Surface antigen-guided CRISPR screens identify regulators of myeloid leukemia differentiation
Open accessAbstract
SUMMARY Lack of cellular differentiation is a hallmark of many human cancers, including acute myeloid leukemia (AML). Strategies to overcome such differentiation blockade represent an approach for treating AML patients. To identify targets for differentiation based therapies, we applied an integrated cell surface-based CRISPR platform to assess genes involved in maintaining the undifferentiated state of leukemia cells. Here, we identify the RNA-binding protein, ZFP36L2, as a critical regulator of AML maintenance and differentiation. Mechanistically, ZFP36L2 interacts with the 3’ untranslated region of key myeloid maturation genes, including the ZFP36 paralogs, to promote their mRNA degradation and suppress terminal myeloid cell differentiation. Genetic inhibition of ZFP36L2 restores mRNA stability of these targeted transcripts and ultimately triggers myeloid differentiation in leukemia cells. Epigenome profiling of several primary AML patients revealed enhancer modules near ZFP36L2 that associated with distinct AML cell states, establishing a coordinated epigenetic and post-transcriptional mechanism that shapes leukemic differentiation.
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Written from the paper’s full text.
TL;DR
The authors combined genome-wide and single-cell CRISPR screens with cell-surface markers to find regulators of myeloid leukemia differentiation, converging on the RNA-binding protein ZFP36L2. ZFP36L2 promotes degradation of mRNAs that drive myeloid maturation, including ZFP36 paralogs, and an AML-associated enhancer near ZFP36L2 is linked to stem-like versus monocytic leukemia states.
Key findings
- In Cas9-expressing THP-1 AML cells, a Brunello library of >78,000 sgRNAs targeting 19,115 protein-coding genes was screened by sorting CD14-high/low and CD11B-high/low cells after 12 days; CD14 and CD11B guides scored as top negative hits, validating the approach. Filtering against public cancer dependency data identified 12 candidates with CRISPR score >1, leukemia dependency score < −0.5, and non-leukemia dependency score > −0.5, including ZFP36L2, GFI1, MED16, and MED24.
- ZFP36L2 loss reduced AML growth, increased apoptosis, impaired S-phase progression, and induced myeloid differentiation; in MOLM-13 xenografts, ZFP36L2 knockout delayed leukemia progression and prolonged survival. ZFP36L2 was dispensable in several non-AML lines, and normal HSPC assays showed only mild colony and competitive defects, whereas MLL-AF9 NRASG12D cells had robust growth defects.
- eCLIP in MOLM-13 and THP-1 cells found roughly 14,000 and 19,000 enriched peaks, respectively, with >74% overlap and about 16–20% mapping to AU-rich elements in 3′ UTRs. Overlap of 3,741 confident binding sites with upregulated genes after ZFP36L2 knockout implicated targets such as CEBPB, IL1B, ITGB2, and NOTCH1; ZFP36L2 loss also lengthened CEBPB poly(A) tails, and ZFP36 and ZFP36L1 were direct targets.
- An AML-enriched enhancer downstream of ZFP36L2, termed enhZFP36L2, showed HOXA9/MEIS1 co-occupancy; CRISPRi at this enhancer reduced ZFP36L2 and increased CD14 and ZFP36L1. Across 56 primary AML samples, enhancer H3K27ac correlated with a myeloid differentiation score (r = 0.65), and enhZFP36L2-high (n = 13) versus -low (n = 7) samples differed in 2,929 genes, with high samples showing stem-like signatures and low samples showing monocytic features.
Methods
- Genome-wide CRISPR/Cas9 screens were performed in Cas9-expressing THP-1 MLL-AF9 NRASG12D cells using the Brunello library, followed by FACS for CD14-high/low or CD11B-high/low populations and deep sequencing of sgRNA counts.
- ECCITE-seq coupled pooled sgRNAs targeting 12 candidates plus 6 non-targeting controls with scRNA-seq, CD11B/CD16 antibody-derived tags, and sgRNA capture in 1,935 THP-1 cells, averaging about 3,300 transcripts and one sgRNA per cell (n = 45 cells/sgRNA).
- Mechanistic and epigenetic work included eCLIP in MOLM-13 and THP-1, RNA-seq, poly(A) tail-length assays, ChIP-seq, Hi-C, ATAC-seq, CRISPRi, mouse leukemia xenografts, and HSPC colony/competition assays; patient analyses used public and primary AML datasets with CIBERSORT, GSEA, and differential expression.
Limitations
- The paper states that its main limitation is limited functional assessment of the differentiation candidates in normal hematopoiesis; it calls for further in vitro and in vivo ablation studies in normal human hematopoiesis to strengthen the rationale for differentiation-based therapies.
