Integrative genomic analyses reveal mechanisms of glucocorticoid resistance in acute lymphoblastic leukemia.


Journal

Nature cancer
ISSN: 2662-1347
Titre abrégé: Nat Cancer
Pays: England
ID NLM: 101761119

Informations de publication

Date de publication:
03 2020
Historique:
entrez: 5 9 2020
pubmed: 5 9 2020
medline: 5 9 2020
Statut: ppublish

Résumé

Identification of genomic and epigenomic determinants of drug resistance provides important insights for improving cancer treatment. Using agnostic genome-wide interrogation of mRNA and miRNA expression, DNA methylation, SNPs, CNAs and SNVs/Indels in primary human acute lymphoblastic leukemia cells, we identified 463 genomic features associated with glucocorticoid resistance. Gene-level aggregation identified 118 overlapping genes, 15 of which were confirmed by genome-wide CRISPR screen. Collectively, this identified 30 of 38 (79%) known glucocorticoid-resistance genes/miRNAs and all 38 known resistance pathways, while revealing 14 genes not previously associated with glucocorticoid-resistance. Single cell RNAseq and network-based transcriptomic modelling corroborated the top previously undiscovered gene, CELSR2. Manipulation of CELSR2 recapitulated glucocorticoid resistance in human leukemia cell lines and revealed a synergistic drug combination (prednisolone and venetoclax) that mitigated resistance in mouse xenograft models. These findings illustrate the power of an integrative genomic strategy for elucidating genes and pathways conferring drug resistance in cancer cells.

Identifiants

pubmed: 32885175
doi: 10.1038/s43018-020-0037-3
pmc: PMC7467080
mid: NIHMS1614339
pii: 10.1038/s43018-020-0037-3
doi:

Substances chimiques

Glucocorticoids 0
MicroRNAs 0

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Pagination

329-344

Subventions

Organisme : NCI NIH HHS
ID : R25 CA023944
Pays : United States
Organisme : NCI NIH HHS
ID : DP2 CA239145
Pays : United States
Organisme : NCI NIH HHS
ID : L40 CA162153
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA036401
Pays : United States
Organisme : NCI NIH HHS
ID : U10 CA180820
Pays : United States
Organisme : NIGMS NIH HHS
ID : P50 GM115279
Pays : United States

Déclaration de conflit d'intérêts

Competing Interests The authors declare no competing interests.

