
[Cancer Research 60, 4062-4065, August 1, 2000]
© 2000 American Association for Cancer Research
Dominant Negative Isoform of the Ikaros Gene in Patients with Adult B-Cell Acute Lymphoblastic Leukemia
Koichi Nakase,
Fumihiko Ishimaru1,
Nicole Avitahl,
Hiromichi Dansako,
Keitaro Matsuo,
Keiko Fujii,
Nobuo Sezaki,
Hiroyuki Nakayama,
Tomofumi Yano,
Shunnichi Fukuda,
Kenji Imajoh,
Makoto Takeuchi,
Akira Miyata,
Masamichi Hara,
Masaki Yasukawa,
Isao Takahashi,
Hirokuni Taguchi,
Kosei Matsue,
Shinji Nakao,
Yoshiyuki Niho,
Katsuto Takenaka,
Katsuji Shinagawa,
Kazuma Ikeda,
Kenji Niiya and
Mine Harada
Department of Medicine, University of Okayama [K. Na., F. I., H. D., K. Matsuo, K. F., N. S., H. N., K. T., K. S., K. Ik., K. Ni., M. Harad.], Okayama Rousai Hospital [T. Y.], National Okayama Hospital [S. F.], Okayama Municipal Hospital [K. Im.], and National Sanatorium Minami Okayama Hospital [M. T.], Okayama 700-8558, Japan; Chugoku Central Hospital of the Mutual Aid Association of Public School Teachers, Fukuyama 721-0975, Japan [A. M.]; Ehime Prefectural Central Hospital [M. Hara], Department of Medicine, University of Ehime [M. Y.], Ehime 791-0295, Japan; Kochi Municipal Central Hospital [I. T.], Department of Medicine, Kochi Medical School [H. T.], Kochi 783-8505, Japan; Kameda General Hospital, Kamogawa 296-0041, Japan [K. Matsue]; Department of Medicine, University of Kanazawa, Kanazawa 920-8641, Japan [S. N.]; Department of Medicine, University of Kyushu, Fukuoka 812-8582, Japan [Y. N.]; and Cutaneous Biology Research Center, Massachusetts General Hospital, Charlestown, Massachusetts 02129 [N. A.]
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ABSTRACT
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Gene targeting studies in mice have shown that the transcription factor
Ikaros plays an essential role in lymphoid development and as a tumor
suppressor in T cells, whereas the related gene Aiolos functions as a
tumor suppressor in B cells. We analyzed the expression levels of the
Ikaros gene family, Ikaros and Aiolos, in
human bone marrow samples from patients with adult acute lymphoblastic
leukemia [ALL (n = 46; B-cell
ALL = 41; T-cell ALL = 5)].
Overexpression of the dominant negative isoform of Ikaros gene Ik-6 was
observed in 14 of 41 B-cell ALL patients by reverse transcription-PCR,
and the results were confirmed by sequencing analysis and
immunoblotting. None of the other dominant negative isoforms of the
Ikaros gene were detected by reverse transcription-PCR analysis.
Southern blotting analysis with PstI digestion revealed
that those patients with the dominant negative isoform Ik-6 might have
small mutations in the Ikaros locus. We did not detect any
overexpression of dominant negative isoforms of Aiolos in adult ALL
patients. These results suggest that Ikaros plays a key role in human
B-cell malignancies through the dominant negative isoform Ik-6.