- Evident from the text: the primary screens relied heavily on THP-1 cells and selected AML lines, while much of the patient-level enhancer analysis used relatively small subsets (e.g., 13 enhZFP36L2-high and 7 -low samples) and public datasets.
- Evident from the text: no ZFP36L2 inhibitors are currently available, and the study notes that pharmacologic modulation of RNA processing remains a potential but not yet established therapeutic route.
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Claims the paper makes
0 of 1 cited sources checked · 0 supported · 0 flagged
- Findingcitation
Targeting Zfp36l2 in an aggressive MLL-AF9 NrasG12D mouse model causes substantial defects in leukemia growth in vitro.
“Moreover, targeting Zfp36l2 in an aggressive MLL-AF9 NrasG12D mouse model (Zuber et al., 2011a) showed substantial defects in leukemia growth in vitro”
Quote in the paperSubstantial claim - Findingown data
eCLIP analysis showed >74% overlap of annotated mRNAs bound by ZFP36L2 in both AML cell lines.
“Our eCLIP analysis showed a strong overlap (>74%) of annotated mRNAs bound by ZFP36L2 in both AML cell lines.”
Quote in the paperSubstantial claim - Findingown data
ZFP36L2 is dispensable for growth of non-AML cell lines across a broad range of cancer types.
“In contrast, ZFP36L2 was dispensable for the growth of non-AML cell lines across a broad range of cancer types”
Quote in the paperSubstantial claim - Findingown data
ZFP36L2 acts as a key controller of AML upkeep and differentiation.
“Here, we identify the RNA-binding protein, ZFP36L2, as a critical regulator of AML maintenance and differentiation.”
Quote in the paperSubstantial claim - Findingown data
Transcriptional activation of ZFP36L2 results in decreased ZFP36 mRNA levels.
“We observed that transcriptional activation of ZFP36L2 resulted in a decrease in ZFP36 mRNA levels”
Quote in the paperSubstantial claim
- Findingown data
CRISPRa targeting the ZFP36L2 promoter in K562 cells led to an approximately 2-4 fold increase in ZFP36L2 expression.
“We first tested this hypothesis by using a CRISPR activation (CRISPRa) system with sgRNA designed to target the ZFP36L2 promoter in K562 cells, which led to an ~2–4 fold increase in ZFP36L2 expression.”
Quote in the paperSubstantial claim - Findingown data
ZFP36L2-deficient MOLM-13 AML cells show significant delay in leukemia progression in NSG mice compared with non-targeting control.
“We observed significant delay in leukemia progression in mice receiving ZFP36L2-deficient AML cells, as determined by bioluminescent imaging and flow cytometric analysis of peripheral blood in late disease-onset mice when compared to non-targeting control AML recipient mice”
Quote in the paperSubstantial claim - Findingown data
ZFP36L2 expression is aberrantly upregulated in AML patient samples compared with normal hematopoietic progenitors.
“In our transcriptome analysis of AML patients (Cancer Genome Atlas Research et al., 2013), we observed that ZFP36L2 expression is aberrantly upregulated compared to normal hematopoietic progenitors”
Quote in the paperNot a substantial claim - Findingown data
Differential expression analysis of scRNA-seq showed upregulation of macrophage-associated genes after loss-of-function of differentiation candidates compared with non-targeting sgRNAs.
“Differential expression (DE) analysis of scRNA-seq demonstrated upregulation of several macrophage-associated genes upon loss-of-function of differentiation candidates compared to non-targeting sgRNAs”
Quote in the paperSubstantial claim - Findingown data
AML cell lines across molecular subtypes are highly susceptible to ZFP36L2 inhibition in growth competition assays.
“Using growth competition assays, we showed that AML cell lines, across a variety of molecular subtypes, were extremely susceptible to ZFP36L2 inhibition”
Quote in the paperSubstantial claim - Findingcitation
RNA-seq from 243 AML patients showed significant upregulation of STK11, ZFP36L2, GFI1, DOT1L, EP300, MED16, and MED24 compared with healthy HSPCs.
“RNA-sequencing (RNA-seq) data obtained from 243 AML patients (Cancer Genome Atlas Research et al., 2013),(Lavallee et al., 2015) showed significant upregulation of a number of gene candidates (STK11, ZFP36L2, GFI1, DOT1L, EP300, MED16, and MED24) in AML patient samples when compared to healthy hematopoietic stem and progenitor cells (HSPCs)”
Quote in the paperSubstantial claim - Findingown data
CRISPR scanning of ZFP36L2 coding exons in MOLM-13 cells revealed strong depletion of sgRNAs targeting the CCCH zinc-finger domain that mediates RNA binding.
