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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">OL</journal-id>
<journal-title-group>
<journal-title>Oncology Letters</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-1074</issn>
<issn pub-type="epub">1792-1082</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ol.2018.8214</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-8214</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Role of a non-canonical splice variant of the <italic>Helios</italic> gene in the differentiation of acute lymphoblastic leukemic T cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Yinghui</given-names></name>
<xref rid="af1-ol-0-0-8214" ref-type="aff">1</xref>
<xref rid="fn1-ol-0-0-8214" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Yanhua</given-names></name>
<xref rid="af1-ol-0-0-8214" ref-type="aff">1</xref>
<xref rid="fn1-ol-0-0-8214" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Can</given-names></name>
<xref rid="af1-ol-0-0-8214" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Fengyong</given-names></name>
<xref rid="af2-ol-0-0-8214" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Dou</surname><given-names>Daolei</given-names></name>
<xref rid="af3-ol-0-0-8214" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Zheng</surname><given-names>Wenjie</given-names></name>
<xref rid="af4-ol-0-0-8214" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Wei</given-names></name>
<xref rid="af4-ol-0-0-8214" ref-type="aff">4</xref>
<xref rid="c2-ol-0-0-8214" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Feifei</given-names></name>
<xref rid="af1-ol-0-0-8214" ref-type="aff">1</xref>
<xref rid="c1-ol-0-0-8214" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-ol-0-0-8214"><label>1</label>Department of Immunology, School of Medicine, Nankai University, Tianjin 300071, P.R. China</aff>
<aff id="af2-ol-0-0-8214"><label>2</label>Department of Pathophysiology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin 300070, P.R. China</aff>
<aff id="af3-ol-0-0-8214"><label>3</label>Department of Experimental Facility, State Key Laboratory of Medical Chemical Biology, Tianjin 300071, P.R. China</aff>
<aff id="af4-ol-0-0-8214"><label>4</label>Technical Center for Safety of Industrial Products, Tianjin Entry-Exit Inspection and Quarantine Bureau, Tianjin 300308, P.R. China</aff>
<author-notes>
<corresp id="c1-ol-0-0-8214"><italic>Correspondence to</italic>: Dr Feifei Liu, Department of Immunology, School of Medicine, Nankai University, 94 Weijin Road, Nankai, Tianjin 300071, P.R. China, E-mail: <email>liufeifei@nankai.edu.cn</email></corresp>
<corresp id="c2-ol-0-0-8214">Dr Wei Liu, Technical Center for Safety of Industrial Products, Tianjin Entry-Exit Inspection and Quarantine Bureau, 2 Dong Wu Road, Tianjin 300308, P.R. China, E-mail: <email>weiliutj@163.com</email></corresp>
<fn id="fn1-ol-0-0-8214"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub">
<month>05</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>08</day>
<month>03</month>
<year>2018</year></pub-date>
<volume>15</volume>
<issue>5</issue>
<fpage>6957</fpage>
<lpage>6966</lpage>
<history>
<date date-type="received"><day>13</day><month>08</month><year>2017</year></date>
<date date-type="accepted"><day>21</day><month>02</month><year>2018</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018, Spandidos Publications</copyright-statement>
<copyright-year>2018</copyright-year>
</permissions>
<abstract>
<p>T-cell acute lymphoblastic leukemia is a hematopoietic malignant disease, which arises from a genetic defect in the T-cell maturation signaling pathway. As a result, it is necessary to identify the molecules that impact T-cell development and control lymphoid-lineage malignancy. The present study utilized Jurkat T lymphoblastic cells as a well-established approach for the investigation into the function of the non-canonical alternative splice variant of Helios for the <italic>in vitro</italic> study of T-cell differentiation and leukemogenesis. In the present study, the Jurkat T-cell lines with stable overexpression of the