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pmid:40707954
A multi-omic single-cell landscape reveals transcription and epigenetic regulatory features of t(8;21) AML.
Xue-Ping Li · Yan Gao · Bai-Tian Zhao · Yu-Ting Dai · Jia-Ying Mao · Yang Liang · Lu Jiang
Journal of translational medicine · 2025 doi:10.1186/s12967-025-06659-0
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Experiment
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Complete file
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We hypothesize that integrating single-cell transcriptomic and chromatin accessibility landscapes underlying t(8;21) AML will provide valuable insights into its heterogeneous cellular properties and gene regulatory programs.\nMETHODS: Here, we conducted paired single-cell RNA-sequencing (scRNA-seq) and single-cell ATAC sequencing on bone marrow samples from newly diagnosed t(8;21) AML patients and healthy controls. Genetic signatures extracted from scRNA-seq were built and validated across three independent cohorts (German AMLCG1999, GSE106291 and TCGA LAML).\nRESULTS: We identified TCF12, a core component of AML1-ETO-containing transcription factor complex (AETFC), as the most active transcription factor in blast cells, driving a universally repressed chromatin state. Furthermore, we delineated two functionally distinct T cell subsets, revealing that EOMES-mediated transcriptional regulation promotes the expansion of a cytotoxic T cell population (T cells_2; high GNLY, NKG7 and GZMB expression), with an increased clonality and a tendency for drug resistance. In addition, we discovered a novel leukemic CMP-like cluster characterized by high TPSAB1, HPGD and FCER1A expression. Leveraging machine learning-based integration of multi-omic profiles, we identified a robust 9-gene prognostic signature, which demonstrated significant predictive value for AML outcomes across three independent cohorts.\nCONCLUSIONS: This multi-omics study provides unprecedented insights into the transcriptional and epigenetic heterogeneity of t(8;21) AML, providing a potential actionable tool for clinical risk stratification.", "claims": [{"id": "claim-method", "statement": "By employing LASSO regression analysis, we constructed a leuk_CMP-like score derived from the estimated proportions of CMP-like cells in each patient.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:40707954", "locator": "sections[19] \"Accessibility of CMP-like leukemia cluster in primary t(8;21) AML\" paragraph 4", "quote": "By employing LASSO regression analysis, we constructed a leuk_CMP-like score derived from the estimated proportions of CMP-like cells in each patient."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The raw sequencing data reported in this paper have been deposited in the Genome Sequence Archive in National Genomics Data Center (https://ngdc.cncb.ac.cn/gsa-human), under the accession number #HRA007073. 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