Dysregulation of gene expression is an essential feature of most human cancers, including acute myeloid leukemia (AML). Despite distinct biology of different subtypes of AML, there is also increasing evidence for shared pathologic mechanisms. Varied genetic subsets of AML exhibit shared dependencies on specific transcription factors and gene expression regulatory mechanisms. In particular, MYB is aberrantly activated in most studied forms of AML, where it is required for blockade of differentiation and self-renewal of leukemia cells. MYB is rarely mutated and generally not over-expressed in most human myeloid leukemias, presenting a key question concerning mechanisms of its activation that should be targeted therapeutically.

To elucidate potential mechanisms of MYB activation, we investigated post-translational modifications (PTMs) of endogenous MYB proteins purified from human AML cells. Using comprehensive bottom-up high-resolution mass spectrometry, we achieved 95% MYB peptide sequence coverage and identified 10 unique MYB amino acid residues containing phosphorylated, acetylated, methylated, or ubiquitin-like PTMs. This included phosphorylation of S11 and S12 in the N-terminal domain (NTD) proximal to the DNA-binding domain of MYB, as validated using phospho-specific MYB antibody, mutagenesis, and dephosphorylation experiments. Notably, S11/S12 phosphorylation was preferentially detected across multiple AML cell lines and patient specimens from diverse molecular subtypes as compared to healthy human blood progenitor and stem cells.

We found that MYB is required for the growth and survival of leukemia cells, which can be rescued by the expression of wild-type MYB but not MYB mutants that cannot be phosphorylated at S11/S12 in its NTD. Using label-free quantitative mass spectrometry combined with affinity purifications, we defined specific protein co-factors that are selectively assembled with phosphorylated as compared to non-phosphorylated MYB in the nuclei of AML cells, as well as cells expressing MYB-PLEKHO1 and MYB-ZFAT fusion oncogenes from blastic plasmacytoid dendritic cell neoplasm (BPDCN) cells. We found that S11-phosphorylated MYB preferentially assembles with other hematopoietic transcription factors including LMO2, LYL1, JUN, and TCF12. A subset of transcription factors including ZEB2, SATB1, IKZF1, SPI1, and RUNX1, 2, and 3 were also found to be co-assembled with BPDCN MYB oncogene fusion proteins. Co-assembled MYB transcription factors were associated with cooperative chromatin complexes regulating genes controlling leukemia cell differentiation, growth and survival, as defined using gene expression, chromatin profiling, and functional genomic assays.

In all, these studies identify DNA-proximal phosphorylation of MYB and MYB DNA-binding domain fusions as a critical regulatory mechanism required for MYB oncogenesis through cooperative organization of transcription factors. Modifications of DNA-proximal NTD leading to MYB enhanceosome assembly suggest a new target for therapeutic intervention of MYB-dependent transcriptional circuits in AML and other transcription factor-dependent malignancies.

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