Références

Pieters, R. et al. Relation of cellular drug resistance to long-term clinical outcome in childhood acute lymphoblastic leukaemia. Lancet 338, 399–403 (1991).
pubmed: 1678081 doi: 10.1016/0140-6736(91)91029-T
Pui, C. H. & Evans, W. E. A 50-year journey to cure childhood acute lymphoblastic leukemia. Semin. Hematol. 50, 185–196 (2013).
pubmed: 23953334 pmcid: 3771494 doi: 10.1053/j.seminhematol.2013.06.007
Pui, C. H. & Evans, W. E. Acute lymphoblastic leukemia. N. Engl. J. Med. 339, 605–615 (1998).
pubmed: 9718381 doi: 10.1056/NEJM199808273390907
Pui, C. H. & Evans, W. E. Treatment of acute lymphoblastic leukemia. N. Engl. J. Med. 354, 166–178 (2006).
pubmed: 16407512 doi: 10.1056/NEJMra052603
Clavell, L. A. et al. Four-agent induction and intensive asparaginase therapy for treatment of childhood acute lymphoblastic leukemia. N. Engl. J. Med. 315, 657–663 (1986).
pubmed: 2943992 doi: 10.1056/NEJM198609113151101
Rhen, T. & Cidlowski, J. A. Antiinflammatory action of glucocorticoids-new mechanisms for old drugs. N. Engl. J. Med. 353, 1711–1723 (2005).
pubmed: 16236742 doi: 10.1056/NEJMra050541
Dordelmann, M. et al. Prednisone response is the strongest predictor of treatment outcome in infant acute lymphoblastic leukemia. Blood 94, 1209–1217 (1999).
pubmed: 10438708 doi: 10.1182/blood.V94.4.1209
Boer, M. L. D. et al. Patient stratification based on prednisolone–vincristine–asparaginase resistance profiles in children with acute lymphoblastic leukemia. J. Clin. Oncol. 21, 3262–3268 (2003).
doi: 10.1200/JCO.2003.11.031
Kaspers, G. J. et al. In vitro cellular drug resistance and prognosis in newly diagnosed childhood acute lymphoblastic leukemia. Blood 90, 2723–2729 (1997).
pubmed: 9326239 doi: 10.1182/blood.V90.7.2723
Schmidt, S. et al. Glucocorticoid-induced apoptosis and glucocorticoid resistance: molecular mechanisms and clinical relevance. Cell Death Differ. 11(Suppl 1), S45–S55 (2004).
pubmed: 15243581 doi: 10.1038/sj.cdd.4401456
Inaba, H. & Pui, C. H. Glucocorticoid use in acute lymphoblastic leukaemia. Lancet Oncol. 11, 1096–1106 (2010).
pubmed: 20947430 pmcid: 3309707 doi: 10.1016/S1470-2045(10)70114-5
Bachmann, P. S. et al. Divergent mechanisms of glucocorticoid resistance in experimental models of pediatric acute lymphoblastic leukemia. Cancer Res. 67, 4482–4490 (2007).
pubmed: 17483364 doi: 10.1158/0008-5472.CAN-06-4244
Song, Q.-Q., Xie, W.-Y., Tang, Y.-J., Zhang, J. & Liu, J. Genetic variation in the glucocorticoid pathway involved in interindividual differences in the glucocorticoid treatment. Pharmacogenomics 18, 293–316 (2017).
pubmed: 28112586 doi: 10.2217/pgs-2016-0151
Downing, J. R. et al. The pediatric cancer genome project. Nat. Genet. 44, 619–622 (2012).
pubmed: 22641210 pmcid: 3619412 doi: 10.1038/ng.2287
Paugh, S. W. et al. NALP3 inflammasome upregulation and CASP1 cleavage of the glucocorticoid receptor cause glucocorticoid resistance in leukemia cells. Nat. Genet. 47, 607–614 (2015).
pubmed: 25938942 pmcid: 4449308 doi: 10.1038/ng.3283
Campana, D. Minimal residual disease in acute lymphoblastic leukemia. Semin. Hematol. 46, 100–106 (2009).
pubmed: 19100372 pmcid: 2632881 doi: 10.1053/j.seminhematol.2008.09.001
Cave, H. et al. Clinical significance of minimal residual disease in childhood acute lymphoblastic leukemia. European Organization for Research and Treatment of Cancer—Childhood Leukemia Cooperative Group. N. Engl. J. Med. 339, 591–598 (1998).
pubmed: 9718378 doi: 10.1056/NEJM199808273390904