 |
Introduction
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The Ikaros gene has been shown in the murine model to be essential
for the development of B lymphocytes and to function as a tumor
suppressor in T lymphocytes (1, 2, 3)
. By means of alternate
splicing, Ikaros encodes several zinc finger proteins that differ in
their content of zinc fingers that mediate DNA binding
(4)
. Thus, the various isoforms differ in their abilities
to bind stably to a consensus Ikaros DNA-binding site. Ikaros proteins
multimerize via zinc fingers located in the COOH termini of the
proteins; thus, isoforms that lack a DNA-binding domain (Ik-6, Ik-7,
and Ik-8) can interact with proteins that have a DNA-binding domain
(Ik-1, Ik-2, and Ik-3) and interfere in a dominant negative fashion
with their ability to bind DNA (5)
. Expression of high
levels of dominant negative isoforms can reduce Ikaros activity by
titrating out the DNA-binding activities of the predominant isoforms
Ik-1, Ik-2, and Ik-3. In addition, dominant negative Ikaros
isoforms can interact with the homologous proteins Aiolos
(6, 7, 8)
and Helios (9
, 10)
to reduce their
DNA-binding activities. In mice, T-cell malignancies result from
mutations that reduce Ikaros activity either by ablating expression
altogether via a null mutation (3)
or by causing
overexpression of dominant negative isoforms that titrate out activity
of isoforms Ik-1, Ik-2, and Ik-3 (2)
. The fact that
Ikaros functions as a tumor suppressor in mice prompted us
(11)
and others (12, 13, 14)
to ask whether
alterations in Ikaros activity might be similarly important in human
hematological malignancies. In a previous report (11)
, we
correlated the development of blast crisis in patients with chronic
myelogenous leukemia with a reduction in Ikaros activity. In several
bone marrow samples from patients who were in blast crisis, Ikaros
expression was severely reduced at the RNA level, whereas in other
samples, activity was reduced through the overexpression of dominant
negative Ik-6. Sun et al. (12, 13, 14)
reported
overexpression of the dominant negative isoforms Ik-7 and Ik-8 in
leukemic cells in several cases of infant and
T-ALL.2
Thus, the reports of Sun et al. (13
, 14)
correlate reductions in Ikaros activity (i.e.,
overexpression of dominant negative Ikaros isoforms) with T-cell
malignancies, as observed in the murine model. We have shown that
mutations that affect Ikaros activity can also be involved in
non-T-cell malignancies such as blast crisis of chronic myelogenous
leukemia (11)
. We have extended these studies to
demonstrate that mutations that cause overexpression of dominant
negative Ikaros isoforms can be involved in B-cell malignancies in
humans. Here we show that in 14 of 41 patients with adult B-ALL, Ikaros
activity was reduced through overexpression of the dominant negative
isoform Ik-6. These results suggest that mutations that reduce Ikaros
activity can contribute to the development of B-cell malignancies in
humans.
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Materials and Methods
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RT-PCR Analysis.
Bone marrow aspirates were obtained from patients after obtaining
informed consent. Characteristics of adult B-ALL patients are shown in
Table 1
. All patients had a negative myeloperoxidase test. RT-PCR analysis was
performed as described previously (11)
. The sequences of
the primers used are as follows: (a) Ikaros sense,
5'-CACATAACCTGAGGACCATG-3'; (b) Ikaros antisense,
5'-AGGGCTTTAGCTCATGTGGA-3' (4)
; (c) Aiolos
sense, 5'-CCCGGCAGCGACATGGAAGA-3'; and (d) Aiolos antisense,
5'-CCAGATATTCACTTCAGCAG-3' (8)
. Bone marrow samples from
five T-ALL, six ALL (L3), and five adult T-cell leukemia patients were
also examined. Major and minor BCR/ABL fusion transcripts were analyzed
by RT-PCR (Table 1)
.
Sequencing Analysis.
The PCR products were subcloned into the pCR2.1-TOPO vector using the
TOPO TA Cloning Kit (Invitrogen, San Diego, CA). The sequencing
analysis was performed by using the ABI 373 DNA Sequencer
(Perkin-Elmer, Foster City, CA).
Immunoblotting.
Extraction of whole cell lysates and immunoblotting were performed as
described previously (15)
. The membranes were incubated
with anti-Ikaros antibody or anti-Sp1 antibody (Santa Cruz
Biotechnology, Santa Cruz, CA).
Southern Blotting.
