Journal: bioRxiv
Article Title: Targeting HMGA1-driven leukemic transformation in myeloproliferative neoplasms with pacritinib
doi: 10.1101/2025.06.01.657170
Figure Lengend Snippet: (a) Prognostic significance of HMGA1 expression in the OHSU BeatAML MPN-sAML cohort (n = 31). Genes are ranked by their hazard ratio (HR) for overall survival (OS). Points are colored based on FDR significance: grey ( FDR > 0.05), blue ( FDR < 0.05 & HR < 1, good prognosis), red ( FDR < 0.05 & HR ≥ 1, poor prognosis) (b) Gene Set Enrichment Analysis (GSEA) showing Hallmark pathways enriched among genes associated with poor prognosis (ranked by HR) in the OHSU BeatAML MPN-sAML cohort. Heatmap displays NES for selected pathways. Asterisks (*) indicate FDR < 0.05. (c) Kaplan-Meier OS curves for MPN-sAML patients from the OHSU BeatAML cohort (n = 31, top panel) and an independent in-house cohort (n = 21, bottom pnel), stratified by high versus low HMGA1 expression (HMGA1 expression levels for BeatAML in-house cohort using median cut-off). Log-rank (Mantel-Cox) test. (d) Representative immunohistochemical (IHC) staining for HMGA1 in bone marrow biopsies from in-house MPN-sAML cohort patients, illustrating HMGA1 expression changes with therapy and clinical outcome. (i) HMGA1-low patient achieving complete remission (CR) post-ruxolitinib. (ii) HMGA1-low patient achieving CR post-decitabine + venetoclax. (iii) HMGA1-high patient with progressive disease (PD) despite 5-azacytidine + venetoclax, showing increased HMGA1 at relapse. (iv) HMGA1-high patient achieving durable remission with decreased HMGA1 staining post-allogeneic hematopoietic stem cell transplantation (allo-HCT). Scale bars: 80µm (overview), 20µm (insets). (e) Comparison of HMGA1 expression levels between MPN-sAML patients achieving complete remission (CR, includes CRh, CRi) and those not achieving CR (Non-CR). Top panel: HMGA1 transcript levels (Log2 normalized counts) in the OHSU BeatAML cohort (n=31). Bottom panel: Percentage of HMGA1-positive cells (IHC score) in the in-house cohort (n=21). Data are mean ± SD. Two-sample t -test. (f) Heatmap illustrating Hallmark GSEA of differentially expressed genes in HEL cells treated with DMSO (vehicle), ruxolitinib (Rux), fedratinib (Fed), pacritinib (Pac), or momelotinib (Mmb) for 4 hours or 48 hours (GSE229712) and in HEL cells with acquired resistance to ruxolitinib (Rux-Persistent, GSE190517) compared to DMSO control. Color intensity represents NES. * indicate FDR < 0.05. (g) Dose-response curves depicting cell viability of parental (NC) control versus ruxolitinib-persistent (Rux-P) HEL (left) and UKE-1 (right) cells treated with indicated concentrations of ruxolitinib for 72 hours. IC 50 values (mean± SD) are shown. Two-way ANOVA comparing IC 50 values. (h) HMGA1 mRNA expression (RNA-seq, normalized counts) in HEL cells: non-targeting control (NC), ruxolitinib-persistent (Rux-P), and fedratinib-persistent (Fed-P). (I) Immunoblot analysis of HMGA1 protein levels in parental (NC) and and ruxolitinib-persistent (Rux-P) HEL and UKE-1 cells. Tublin serves as a loading control. (J) Dose-response curve showing cell viability of HEL cells transduced with control vector (NC), HMGA1 overexpression (OE), or HMGA1 shRNA (Sh1) constructs, treated with indicated concentrations of ruxolitinib (Rux), fedratinib (Fed), pacritinib (Pac), and momelotinib (Mmb) for 72 hours. IC50 values (mean ± SD) are shown. Two-way ANOVA comparing IC50 values between OE/Sh1 and respective NC. (k) Schematic representation of the in vivo pacritinib treatment study in NSG mice engrafted with luciferase-expressing HEL cells (transduced with CMV-NC vector or HMGA1-OE construct). Following leukemia engraftment (Day 0-21), mice received pacritinib (100 mg/kg, BID) or vehicle orally for 14 days (Day 21-35). Endpoint analyses included bioluminescence imaging, spleen weight, flow cytometry, Wright-Giemsa staining, H&E, and IHC, alongside survival monitoring. (l) Representative bioluminescence image (left) and quatification of total tumor bioluminescence (total flux, right) at day 35 in NSG mice engrafted with CMV-NC or HMGA1-OE HEL cells and treated with vehicle or pacritinib (n=6 mice/group). Data are shown in mean ± SD. One-way ANOVA with Tukey’s post-hoc test.
Article Snippet: HEL92.1.7 cells stably transduced with a luciferase reporter gene (pLenti-CMV-Luc2-Blast, Addgene plasmid # 21474, a gift from Eric Campeau) and either control vector (CMV-NC) or HMGA1 overexpression vector (HMGA1-OE) were prepared.
Techniques: Expressing, Immunohistochemical staining, Immunohistochemistry, Staining, Transplantation Assay, Comparison, Control, RNA Sequencing, Western Blot, Transduction, Plasmid Preparation, Over Expression, shRNA, Construct, In Vivo, Luciferase, Imaging, Flow Cytometry