“we also employed a CRISPR-based scanning of ZFP36L2 coding exons in MOLM-13 AML cells, which revealed strong depletion of sgRNAs that exclusively targeted the CCCH zinc-finger domain that mediate its RNA-binding function”
Quote in the paperSubstantial claim - Findingown data
Enhancer modules near ZFP36L2 in primary AML patient samples associate with distinct AML cell states.
“Epigenome profiling of several primary AML patients revealed enhancer modules near ZFP36L2 that associated with distinct AML cell states”
Quote in the paperSubstantial claim - Findingown data
Loss of ZFP36L2 leads to increased cytokine expression.
“Moreover, we observed that loss of ZFP36L2 led to increased cytokine expression which is consistent with previous studies”
Quote in the paperNot a substantial claim - Findingown data
Loss of Zfp36l2 does not significantly induce apoptosis in HSPCs.
“Moreover, loss of Zfp36l2 did not significantly induce apoptosis in HSPCs”
Quote in the paperSubstantial claim - Findingown data
Among 122 top myeloid differentiation-associated genes scoring in both screens, 12 were strongly enriched for differentiation markers and preferentially required for AML survival compared with other cancer types.
“Of the 122 top myeloid cell differentiation-associated genes that scored in both screens, we found 12 genes that were strongly enriched for differentiation cell surface markers (CRISPR score >1) and preferentially required for AML survival (leukemia dependency score < −0.5) in comparison to other cancer types”
Quote in the paperSubstantial claim - Findingown data
eCLIP in MOLM-13 and THP-1 identified approximately 14,000 and 19,000 significantly enriched peaks relative to input controls, respectively.
“Our RBP pulldown identified approximately 14,000 and 19,000 signifcantly enriched peaks relative to input controls in MOLM-13 and THP-1, respectively.”
Quote in the paperSubstantial claim - Findingown data
The screens found positive hits whose loss-of-function had previously been linked to promoting AML or myeloid differentiation, including DOT1L, HDAC3, MYB, KDM1A, MED12, and PRMT1.
“In addition, our screens uncovered several positive hits whose loss-of-function have previously been implicated in promoting AML or myeloid differentiation, including DOT1L, HDAC3, MYB, KDM1A, MED12 and PRMT1”
Quote in the paperSubstantial claim - Findingown data
Mice with ZFP36L2-KO AML cells have prolonged survival compared with negative control sgRNA.
“Overall, this led to prolonged survival of mice with ZFP36L2-KO AML cells when compared to negative control sgRNA”
Quote in the paperSubstantial claim - Findingown data
In AML patients, higher ZFP36L2 expression inversely correlates with ZFP36L1 mRNA levels.
“Moreover, transcriptome analysis of a cohort of AML patients showed that higher expression of ZFP36L2 inversely correlated with ZFP36L1 mRNA levels”
Quote in the paperSubstantial claim - Findingown data
ChIP-seq in SEM cells showed co-occupancy of HOXA9 and MEIS1 binding at the enhZFP36L2 locus.
“ChIP-seq analysis showed co-occupancy of HOXA9 and MEIS1 binding at the enhZFP36L2 locus”
Quote in the paperSubstantial claim - Findingown data
Virtual 4C confirmed selective and strong physical proximity between the ZFP36L2 promoter and its enhancer in AML cells compared with other hematopoietic cell types.
“Virtual 4C analysis confirmed a selective and strong physical proximity between ZFP36L2 promoter and its enhancer in AML cells when compared to other hematopoietic cell types”
Quote in the paperSubstantial claim - Findingown data
PCA stratified enhZFP36L2High patients apart from enhZFP36L2Low samples.
“Principal component analysis (PCA) further stratified the patients with enhZFP36L2High apart from enhZFP36L2Low samples”
Quote in the paperNot a substantial claim - Findingown data
GSEA of enhZFP36L2High AML patients shows association with higher LSC signatures and HOXA9/MEIS1 target genes.
“Gene set enrichment analysis (GSEA) of enhZFP36L2High AML patients were also associated higher levels of LSC signatures and HOXA9/MEIS1 target genes”
Quote in the paperSubstantial claim - Findingown data
Higher ZFP36L2 expression is associated with elevated HOXA9 mRNA levels in AML patient samples.
“Moreover, higher ZFP36L2 expression was associated with elevated HOXA9 mRNA levels in these patient samples”
Quote in the paperSubstantial claim - Findingown data
enhZFP36L2 H3K27ac levels significantly correlate with ZFP36L2 expression.