Southern blotting was performed as described previously
(16)
. The human Ikaros cDNA used as a hybridization probe
was labeled with [
-32P]dCTP using the High
Prime DNA labeling kit (Boehringer Mannheim, Indianapolis, IN).
 |
Results
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The expression levels of the Ikaros family genes, Ikaros
(4)
and Aiolos (8)
, in bone marrow samples
from adult ALL patients (n = 46;
B-ALL = 41; T-ALL = 5) were analyzed by
performing RT-PCR (Fig. 1
and data not shown). The expression of the largest isoforms (Ik-1,
Ik-2, and Ik-3) of the Ikaros gene was predominant, as described
previously (4)
. However, in 14 of 41 patients with adult
B-ALL, the dominant negative isoform Ik-6 was the predominant isoform
expressed (Fig. 1
and Table 1
; patients 14, 1517, and 3541).
These results were confirmed by sequencing analysis (data not shown).
In contrast to the previous reports (12, 13, 14)
, none of the
other dominant negative isoforms (Ik-7 and Ik-8) were found in adult
ALL patients, although Ik-4 is normally expressed at a low level. There
was a trend that expression of the dominant negative isoform Ik-6 was
correlated with expression of BCR/ABL fusion transcripts (Table 1)
,
although it was not statistically significant
(
2
test, P = 0.18).
We found no dominant negative isoforms of the Ikaros gene in bone
marrow samples from five T-ALL, six ALL (L3), and five adult T-cell
leukemia patients (data not shown).

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Fig. 1. RT-PCR analysis of the Ikaros isoforms and Aiolos in bone
marrow samples. The PCR products of Ikaros and Aiolos from human bone
marrow samples were analyzed on a 1% agarose gel with a 100-bp ladder
molecular marker (Lane M). Lanes 141
show the PCR products of the patients with B-ALL (Table 1
, patients
141, respectively). The PCR products of glyceraldehyde-3-phosphate
dehydrogenase (GAPDH) are also shown as a control.
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The Ikaros family member gene Aiolos was shown in mice to be
important for regulated proliferation of B cells (7)
. We
therefore determined whether altered levels of Aiolos
expression correlated with incidence of B-ALL. Unlike
Ikaros, which has several splice forms, Aiolos
has only one splice form. In the patient samples examined, we detected
only the reported isoform of Aiolos; no dominant negative isoforms were
observed. However, Aiolos expression appeared to be
decreased in several patients (Fig. 1
; patients 1, 14, 15, 25, 32, 35,
37, and 38).
The overexpression of the dominant negative Ik-6 protein in bone marrow
cells from adult ALL patients was confirmed by immunoblotting of whole
cell lysates using an anti-Ikaros antibody. Whole cell lysate from the
Jurkat cell line showed Ik-1, Ik-2, and Ik-3 as the major
isoforms present, as reported previously (4)
. However, in
whole cell lysates from patients who demonstrated overexpression of the
dominant negative isoform Ik-6 (Fig. 1
, patients 1, 35, and 37),
significant amounts of Ik-6 protein were detected (Fig. 2
). These data confirm the results of the RT-PCR analysis (Fig. 1
).

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Fig. 2. Immunoblotting study of whole cell lysates from bone
marrow samples. Whole cell lysates from patients with the dominant
negative isoform Ik-6 (Table 1
, patients 1, 35, and 37) were analyzed
using an anti-Ikaros antibody as the primary antibody. The positions of
molecular weight standards and Ikaros isoforms are indicated. The
lysates were also analyzed with an anti-Sp1 antibody as a
control.
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To determine whether a genetic lesion could be correlated with
overexpression of the dominant negative isoform Ik-6, Southern blot
analysis was performed using human Ikaros cDNA as a probe.