wild-type (Helios-1) or the non-canonical short isoform (Helios-&#x0394;326-1431), were established. RNA microarray, reverse transcription-quantitative polymerase chain reaction and flow cytometry were used to assess changes in the gene expression profiles and to monitor the cell surface markers during T-cell differentiation. Multiple genes associated with T-cell differentiation and leukemogenesis were identified as being either activated or suppressed. In addition, the results indicated that the stable overexpression of the Helios isoforms stimulated the differentiation pathway of the T-lineage lymphoblastic cells. Therefore, these results suggest that full-length Helios-1 has a tumor suppressor-like and immunomodulatory role, in contrast to the oncogenic function of the non-canonical short isoform Helios-&#x0394;326-1431.</p>
</abstract>
<kwd-group>
<kwd>Ikaros</kwd>
<kwd>transcription factor</kwd>
<kwd>T-cell leukemia</kwd>
<kwd><italic>Helios</italic></kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The expressions of the distinct transcription factors, target genes, and cell surface molecules dictate the lineage commitment and differentiation of T lymphocytes. The transcription factors, such as Notch1, E2A, Id proteins, Ikaros, and PU.1 perform definitive functions in the T-cell differentiation (<xref rid="b1-ol-0-0-8214" ref-type="bibr">1</xref>). Along the pathway of commitment and maturation, the early T-cell precursors upregulate the expressions of the transcription factors, such as Notch1, Ikaros, GATA3, and Runx1. However, they downregulate others, such as C/EBPa, Lmo2, GATA2, and PU.1 (<xref rid="b2-ol-0-0-8214" ref-type="bibr">2</xref>,<xref rid="b3-ol-0-0-8214" ref-type="bibr">3</xref>). The expression patterns of the transcription factors are fundamental to the lineage commitment, specification, differentiation, and survival of the T-cells. Significantly, these regulatory factors which control normal development are frequently disturbed, and also implicated in T-cell transformations and leukemia (<xref rid="b2-ol-0-0-8214" ref-type="bibr">2</xref>).</p>
<p>Helios (Ikzf2), which is a zinc-finger DNA binding transcription factor and a key regulator of T-lineage differentiation, is a prime example (<xref rid="b4-ol-0-0-8214" ref-type="bibr">4</xref>,<xref rid="b5-ol-0-0-8214" ref-type="bibr">5</xref>). Helios belongs to the Ikaros transcription factor family, and shares a common structure, which is characterized by two zinc finger domains, an N-terminal DNA-binding domain (core motif GGGAA), and a C-terminal dimerization domain (<xref rid="b4-ol-0-0-8214" ref-type="bibr">4</xref>,<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>). Helios is specifically expressed in the T-cell lineage from the early stages of development. Furthermore, it has been shown that Helios is selectively induced by &#x003E;10-fold in thymus-derived Foxp3<sup>&#x002B;</sup> regulatory T (Treg) cells, and also regulates the differentiation of T helper cells and production of cytokines (<xref rid="b7-ol-0-0-8214" ref-type="bibr">7</xref>,<xref rid="b8-ol-0-0-8214" ref-type="bibr">8</xref>). In addition, Helios augments the activation of Foxp3 by directly binding to the <italic>Foxp3</italic> promoter (<xref rid="b9-ol-0-0-8214" ref-type="bibr">9</xref>). Previous research studies have demonstrated that Helios interacts with the nucleosome remodeling and histone deacetylase (NuRD) complex, which suggests that Helios plays a pivotal role in chromatin remodeling, as well as the expression of target genes (<xref rid="b10-ol-0-0-8214" ref-type="bibr">10</xref>).</p>