Pui, C. H. et al. Clinical impact of minimal residual disease in children with different subtypes of acute lymphoblastic leukemia treated with response-adapted therapy. Leukemia 31, 333–339 (2017).
pubmed: 27560110 doi: 10.1038/leu.2016.234
Pottier, N. et al. The SWI/SNF chromatin-remodeling complex and glucocorticoid resistance in acute lymphoblastic leukemia. J. Natl Cancer Instit. 100, 1792–1803 (2008).
doi: 10.1093/jnci/djn416
Sanjana, N. E., Shalem, O. & Zhang, F. Improved vectors and genome-wide libraries for CRISPR screening. Nat. Methods 11, 783–784 (2014).
pubmed: 25075903 pmcid: 4486245 doi: 10.1038/nmeth.3047
Rogatsky, I., Hittelman, A. B., Pearce, D. & Garabedian, M. J. Distinct glucocorticoid receptor transcriptional regulatory surfaces mediate the cytotoxic and cytostatic effects of glucocorticoids. Mol. Cell Biol. 19, 5036–5049 (1999).
pubmed: 10373553 pmcid: 84339 doi: 10.1128/MCB.19.7.5036
Heidari, N., Miller, A. V., Hicks, M. A., Marking, C. B. & Harada, H. Glucocorticoid-mediated BIM induction and apoptosis are regulated by Runx2 and c-Jun in leukemia cells. Cell Death Dis. 3, e349 (2012).
pubmed: 22825467 pmcid: 3406588 doi: 10.1038/cddis.2012.89
Lochmann, T. L., Bouck, Y. M. & Faber, A. C. BCL-2 inhibition is a promising therapeutic strategy for small cell lung cancer. Oncoscience 5, 218–219 (2018).
pubmed: 30234143 pmcid: 6142900 doi: 10.18632/oncoscience.455
Pham, L. V. et al. Strategic therapeutic targeting to overcome venetoclax resistance in aggressive B-cell lymphomas. Clin. Cancer Res. 24, 3967 (2018).
pubmed: 29666304 doi: 10.1158/1078-0432.CCR-17-3004
Du, X. et al. Hippo/Mst signaling couples metabolic state and function of CD8α
Ma, X. et al. Pan-cancer genome and transcriptome analyses of 1,699 paediatric leukaemias and solid tumours. Nature 555, 371–376 (2018).
pubmed: 29489755 pmcid: 5854542 doi: 10.1038/nature25795
Jing, D. et al. Lymphocyte-specific chromatin accessibility pre-determines glucocorticoid resistance in acute lymphoblastic leukemia. Cancer Cell 34, 906–921 (2018). e908.
pubmed: 30537513 doi: 10.1016/j.ccell.2018.11.002
Jing, D. et al. Opposing regulation of BIM and BCL2 controls glucocorticoid-induced apoptosis of pediatric acute lymphoblastic leukemia cells. Blood 125, 273–283 (2015).
pubmed: 25336632 doi: 10.1182/blood-2014-05-576470
Consortium, E. P. An integrated encyclopedia of DNA elements in the human genome. Nature 489, 57–74 (2012).
doi: 10.1038/nature11247
Sugimura, R. et al. Noncanonical Wnt signaling maintains hematopoietic stem cells in the niche. Cell 150, 351–365 (2012).
pubmed: 22817897 pmcid: 4492542 doi: 10.1016/j.cell.2012.05.041
Presul, E., Schmidt, S., Kofler, R. & Helmberg, A. Identification, tissue expression, and glucocorticoid responsiveness of alternative first exons of the human glucocorticoid receptor. J. Mol. Endocrinol. 38, 79–90 (2007).
pubmed: 17242171 doi: 10.1677/jme.1.02183
Pui, C. H., Ochs, J., Kalwinsky, D. K. & Costlow, M. E. Impact of treatment efficacy on the prognostic value of glucocorticoid receptor levels in childhood acute lymphoblastic leukemia. Leuk. Res. 8, 345–350 (1984).
pubmed: 6379308 doi: 10.1016/0145-2126(84)90073-0
Irving, J. A., Minto, L., Bailey, S. & Hall, A. G. Loss of heterozygosity and somatic mutations of the glucocorticoid receptor gene are rarely found at relapse in pediatric acute lymphoblastic leukemia but may occur in a subpopulation early in the disease course. Cancer Res. 65, 9712–9718 (2005).
pubmed: 16266991 doi: 10.1158/0008-5472.CAN-05-1227