“Consistent with our findings, we observed a significant correlation with enhZFP36L2 H3K27ac levels and ZFP36L2 expression (data not shown).”
Quote in the paperNot a substantial claim - Findingown data
H3K27ac occupancy near ZFP36L2 changes dynamically across different cancer cell lines.
“We observed dynamic cis-regulatory changes occupied by H3K27ac nearby ZFP36L2 across different cancer cell lines.”
Quote in the paperSubstantial claim - Findingown data
Comparing enhZFP36L2High (n=13) to enhZFP36L2Low (n=7) AML samples identified 2,929 differentially expressed genes.
“we assessed corresponding patient RNA-seq data and found 2,929 differentially expressed genes (DEGs) when comparing enhZFP36L2High (n = 13) to enhZFP36L2Low (n = 7) AML samples”
Quote in the paperSubstantial claim - Findingown data
A putative enhancer cluster downstream of ZFP36L2, enhZFP36L2, is exclusively enriched in AML cells.
“Interestingly, we identified a putative enhancer cluster downstream of ZFP36L2, which we termed enhZFP36L2, that was exclusively enriched in AML cells”
Quote in the paperSubstantial claim - Findingown data
Changes in enhZfp36l2 H3K27ac levels correlate with Zfp36l2 expression during myelopoiesis.
“Moreover, changes in enhZfp36l2 H3K27ac levels were correlated with Zfp36l2 expression during myelopoiesis”
Quote in the paperSubstantial claim - Findingcitation
During normal hematopoiesis, H3K27ac enrichment at enhZfp36l2 is present in HSCs and gradually decreases during myeloid differentiation.
“During normal hematopoiesis, we observed enrichment of H3K27ac at the enhZfp36l2 region in HSCs, which gradually decreases during myeloid differentiation”
Quote in the paperSubstantial claim - Findingown data
ZFP36L2 is the only highly expressed gene within an insulated topologically associated domain in human AML cells.
“We found ZFP36L2 to be the only highly expressed gene within an insulated topologically associated domain (TAD)”
Quote in the paperSubstantial claim - Findingcitation
HOXA9/MEIS1 overexpression in mouse HPCs significantly increases H3K27ac at the enhZfp36l2 region compared with normal HPCs.
“We evaluated H3K27ac ChIP-seq data from mouse hematopoietic progenitor cells (HPCs) transformed with ectopic HOXA9/MEIS1 expression which demonstrated a significant increase in H3K27ac levels at the enhZfp36l2 region compared to normal HPCs”
Quote in the paperSubstantial claim - Findingown data
Most primary AML patient samples show high H3K27ac enrichment over input at the enhZFP36L2 locus.
“Using primary AML patient samples (McKeown et al., 2017), we observed that majority of the samples showed high H3K27ac enrichment over input at the enhZFP36L2 locus (enhZFP36L2High)”
Quote in the paperSubstantial claim - Findingown data
H3K27ac levels at enhZFP36L2 strongly correlate (r = 0.65) with myeloid differentiation trajectory in AML patient samples.
“Our analysis revealed a strong correlation (r = 0.65) between H3K27ac levels of enhZFP36L2 and its myeloid differentiation trajectory”
Quote in the paperSubstantial claim - Findingown data
A subset of AML patient samples has weaker enhancer strength at enhZFP36L2, associated with higher H3K27ac at the CD14 locus.
“Interestingly, a subset of patient samples exhibited weaker enhancer strength (enhZFP36L2Low) which associated with higher levels of H3K27ac at the CD14 locus”
Quote in the paperSubstantial claim - Interpretationown data
A coordinated epigenetic and post-transcriptional mechanism shapes leukemic differentiation.
“establishing a coordinated epigenetic and post-transcriptional mechanism that shapes leukemic differentiation.”
Quote in the paperSubstantial claim - Interpretationown data
The data support a potential therapeutic window for targeting ZFP36L2 as a differentiation-based strategy in AML patients.
“Taken together, these data support the notion of a potential therapeutic window for targeting ZFP36L2 as a differentiation-based strategy in AML patients.”
Quote in the paperSubstantial claim - Interpretationown data
ZFP36L2 post-transcriptionally suppresses a number of genes implicated in myeloid differentiation.
“Altogether, these findings demonstrate that ZFP36L2 post-transcriptionally suppresses a number of genes implicated in myeloid differentiation.”
Quote in the paperSubstantial claim - Interpretationown data
ZFP36L2 negatively regulates ZFP36 and ZFP36L1 mRNA levels in AML.