<p>It is known that Helios controls lymphopoiesis and leukemogenesis (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>,<xref rid="b11-ol-0-0-8214" ref-type="bibr">11</xref>&#x2013;<xref rid="b14-ol-0-0-8214" ref-type="bibr">14</xref>). Recently we and other researchers identified multiple novel short isoforms of Helios which were overexpressed in patients with T-cell acute lymphoblastic leukemia, and demonstrated their dominant-negative function (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>,<xref rid="b11-ol-0-0-8214" ref-type="bibr">11</xref>). The peripheral blood mononuclear cells (PBMCs) of some of the T-cell leukemia patients expressed various short protein isoforms (&#x003C;55 kDa), which were not detected in healthy PBMCs. We found that one of these isoforms (Helios-&#x0394;326-1431, 475 bp) lacks part of exon 3, all of exons 4 to 6, and embodies a nonsense mutation in exon 7 (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>). Also, it has been determined that this novel short isoform lacks four N-terminal zinc fingers, which suggests that it is a putative dominant-negative isoform for the Ikaros gene family members (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>). Therefore, the alternative splicing of Helios variants is possibly activated during leukemogenesis, and supports the role of a non-canonical isoform as an acute T-cell leukemic-type gene (ATL). These speculations have led to increased interest in the potential role of Helios in acute T-cell leukemia. However, the essential functions of the ATL-type Helios isoform have yet to be fully elucidated.</p>
<p>In this study, the ectopic overexpressions of the wild-type Helios-1, non-canonical short isoform Helios-&#x0394;326-1431, and control in the Jurkat cells were utilized as the routine <italic>in vitro</italic> model of the T-cell acute lymphoblastic leukemia (T-ALL) for the purpose of investigating the function of Helios isoforms in the expression of important genes which are changed during T-cell development. This study examined in detail the modulated gene expression pattern using microarray. The results showed that the Helios isoforms regulated the transcriptional output of the target genes, as well as the epigenetic remodelers involved in leukocyte proliferation, cell cycle arrest, and growth. In addition, the Jurkat cells consisted of undifferentiated T lymphoblasts (<xref rid="b15-ol-0-0-8214" ref-type="bibr">15</xref>). The impact of the overexpression of the Helios isoforms on the differentiation of the Jurkat cells was also examined.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture</title>
<p>In this study, the Jurkat cell line was purchased from the American Type Culture Collection (<uri xlink:href="http://www.ATCC.com">http://www.ATCC.com</uri>), and cultured as suggested by the manufacturer. The Jurkat T-cell lines with stable overexpression of wild-type Helios-1, non-canonical short isoform Helios-&#x0394;326-1431, and control were established with lentiviral pLV-EF1&#x03B1;-MCS-IRES-Bsd expression vector (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>). After selection by blasticidin (2 &#x00B5;g/ml) and confirmation by westernblot (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>), the Jurkat cell lines with stable expression of Helios variants were maintained in RPMI-1640 medium (Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA) which contained the following: 10&#x0025; fetal calf serum, NaHCO3 1.5 g/l, glucose 2.5 g/l, sodium pyruvate 0.11 g/l, and 50 U/ml penicillin and 50 g/ml streptomycin at 37&#x00B0;C in 5&#x0025; CO<sub>2</sub> (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>). The 293T cells were cultured in DMEM medium containing 10&#x0025; FCS.</p>
</sec>
<sec>
<title>mRNA extraction, reverse transcription and quantitative PCR assays</title>
<p>The total RNA was extracted from the harvested Jurkat cell lines by using 1 ml of TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc.) per 5&#x00D7;10<sup>6</sup> cells. The first-strand cDNA was generated from 2 mg of the total RNA with the cDNA synthesis kit (Promega, Madison WI). The amplification of the Helios target transcripts was carried out with GoTaq qPCR master mix (Promega Corporation, Madison, WI, USA) in an ABI Prism 7000 analyzer (Applied Biosystems; Thermo Fisher Scientific, Inc.). The data were normalized using endogenous &#x03B2;-actin and GAPDH controls. The fold-changes of the expression pattern were calculated using a &#x0394;&#x0394;Cq method according to the instructions (Applied Biosystems). The nucleotide sequences for the primers were as follows: FOXN2 