Tremblay, C. S. et al. Loss-of-function mutations of Dynamin 2 promote T-ALL by enhancing IL-7 signalling. Leukemia 30, 1993–2001 (2016).
pubmed: 27118408 doi: 10.1038/leu.2016.100
Li, Y. et al. IL-7 receptor mutations and steroid resistance in pediatric T cell acute lymphoblastic leukemia: a genome sequencing study. PLoS Med. 13, e1002200 (2016).
pubmed: 27997540 pmcid: 5172551 doi: 10.1371/journal.pmed.1002200
Delgado-Martin, C. et al. JAK/STAT pathway inhibition overcomes IL7-induced glucocorticoid resistance in a subset of human T-cell acute lymphoblastic leukemias. Leukemia 31, 2568–2576 (2017).
pubmed: 28484265 pmcid: 5729333 doi: 10.1038/leu.2017.136
Oppermann, S. et al. Janus and PI3-kinases mediate glucocorticoid resistance in activated chronic leukemia cells. Oncotarget 7, 72608–72621 (2016).
pubmed: 27579615 pmcid: 5341931 doi: 10.18632/oncotarget.11618
Kruth, K. A. et al. Suppression of B-cell development genes is key to glucocorticoid efficacy in treatment of acute lymphoblastic leukemia. Blood 129, 3000–3008 (2017).
pubmed: 28424165 pmcid: 5454339 doi: 10.1182/blood-2017-02-766204
Wei, G. et al. Gene expression-based chemical genomics identifies rapamycin as a modulator of MCL1 and glucocorticoid resistance. Cancer Cell 10, 331–342 (2006).
pubmed: 17010674 doi: 10.1016/j.ccr.2006.09.006
Bonapace, L. et al. Induction of autophagy-dependent necroptosis is required for childhood acute lymphoblastic leukemia cells to overcome glucocorticoid resistance. J. Clin. Invest. 120, 1310–1323 (2010).
pubmed: 20200450 pmcid: 2846044 doi: 10.1172/JCI39987
Piovan, E. et al. Direct reversal of glucocorticoid resistance by AKT inhibition in acute lymphoblastic leukemia. Cancer Cell 24, 766–776 (2013).
pubmed: 24291004 doi: 10.1016/j.ccr.2013.10.022
Nicholson, L. et al. Quantitative proteomic analysis reveals maturation as a mechanism underlying glucocorticoid resistance in B lineage ALL and re-sensitization by JNK inhibition. Br. J. Haematol. 171, 595–605 (2015).
pubmed: 26310606 pmcid: 4833193 doi: 10.1111/bjh.13647
Chan, L. N. et al. Metabolic gatekeeper function of B-lymphoid transcription factors. Nature 542, 479–483 (2017).
pubmed: 28192788 pmcid: 5621518 doi: 10.1038/nature21076
Jones, C. L. et al. Loss of TBL1XR1 disrupts glucocorticoid receptor recruitment to chromatin and results in glucocorticoid resistance in a B-lymphoblastic leukemia model. J. Biol. Chem. 289, 20502–20515 (2014).
pubmed: 24895125 pmcid: 4110265 doi: 10.1074/jbc.M114.569889
Jones, C. L. et al. MAPK signaling cascades mediate distinct glucocorticoid resistance mechanisms in pediatric leukemia. Blood 126, 2202–2212 (2015).
pubmed: 26324703 pmcid: 4635116 doi: 10.1182/blood-2015-04-639138
Hosono, N. et al. Glutathione S-transferase M1 inhibits dexamethasone-induced apoptosis in association with the suppression of Bim through dual mechanisms in a lymphoblastic leukemia cell line. Cancer Sci. 101, 767–773 (2010).
pubmed: 20067466 doi: 10.1111/j.1349-7006.2009.01432.x
Kotani, A. et al. miR-128b is a potent glucocorticoid sensitizer in MLL-AF4 acute lymphocytic leukemia cells and exerts cooperative effects with miR-221. Blood 114, 4169–4178 (2009).
pubmed: 19749093 pmcid: 2774553 doi: 10.1182/blood-2008-12-191619
Han, B. W. et al. A set of miRNAs that involve in the pathways of drug resistance and leukemic stem-cell differentiation is associated with the risk of relapse and glucocorticoid response in childhood ALL. Hum. Mol. Genet. 20, 4903–4915 (2011).
pubmed: 21926415 pmcid: 3221537 doi: 10.1093/hmg/ddr428