“While several works have described the redundancy of the ZFP36 paralogs (Galloway et al., 2016; Hodson et al., 2010), our findings highlight that ZFP36L2 negatively regulates ZFP36 and ZFP36L1 mRNA levels in AML.”
Quote in the paperSubstantial claim - Interpretationown data
ZFP36L2 post-transcriptionally suppresses leukemic differentiation through destabilization of a network of myeloid maturation genes.
“Collectively, these data indicate that ZFP36L2 post-transcriptionally suppresses leukemic differentiation through destabilization of a network of myeloid maturation genes.”
Quote in the paperSubstantial claim - Study design and conductreasoning
The main limitation of the study is the functional assessment of differentiation candidates in normal hematopoiesis.
“The main limitation of this study is the functional assessment of these differentiation candidates in normal hematopoiesis, as these pathways often converge in biology.”
Quote in the paperSubstantial claim - Premisecitation
The cell fractions or classification groups used for the myeloid differentiation score were derived from single-cell RNA-seq of sorted healthy donor bone marrow samples.
“The cell fractions or classification groups were based on single-cell RNA-seq from sorted healthy donor bone marrow sample(Pellin et al., 2019).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Pellin et al., 2019 source
Not checked in the free run.
- Interpretationown data
In myeloid leukemias, ZFP36L2 interacts with the 3' UTR and promotes deadenylation and degradation of mRNA transcripts involved in myeloid differentiation.
“In the context of myeloid leukemias, we have mechanistically shown that ZFP36L2 interacts with the 3’ UTR and promotes deadenylation and degradation of mRNA transcript involved in promoting myeloid differentiation.”
Quote in the paperSubstantial claim - Interpretationcitation
Pharmacologic modulation of RNA processing could be a therapeutic avenue for treating AML patients.
“These findings suggest that pharmacologic modulation of RNA processing could constitute a therapeutic avenue for treating AML patients.”
Quote in the paperSubstantial claim - Interpretationown data
A coordinated epigenetic and post-transcriptional mechanism establishes the differentiated state of AML cells.
“Altogether, these data demonstrate a coordinated epigenetic and post-transcriptional mechanism to establish the differentiated state of AML cells.”
Quote in the paperSubstantial claim - Interpretationown data
HOXA9-dependent formation of enhancers near ZFP36L2 maintains a leukemic stem cell state.
“These findings implicate a HOXA9-dependent formation of enhancers nearby ZFP36L2 to maintain a leukemic stem cell state.”
Quote in the paperSubstantial claim
- May combine two claims. 24
- Classified as probably not a substantial claim. 7
- The quote only partly states this claim. 1
May combine two claims.
Findingown dataZFP36L2 is required for AML cell survival and differentiation.
“Our top-scoring candidate was the RNA-binding protein, ZFP36L2 (also known as TIS11D), which is required for AML cell survival and differentiation”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataGenetic ablation of ZFP36L2 reduces AML growth and induces apoptosis, impaired S-phase cell cycle arrest, and myeloid differentiation.
“Genetic ablation of ZFP36L2 (ZFP36L2-KO) strongly reduced AML growth and led to marked induction of apoptosis, impaired S-phase cell cycle arrest and myeloid differentiation”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataITGB2/CD18 is a direct ZFP36L2 target and scored as the top negative hit in the CD11B cell surface screen.
“In addition, we identified ITGB2/CD18, a known binding partner for CD11B as a direct ZFP36L2 target which also scored as the top negative hit in our CD11B cell surface screen”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe genome-wide CRISPR screens identified genes broadly needed for leukemia growth whose loss promotes AML differentiation, including ZFP36L2.
“Our screens converged on a number of genes that are broadly required for leukemia growth whose loss-of-function promotes AML differentiation, including ZFP36L2, a previously uncharacterized dependency in AML.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn healthy donor bone marrow, ZFP36 and ZFP36L1 are highly expressed in monocytic populations, while ZFP36L2 is highly expressed in stem and progenitor stages and gradually decreases during myeloid differentiation.
“Analysis of healthy donor bone marrow showed ZFP36 and ZFP36L1 to be highly expressed in monocytic populations, whereas ZFP36L2 expression was highly expressed in stem and progenitor stages and gradually decreases during myeloid differentiation”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataZFP36 and ZFP36L1 mRNAs are direct targets of ZFP36L2 that are upregulated in ZFP36L2-KO and bound by ZFP36L2 in AML cells.