PstI digests of genomic DNA revealed differences in the
restriction fragments between normal volunteers (n = 10) and patients with the dominant negative isoform Ik-6
[n = 4 (Fig. 3
)]. A novel band indicated by an arrow was observed in DNA
from the BV-173 cell line and in patients who showed overexpression of
the dominant negative isoform Ik-6 (Fig. 1
, patients 2, 15, 35,
and 37). No gross abnormalities could be detected with BamHI
and EcoRI digestion (data not shown).
 |
Discussion
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In the present analysis, RT-PCR was used to determine the
expression levels of the Ikaros family genes, Ikaros and
Aiolos, in bone marrow samples from adult ALL patients
(n = 46; B-ALL = 41;
T-ALL = 5). In 14 of 41 cases of adult B-ALL patients,
Ikaros activity was reduced by overexpression of the dominant negative
isoform Ik-6. Due to the limited amounts of bone marrow samples,
immunoblotting analyses could only be performed on the samples from
patients 1, 35, and 37 (Table 1)
. These experiments demonstrated that
the dominant negative Ik-6 protein was stably expressed at high levels
in those patients. PstI digests of genomic DNA revealed
differences in the restriction fragments between normal volunteers
(n = 10) and patients with the dominant
negative isoform Ik-6 (n = 4). No gross
abnormalities could be detected in those patients with BamHI
and EcoRI digestion, suggesting that a mutation in the
Ikaros locus may alter gene splicing, resulting in aberrantly high
levels of Ik-6. It is interesting that we detect the same novel
restriction fragments at a relatively high frequency, and we are
currently determining which region of the locus is affected.
Because the related gene Aiolos was shown in mice to be a
tumor suppressor gene in B cells (7)
, we expected that
Aiolos activity might also be reduced in cases of B-ALL. Although
Aiolos expression appeared to be decreased in several
patient samples, it is not clear that this expression was aberrant. In
the mouse, Aiolos is normally expressed at very low levels
in pro-B cells and becomes greatly up-regulated at the pre-B-cell stage
(6)
. Unfortunately, we did not have enough material to
characterize the developmental stage of these leukemias. Therefore, we
cannot make any conclusions about the significance of the low
expression levels detected in certain patient samples. Nevertheless, it
was clear that no dominant negative splice forms of Aiolos were
expressed. Moreover, it is likely that even in the leukemic samples
that showed normal levels of Aiolos expression, Aiolos
activity was reduced through the dominant negative action of Ik-6,
which can interact with Aiolos proteins and interfere with their
DNA-binding capacity.
Ikaros and Aiolos are present together in large multiprotein complexes
that have chromatin remodeling activity and contain proteins such as
Mi-2/histone deacetylases or Brg-1/Swi-3/BAF60 (17
, 18)
.
The function of Ikaros and Aiolos in these complexes may be to recruit
chromatin remodeling activity and histone deacetylases to the
appropriate gene targets, thus enabling proper gene expression. The
overexpression of dominant negative proteins such as Ik-6 may interfere
with the ability of these complexes to be properly recruited to target
genes. In the case of the M2 form of acute myeloid leukemia, the
AML1-ETO fusion protein results in the inappropriate targeting of
histone deacetylases (19
, 20)
. Thus, aberrant gene
expression resulting from inefficient or inappropriate targeting of
histone deacetylases may be an important mechanism underlying
leukemogenesis.
The results presented here contribute to a growing body of work showing
that mutations that alter Ikaros activity correlate with hematological
malignancies in humans (11, 12, 13, 14)
. Interestingly, unlike the
murine model (2
, 3)
, in which these malignancies are
confined to the T lineage, mutations in the Ikaros locus
appear to contribute to malignancy in other hemopoietic lineages. This
is likely to be due in some cases to the presence of other genetic
lesions, such as BCR/ABL, which may cooperate with a
mutation in Ikaros to target a cell that would
otherwise not be affected by a mutation in Ikaros alone.
Characterizing these potential genetic interactions will be of future
interest.
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FOOTNOTES
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 To whom requests for reprints should be
addressed, at Department of Medicine, University of Okayama, 2-5-1
Shikatacho, Okayama 700-8558, Japan. Phone: 81-86-235-7227; Fax:
81-86-232-8226; E-mail: ishimaru{at}hospital.okayam-u.ac.jp 
2 The abbreviations used are: T-ALL, T-cell acute
lymphoblastic leukemia; ALL, acute lymphoblastic leukemia; B-ALL,
B-cell acute lymphoblastic leukemia; RT-PCR, reverse
transcription-PCR. 
Received 3/23/00.
Accepted 6/ 8/00.
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