Zhao, J. J. et al. Targeting the miR-221-222/PUMA/BAK/BAX pathway abrogates dexamethasone resistance in multiple myeloma. Cancer Res. 75, 4384–4397 (2015).
pubmed: 26249174 pmcid: 4609291 doi: 10.1158/0008-5472.CAN-15-0457
Spijkers-Hagelstein, J. A., Mimoso Pinhancos, S., Schneider, P., Pieters, R. & Stam, R. W. Src kinase-induced phosphorylation of annexin A2 mediates glucocorticoid resistance in MLL-rearranged infant acute lymphoblastic leukemia. Leukemia 27, 1063–1071 (2013).
pubmed: 23334362 doi: 10.1038/leu.2012.372
Spijkers-Hagelstein, J. A. et al. Elevated S100A8/S100A9 expression causes glucocorticoid resistance in MLL-rearranged infant acute lymphoblastic leukemia. Leukemia 26, 1255–1265 (2012).
pubmed: 22282267 doi: 10.1038/leu.2011.388
Aries, I. M. et al. EMP1, a novel poor prognostic factor in pediatric leukemia regulates prednisolone resistance, cell proliferation, migration and adhesion. Leukemia 28, 1828–1837 (2014).
pubmed: 24625531 doi: 10.1038/leu.2014.80
Yang, J. J. et al. Genome-wide association study identifies germline polymorphisms associated with relapse of childhood acute lymphoblastic leukemia. Blood 120, 4197–4204 (2012).
pubmed: 23007406 pmcid: 3501717 doi: 10.1182/blood-2012-07-440107
Meyers, J. A., Taverna, J., Chaves, J., Makkinje, A. & Lerner, A. Phosphodiesterase 4 inhibitors augment levels of glucocorticoid receptor in B cell chronic lymphocytic leukemia but not in normal circulating hematopoietic cells. Clin. Cancer Res. 13, 4920–4927 (2007).
pubmed: 17699872 pmcid: 2656255 doi: 10.1158/1078-0432.CCR-07-0276
Zhou, M. et al. Targeting of the deubiquitinase USP9X attenuates B-cell acute lymphoblastic leukemia cell survival and overcomes glucocorticoid resistance. Biochem. Biophys. Res. Commun. 459, 333–339 (2015).
pubmed: 25735983 doi: 10.1016/j.bbrc.2015.02.115
Rocha, J. C. et al. Pharmacogenetics of outcome in children with acute lymphoblastic leukemia. Blood 105, 4752–4758 (2005).
pubmed: 15713801 pmcid: 1895006 doi: 10.1182/blood-2004-11-4544
Mullighan, C. G. et al. CREBBP mutations in relapsed acute lymphoblastic leukaemia. Nature 471, 235–239 (2011).
pubmed: 21390130 pmcid: 3076610 doi: 10.1038/nature09727
Malyukova, A. et al. FBXW7 regulates glucocorticoid response in T-cell acute lymphoblastic leukaemia by targeting the glucocorticoid receptor for degradation. Leukemia 27, 1053–1062 (2013).
pubmed: 23228967 doi: 10.1038/leu.2012.361
Park, H. W. et al. Alternative Wnt signaling activates YAP/TAZ. Cell 162, 780–794 (2015).
pubmed: 26276632 pmcid: 4538707 doi: 10.1016/j.cell.2015.07.013
Cortijo, C., Gouzi, M., Tissir, F. & Grapin-Botton, A. Planar cell polarity controls pancreatic beta cell differentiation and glucose homeostasis. Cell Rep. 2, 1593–1606 (2012).
pubmed: 23177622 pmcid: 3606931 doi: 10.1016/j.celrep.2012.10.016
Cabral, A. L., Hays, A. N., Housley, P. R., Brentani, M. M. & Martins, V. R. Repression of glucocorticoid receptor gene transcription by c-Jun. Mol. Cell Endocrinol. 175, 67–79 (2001).
pubmed: 11325517 doi: 10.1016/S0303-7207(01)00396-3
Holleman, A. et al. Gene-expression patterns in drug-resistant acute lymphoblastic leukemia cells and response to treatment. NJEM 351, 533–542 (2004).
doi: 10.1056/NEJMoa033513
Coustan-Smith, E. et al. New markers for minimal residual disease detection in acute lymphoblastic leukemia. Blood 117, 6267–6276 (2011).
pubmed: 21487112 pmcid: 3122946 doi: 10.1182/blood-2010-12-324004
Cheok, M. H. et al. Treatment-specific changes in gene expression discriminate in vivo drug response in human leukemia cells. Nat. Genet. 34, 85–90 (2003).