“Interestingly, we found the ZFP36 paralogs, ZFP36 and ZFP36L1 mRNAs, were among the direct targets of ZFP36L2 that were upregulated in ZFP36L2-KO and bound by ZFP36L2 in AML cells”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataPMA treatment of AML cells downregulates ZFP36L2 in differentiated macrophages and substantially upregulates ZFP36L2 direct mRNA targets.
“AML cells treated with the differentiation-inducing agent, phorbol myristate acetate (PMA) (Phanstiel et al., 2017) downregulated expression of ZFP36L2 in PMA-differentiated macrophages, whereas ZFP36L2 direct mRNA targets were substantially upregulated”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataLoss of ZFP36L2 in AML cells leads to longer poly(A) tail length of CEBPB mRNA, associated with increased mRNA stability.
“We also show that loss of ZFP36L2 in AML cells led to longer poly(A) tail length of CEBPB mRNA which is associated with increased mRNA stability”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
FindingcitationMost ZFP36L2-bound mRNAs mapped to AU-rich elements on 3' UTRs (~16-20%).
“In agreement with previous reports (Hudson et al., 2004), majority of ZFP36L2-bound mRNAs mapped to A-U rich elements (AREs) on 3’ UTRs (~ 16–20%)”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataZFP36L2 loss is associated with upregulation of monocytic/macrophage-associated genes (CD14, CSF1R, CEBPB, IL1B, MMP9) and downregulation of leukemia stem cell signatures.
“ZFP36L2 loss associated with upregulation of several key monocytic/macrophage-associated genes (e.g. CD14, CSF1R, CEBPB, IL1B, and MMP9) and downregulated genes associated with leukemia stem cell (LSC) signatures”
Quote in the paperSubstantial claimMay combine two claims.
FindingreasoningGenetic inhibition of ZFP36L2 restores stability of its target mRNAs and triggers myeloid differentiation in leukemia cells.
“Genetic inhibition of ZFP36L2 restores mRNA stability of these targeted transcripts and ultimately triggers myeloid differentiation in leukemia cells.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataZfp36l2 knockout in mouse HSPCs leads to mild reduction in colony formation and depletion of HSPCs compared with non-targeting control.
“Our results showed that Zfp36l2 knockout led to a mild reduction in colony formation and depletion of HSPCs when compared to non-targeting sgRosa”
Quote in the paperNot a substantial claimThe quote only partly states this claim.
Findingown dataOverlap of confident eCLIP binding sites with genes upregulated in ZFP36L2-KO RNA-seq revealed direct targets including CEBPB, IL1B, ITGB2, and NOTCH1.
“This analysis revealed several important genes (e.g. CEBPB, IL1B, ITGB2 and NOTCH1) that have been shown to play a pivotal role in monocytic and leukemic differentiation”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataenhZFP36L2Low patients exhibit higher expression of monocyte-associated genes (CD14, ITGAM, IRF8, CEBPB) and terminally differentiated AML signatures including ZFP36L1 and ZFP36.
“enhZFP36L2Low patients exhibited higher expression of monocyte-associated genes (e.g. CD14, ITGAM, IRF8, and CEBPB) and terminally differentiated AML signatures, including the ZFP36 paralogs, ZFP36L1 and ZFP36”
Quote in the paperSubstantial claimMay combine two claims.
FindingcitationHigher ZFP36L2 expression in AML patients is associated with genetic alterations in NPM1 and IDH1 and elevated HOXA9 levels.
“Our analysis of AML patients found that higher ZFP36L2 expression were associated with genetic alterations in NPM1 and IDH1 and elevated HOXA9 levels”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataPatients with enhZFP36L2High exhibit stem-like phenotypes, whereas enhZFP36L2Low cohorts are enriched for monocytic AML blasts.
“Patients associated with enhZFP36L2High exhibited stem-like phenotypes, whereas ZFP36L2Low cohorts were enriched for monocytic AML blast.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCRISPRi targeting enhZFP36L2 in MOLM-13 cells decreases ZFP36L2 expression and elevates CD14 and ZFP36L1 mRNA levels.
“Consistently, we observed that sgRNAs targeting enhZFP36L2 led to decreased ZFP36L2 expression and elevated mRNA levels of CD14 and ZFP36L1”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataZFP36L2 binds the 3' UTR of myeloid maturation transcripts, including ZFP36 paralogs, and drives their degradation, thereby suppressing terminal myeloid differentiation.
“Mechanistically, ZFP36L2 interacts with the 3’ untranslated region of key myeloid maturation genes, including the ZFP36 paralogs, to promote their mRNA degradation and suppress terminal myeloid cell differentiation.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataTranscriptional activation of ZFP36 strongly suppresses human myeloid leukemia cells but does not alter ZFP36L2 expression, suggesting paralog regulation does not occur through a negative feedback loop.