forward (F): CATCCAGGTCTAGCGTGTCT, reverse (R): TGCATAGCCACTGTCTCCAA; RUNX3 (F): CCCCTCCGTTCCTAACTGTT, (R) CCCTGCCAAGAGAACAGAGA; WNT3 (F): TCCATGCAGTTCCCAAGGAT, (R) TGAAATCCATGTGCCTCCCT; MLLT4 (F): CACATCGTGGACATGCTGAG, (R) CATCATCGTCCTCCTCCTCC; MAST3 (F): CACCTCCCGCTACTTCCTAG, (R) AGTCTTAATGCCTTGGCCCT; MSX2 (F): ATATGAGCCCTACCACCTGC, (R) GCTTTTCCAGTTCTGCCTCC; TP53 (F): TGGCCATCTACAAGCAGTCA, (R) GGTACAGTCAGAGCCAACCT; CD79A(F): CTTCCCTCTAAACTGCCCCA, (R) CACTAAGTGGCCCTGACAGA; NDFIP2 (F): GTTTTATCCCGTGCCACCTC, (R) GCTGGTCTGCATCACTGAAG; CD40LG (F): TCAAATTGCGGCACATGTCA, (R) TGACTCGAAGCTTCCCGATT; SUMO1 (F): CTTCAACTGAGGACTTGGGG, (R) TCAGCAATTCTCTGACCCTCA; NOTCH2NL (F): AACATCGAGACCCCTGTGAG, (R) ATTCAGGCAAGGTCGAGACA; TCEAL8 (F): TCGAGGTGAGGGAAGAGAGA, (R) CTTCTGCCTCCTGTGGTACA; ZNF593 (F): CTTGGATGAGATTCACCGCG, (R) AAGTGGGTCTTCAGGTTGGT; NUDC (F): TTTCAGCCACCACAATCAGC, (R) AGCCTCTCTGCCTCTTCATC; CBX8 (F): GAAATGGAAGGGATGGTCGC, (R) GAGGAAGGTTTTGGGCTTGG; HCST (F): TTGCTACTTCTCTGCTCCCC, (R) ATCCGGAACAAGAGCCTGAA; TAB1 (F): GCAGAGCCAGAAATCCATGG, (R) GCTTGGCAAACTCAGTGTCA; NKAP (F): ATGGCCATGCTCTGTTACCT, (R) AGGGCTCTCTTCTCATCAGC; TGFA (F): GAAGCCACAAAGCCGGTAAA, (R) ATACTTACCGAGGGCTCACG; TNFSF9 (F): GGCCCAAAATGTTCTGCTGA, (R) CAAGTGAAACGGAGCCTGAG; MSX2 (F): ATATGAGCCCTACCACCTGC, (R) GCTTTTCCAGTTCTGCCTCC; HOXD11 (F): GGCTACGCTCCCTACTACG, (R) GTAGAACTGGTCGAAGCCCT; HEYL (F): ATGCAAGCCAGGAAGAAACG, (R) AGAATCCTGTCCCACCAGTG; DGKQ (F): CACGTCTCCCTGTTTGTTGG, (R) CCATGTCCTTCAGCAGCATG.</p>
</sec>
<sec>
<title>Flow cytometry</title>
<p>In this study, FITC-conjugated antibodies against human CD3 (clone UCHT1), CD8a (RPA-T8), CD25 (M-A251), CD7 (M-T701), and the PE-conjugated antibody against human CD4 (RPA-T4) (BioLegend, Inc., San Diego, CA, USA) were used. Also, mouse IgG1 antibody was used as the isotype control. Following the labeling, the Jurkat cell lines were washed and suspended in an ice-cold staining media (phosphate buffer saline containing 5&#x0025; FBS, and 100 U/ml penicillin/streptomycin). The samples were processed in a FACS LSRFortessa (BD Biosciences, Franklin Lakes, NJ, USA), and the data were analyzed using Flowjo software (Tree Star, Inc., Ashland, OR, USA).</p>
</sec>
<sec>
<title>Gene-expression microarray and pathway analysis</title>
<p>The RNA was isolated from the Jurkat cell lines with stable expressions of the Helios isoforms. Gene expression microarray was performed with GeneChip human gene 2.0 ST array (Affymetrix; Thermo Fisher Scientific, Inc.). The details of the methods of the microarray analysis were previously described (<xref rid="b16-ol-0-0-8214" ref-type="bibr">16</xref>). The gene chip data were deposited into the Gene Expression Omnibus (GEO) database with the accession number GSE92416.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Statistical differences were determined using the unpaired Student&#x0027;s t-test and Ordinary one-way ANOVA with PRISM software (version 6.0c; GraphPad Software, Inc., La Jolla, CA, USA) for P-values. Multiple comparisons between the groups were performed using Tukey&#x0027;s HSD test. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Modulation of target gene expression by Helios-1</title>
<p>We established the Jurkat T-cell lines with stable overexpression of wild-type Helios-1, non-canonical short isoform Helios-&#x0394;326-1431, or control by lentiviral transduction in our recent study (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>). We then compared the microarray data for transcriptional analysis of the Jurkat cells with stable overexpression of full-length Helios-1 and mock transfected control (<xref rid="f1-ol-0-0-8214" ref-type="fig">Fig. 1A</xref>). With a &#x003E;1.5-fold cut-off, the analysis revealed that the genes encoding tumor-suppressors RUNX3 (1.639-fold) and TP53 (0.622) were deregulated in the Helios-1 cells. In addition, the expressions of the genes WNT3 (1.748-fold), FOXN2 (1.565), MLLT4 (1.715), TGFa (1.700), and TGFbR2 (0.607), which were involved in the regulation of human T-cell leukemia, were found to be deregulated in the Helios-1 Jurkat cells when compared to the control (<xref rid="tI-ol-0-0-8214" ref-type="table">Table I</xref>). The genes encoding lymphoid-lineage cell markers, such as CD7 (1.660-fold), CCL1 (1.599), CXCR3 (2.098), CD79a (0.517), and CD40 ligand (0.548), were determined to display altered expression patterns. The genes encoding innate immunity molecules, such as TLR3 (1.581) and LRRC37 (0.528), were also found to be modulated when compared to the control cell line.</p>