pubmed: 12704389 doi: 10.1038/ng1151
Yeoh, E. J. et al. Classification, subtype discovery, and prediction of outcome in pediatric acute lymphoblastic leukemia by gene expression profiling. Cancer Cell 1, 133–143 (2002).
pubmed: 12086872 doi: 10.1016/S1535-6108(02)00032-6
Kuan, P. F., Wang, S., Zhou, X. & Chu, H. A statistical framework for Illumina DNA methylation arrays. Bioinformatics 26, 2849–2855 (2010).
pubmed: 20880956 pmcid: 3025715 doi: 10.1093/bioinformatics/btq553
French, D. et al. Acquired variation outweighs inherited variation in whole genome analysis of methotrexate polyglutamate accumulation in leukemia. Blood 113, 4512–4520 (2009).
pubmed: 19066393 pmcid: 2680361 doi: 10.1182/blood-2008-07-172106
Paugh, S. W. et al. MicroRNAs form triplexes with double stranded DNA at sequence-specific binding sites; a eukaryotic mechanism via which microRNAs could directly alter gene expression. PLoS Comput. Biol. 12, e1004744 (2016).
pubmed: 26844769 pmcid: 4742280 doi: 10.1371/journal.pcbi.1004744
Zhang, J. et al. The genetic basis of early T-cell precursor acute lymphoblastic leukaemia. Nature 481, 157–163 (2012).
pubmed: 22237106 pmcid: 3267575 doi: 10.1038/nature10725
Liu, Y. et al. The genomic landscape of pediatric and young adult T-lineage acute lymphoblastic leukemia. Nat. Genet. 49, 1211 (2017).
pubmed: 28671688 pmcid: 5535770 doi: 10.1038/ng.3909
Shalem, O. et al. Genome-scale CRISPR-Cas9 knockout screening in human cells. Science 343, 84–87 (2014).
doi: 10.1126/science.1247005 pubmed: 24336571
Li, W. et al. MAGeCK enables robust identification of essential genes from genome-scale CRISPR/Cas9 knockout screens. Genome Biol. 15, 554 (2014).
pubmed: 25476604 pmcid: 4290824 doi: 10.1186/s13059-014-0554-4
Li, W. et al. Quality control, modeling, and visualization of CRISPR screens with MAGeCK-VISPR. Genome Biol. 16, 281 (2015).
pubmed: 26673418 pmcid: 4699372 doi: 10.1186/s13059-015-0843-6
Cheng, C. & Parzen, E. Unified estimators of smooth quantile and quantile density functions. J. Stat. Plan. Infer. 59, 291–307 (1997).
doi: 10.1016/S0378-3758(96)00110-3
De Vore, R. A. The Approximation of Continuous Functions by Positive Linear Operators (Springer-Verlag, 1972).
Cheng, C. in Optimality, Vol. 49, Lecture Notes—Monograph Series (ed. Rojo, J.) 51–76 (Institute of Mathematical Statistics, 2006).
Maaten, L. V. D. Accelerating t-SNE using tree-based algorithms. J. Machine Learn. Res. 115, 3221–3245 (2014).
Macosko, E. Z. et al. Highly parallel genome-wide expression profiling of individual cells using nanoliter droplets. Cell 161, 1202–1214 (2015).
pubmed: 26000488 pmcid: 4481139 doi: 10.1016/j.cell.2015.05.002
Ward, J. H. Hierarchical grouping to optimize an objective function. J. Am. Stat. Assoc. 58, 236–244 (1963).
doi: 10.1080/01621459.1963.10500845
Savic, D. et al. Distinct gene regulatory programs define the inhibitory effects of liver X receptors and PPARG on cancer cell proliferation. Genome Med. 8, 74 (2016).
pubmed: 27401066 pmcid: 4940857 doi: 10.1186/s13073-016-0328-6
Corces, M. R. et al. Lineage-specific and single-cell chromatin accessibility charts human hematopoiesis and leukemia evolution. Nat. Genet. 48, 1193–1203 (2016).
pubmed: 27526324 pmcid: 5042844 doi: 10.1038/ng.3646
Khaw, S. L. et al. Venetoclax responses of pediatric ALL xenografts reveal sensitivity of MLL-rearranged leukemia. Blood 128, 1382–1395 (2016).
pubmed: 27343252 pmcid: 5016707 doi: 10.1182/blood-2016-03-707414