“Inversely, transcriptional activation of ZFP36 led to strong suppression in human myeloid leukemia cells but did not alter ZFP36L2 expression, suggesting that ZFP36 paralog regulation do not occur through a negative feedback loop”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataZFP36L2 is an AML dependency that relies on its RNA-binding domain to suppress AML blast differentiation.
“Collectively, these data provide genetic evidence that ZFP36L2 is an AML dependency that relies on its RNA-binding domain to suppress AML blast differentiation.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown datasgRNAs targeting CD14 or CD11B in their respective screens were the top negative hits, validating the screening approach.
“We found sgRNAs targeting CD14 or CD11B in their respective screens scored as the top negative hits, thereby validating our screening method.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataInhibition of ZFP36 or ZFP36L1 shows minimal requirement for leukemic survival, suggesting a non-redundant role for ZFP36L2 in AML survival.
“Furthermore, inhibition of the other ZFP36 paralogs, ZFP36 or ZFP36L1 showed minimal requirement for leukemic survival suggesting a non-redundant role for ZFP36L2 in AML survival”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataIn ECCITE-seq, most single cells carrying candidate sgRNAs showed increased CD11B protein relative to non-targeting sgRNAs, validating the cell surface screens.
“Analysis of ADT-seq libraries showed majority of single cells harboring candidate sgRNAs led to increased protein expression of CD11B relative to non-targeting sgRNAs, thereby validating our cell surface-based screens”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenFor ATAC-seq PCR steps 3-5, the transposed library was amplified for a number of cycles based on quantitative PCR to stop amplification before saturation, reducing GC and size bias.
“For PCR steps 3–5, transposed library was amplified with number of cycles based on quantitative PCR in order to stop amplification prior to saturation, thus reducing GC and size bias in PCR.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductreasoningIn ECCITE-seq analysis, cells were included only if they had more than 400 and fewer than 6000 unique feature counts and less than 15% of transcripts from mitochondrial genes, to remove low-quality cells and droplets containing multiple cells.
“We included cells with more than 400, and less than 6000 unique feature counts, and only kept cells with less than 15% of their transcripts originating from mitochondrial genes to exclude low-quality cells and multiple cells captured in droplets.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataeCLIP studies were performed in duplicate.
“eCLIP studies were performed in duplicates by Eclipse Bioinnovations Inc (San Diego, www.eclipsebio.com) according to the published single-end seCLIP protocol(Van Nostrand et al., 2017) with the following modifications.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataZFP36L2 is a central post-transcriptional suppressor of leukemia differentiation and a broad therapeutic vulnerability in human AML.
“We have defined a context-dependent role for the RNA-binding protein, ZFP36L2 as a central, post-transcriptional suppressor of leukemia differentiation and a broad therapeutic vulnerability in human AML.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationIn ECCITE-seq analysis, mixscape was used to remove cells that escaped molecular perturbation before linear discriminant analysis-based dimensionality reduction to visualize guide-induced perturbation.
“We further used mixscape to remove cells that escaped molecular perturbation and performed linear discriminant analysis-based dimensionality reduction to visualize the perturbation induced by the guides”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe study did not use statistical methods to predetermine sample size.
“No statistical methods were used to predetermine the sample size.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataFor Hi-C library preparation, PCR cycling steps 2-4 used a number of cycles that kept amplification in the linear range, with expected library size distribution confirmed by agarose gel.
“For cycling PCR steps 2–4, the number of cycles used ensured PCR amplification remained in the linear range with the expected library size distribution as assessed by agarose gel visualization.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Before this study, no genome-wide assessment had examined genes that maintain the undifferentiated state of leukemia cells.
“However, to date, there has not been a genome-wide assessment of genes involved in maintaining the undifferentiated state of leukemia cells.”
The paper relies on this without support.
The fundamental gene regulatory networks governing the undifferentiated state of leukemic blasts remain unclear.
“Despite our current understanding of hematopoietic cell differentiation, the fundamental gene regulatory networks that governs the undifferentiated state of leukemic blasts remain unclear.”
The paper relies on this without support.
Failure to differentiate is a hallmark of many human cancers, including AML.
“Lack of cellular differentiation is a hallmark of many human cancers, including acute myeloid leukemia (AML).”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In a bulk Cas13d CRISPR screen of 439 genes, 26 genes were selected that consistently influenced differentiation across multiple independent gRNAs and had been identified in orthogonal pooled Cas9 screens.
