptor, alpha chain
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peroxisome-proliferator-activated receptor-gamma coactivator-1
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HoxA protein
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Casein Kinase II
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PTPN2 protein, human
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Protein Tyrosine Phosphatase, Non-Receptor Type 2
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GTP Phosphohydrolases
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NRAS protein, human