Auteurs

Robert J Autry (RJ)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
Integrated Biomedical Sciences Program, University of Tennessee Health Science Center, Memphis, TN, USA.

Steven W Paugh (SW)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Robert Carter (R)

Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Lei Shi (L)

Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.

Jingjing Liu (J)

Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Daniel C Ferguson (DC)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Calvin E Lau (CE)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
Pediatric Oncology Education Program, St. Jude Children's Research Hospital, Memphis, TN, USA.

Erik J Bonten (EJ)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Wenjian Yang (W)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

J Robert McCorkle (JR)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Jordan A Beard (JA)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

John C Panetta (JC)

Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Jonathan D Diedrich (JD)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Kristine R Crews (KR)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Deqing Pei (D)

Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.

Christopher J Coke (CJ)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Sivaraman Natarajan (S)

Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Alireza Khatamian (A)

Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Seth E Karol (SE)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Comprehensive Cancer Center, St. Jude Children's Research Hospital, Memphis, TN, USA.

Elixabet Lopez-Lopez (E)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Barthelemy Diouf (B)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Colton Smith (C)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Yoshihiro Gocho (Y)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Kohei Hagiwara (K)

Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Kathryn G Roberts (KG)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Stanley Pounds (S)

Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.

Steven M Kornblau (SM)

Department of Leukemia, Division of Cancer Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Wendy Stock (W)

Hematopoiesis and Hematological Malignancies Program, University of Chicago, Chicago, IL, USA.

Elisabeth M Paietta (EM)

Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, North Division, Bronx, NY, USA.

Mark R Litzow (MR)

Division of Hematology and Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.

Hiroto Inaba (H)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Charles G Mullighan (CG)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Sima Jeha (S)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Ching-Hon Pui (CH)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Cheng Cheng (C)

Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.

Daniel Savic (D)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Jiyang Yu (J)

Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Charles Gawad (C)

Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Computational Biology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Mary V Relling (MV)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
Integrated Biomedical Sciences Program, University of Tennessee Health Science Center, Memphis, TN, USA.

Jun J Yang (JJ)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.

William E Evans (WE)

Hematological Malignancies Program and Center for Precision Medicine in Leukemia, St. Jude Children's Research Hospital, Memphis, TN, USA. William.Evans@stjude.org.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA. William.Evans@stjude.org.
Integrated Biomedical Sciences Program, University of Tennessee Health Science Center, Memphis, TN, USA. William.Evans@stjude.org.

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