“By comparing gRNA representation between low and high-expressing bins, we selected 26 genes that influenced differentiation consistently across multiple independent gRNAs and that have also been identified previously in orthogonal pooled Cas9 screens23 (Extended Data Fig. 6a–h and Supplementary Table 4).”
From Efficient combinatorial targeting of RNA transcripts in single cells with Cas13 RNA Perturb-seq (2023) · cites this paper as [23]
In prior Cas9 screens, 240 genes led to CD11b or CD14 upregulation.
“We selected 240 genes that led to CD11b or CD14 upregulation in Cas9 screens23, in addition to 199 control genes in TLR4-signaling.”
From Efficient combinatorial targeting of RNA transcripts in single cells with Cas13 RNA Perturb-seq (2023) · cites this paper as [23]
Differential gene expression signatures for single-gene perturbations from ECCITE-seq (5′ scRNA-seq, Cas9) were readily reproduced in CaRPool-seq (3′ scRNA-seq, Cas13d) data.
“We found that the differential gene expression signatures for single-gene perturbations obtained using ECCITE-seq (5′ scRNA-seq, Cas9 perturbation)23 can be readily reproduced in our CaRPool-seq (3′ scRNA-seq, Cas13d perturbation) data (Extended Data Fig. 8a,b).”
From Efficient combinatorial targeting of RNA transcripts in single cells with Cas13 RNA Perturb-seq (2023) · cites this paper as [23]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Two culture media are specified for 501MEL cells
MinorThe cell-culture methods place 501MEL cells in both DMEM and RPMI-1640 without distinguishing separate conditions.
“293T, 501MEL, SKMEL-239 and A549 cell lines were grown in DMEM (Corning Cellgro) with 10% FBS, 100 U ml−1 penicillin and 100 ug/ml−1 streptomycin.”
“501MEL were cultured in RPMI-1640 with 10% FBS, 100 U ml−1 penicillin and 100 ug/ml−1 streptomycin.”
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ZFP36L2 orchestrates stress-adaptive plasticity in regeneration and cancer
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Oh, R. H., Cheng, K. C. L., Serafimova, E., Langille, E., Pérez-Castro, M., Lowden, C., Nurtanto, J., Dessapt, J., Fotiadou, I., Haider, S., et al. (2026) · Cell Reports · doi:10.1016/j.celrep.2026.118111
bdo311 (2024) · Zenodo (CERN European Organization for Nuclear Research) · doi:10.5281/zenodo.10892931
- Authors
- Wang, E., Zhou, H., Nadorp, B., Cayanan, G., Chen, X., Yeaton, A. H., Nomikou, S., Witkowski, M. T., Narang, S., Kloetgen, A., Thandapani, P., Ravn-Boess, N., Tsirigos, A., & Aifantis, I.
- Affiliations
- NYU Langone Health (US)
- Corresponding author
- Wang, Eric
- Aifantis, Iannis
- ORCID
- Venue
- Cell Stem Cell
- Publisher
- Elsevier BV
- Published
- 2021-04
- Volume
- 28
- Issue
- 4
- Pages
- 718-731.e6
- ISSN
- 1875-9777 (ISSN-L)
- 1934-5909
- PMC
- PMC8145876
- OpenAlex
- W3118303034
- Semantic Scholar
- cbe8b432eb20e6f26a3325e43d1f928046d9bfee
- Cited by
- 66
- References
- 91
- Citations by year
- 2026: 12 · 2025: 9 · 2024: 14 · 2023: 12 · 2022: 16 · 2021: 3
- FWCI
- 8.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 365 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Cell stem cell (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA216421, 1P01CA229086, R01CA228135, R01CA202025, 1R01CA194923, P30CA016087-30, R01CA149655, R01CA133379)
- New York State Stem Cell Science
- Leukemia and Lymphoma Society
- Stanford Genome Technology Center
- National Institutes of Health
- American Cancer Society (RSG-15-189-01-RMC)
- St. Baldrick's Foundation (581357)
- Alexander S. Onassis Public Benefit Foundation (F ZP 036-1/2019-2020)
- Topics
- Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinoids in leukemia and cellular processes
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Research and Splicing
- Keywords
- acute myeloid leukemia, myeloid differentiation, ZFP36L2, RNA-binding proteins, mRNA stability, 3' untranslated region, post-transcriptional regulation, epigenetic regulation, CRISPR screen, cell surface
- MeSH terms
- Antigens, Surface, Cell Differentiation, Hematopoiesis, Humans, Leukemia, Myeloid, Acute, Clustered Regularly Interspaced Short Palindromic Repeats
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