<p>The genome-wide transcriptional analysis of the Helios-1 and mock transfected Jurkat T-cell lines were used to compare and identify the potential pathways which may have the ability to support the aberrant growth properties of the mutant population (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>). The group of genes which were deregulated in the Helios-1 T-cells indicated considerable enrichment for the genes which were involved in the pathways of the lymphocyte differentiation, lymphocyte proliferation, and regulation of cell growth (P&#x003C;0.05) (<xref rid="f1-ol-0-0-8214" ref-type="fig">Fig. 1B</xref>). The genes encoding lymphoid-lineage tyrosine kinases and costimulatory molecules (for example, TYRO3, SYK, CD79a and CD40 ligand), as well as those encoding molecules which were involved in the cell proliferation, hematopoiesis and leukemogenesis (for example, IRF8, TP53, WNT3, TGFbR2, BST2 and DDR3), were identified to share those pathways (<xref rid="f1-ol-0-0-8214" ref-type="fig">Fig. 1B</xref>). In addition, the pathways of the immune effector process, immune response, and adaptive immune response, were determined to be enriched in the group of genes which had been deregulated in the Helios-1 overexpressed Jurkat cells (for example IL28b, APOBEC3C, TLR3, CCL1, CD7, and IL36). Furthermore, the overexpression of the zinc-finger transcription factor Helios-1 correlated with the pathways of the regulation of DNA binding and chromatin assembly [SUMO1, MSX2, histone cluster 1 (H1), H2, H3 and H4]. Also, this study detected and identified the differences between the Helios-1 and the control Jurkat cell lines in their expression of target genes, such as FOXN2 (1.363-fold), RUNX3 (1.142), MLLT4 (1.544), MAST3 (1.367), MSX2 (0.325), TP53 (0.513), CD79a (0.785), DNFIP2 (0.613), CD40LG (0.241), and SUMO1 (0.694), by utilizing quantitative PCR (<xref rid="f1-ol-0-0-8214" ref-type="fig">Fig. 1C</xref>).</p>
</sec>
<sec>
<title>Modulation of the target gene expression by non-canonical short isoform Helios-&#x0394;326-1431</title>
<p>The transcription profile regulated by the leukemic-type short isoform Helios-&#x0394;326-1431 was evaluated through RNA analysis and microarray (<xref rid="f2-ol-0-0-8214" ref-type="fig">Fig. 2A</xref>). Among the 940 genes (&#x003E;1.5-fold cut-off) which were dependent on Helios-&#x0394;326-1431 for expression in the Jurkat lymphoblast cells, the changes were clustered in T-cell leukemogenesis and cell fate decisions (<xref rid="tII-ol-0-0-8214" ref-type="table">Table II</xref>). Several members, such as JUN (1.667-fold), MGMT (1.514), HRAS (1.963), TFPT (1.589), TAB1 (1.613), and KLF10 (0.643), were identified to be strong candidates for regulating T-lineage differentiation and involved in the development of leukemia. Other members showed the capacity to promote cell-fate decisions and morphogenesis, and were noted to be potential regulators of T-lineage commitment and homeostasis. Examples of these were HOXB7 (1.721-fold), GSC (2.036), HOXD11 (0.639), HES6 (1.646), NOTCH2NL (0.625), NKAP (2.059), and MSX2 (0.568). In addition, the modulators of the RAS signaling RAB40B (1.867-fold), RASSF7 (1.739), RASIP1 (1.683), and RASL10B (0.616) were deregulated as Helios-&#x0394;326-1431 target genes. In addition, RNA polymerase and translation machinery factors, such as TAF1D (1.611-fold), POLR2G (1.644), EEF1G (2.173), TCEAL8 (1.666) and EIF1AY (1.610), were determined to be potential targets of the Helios-&#x0394;326-1431.</p>
<p>Pathway analysis of the genes which were targeted by the non-canonical Helios-&#x0394;326-1431 or by the wild-type Helios-1, provided insight into the functional consequences of the differences in the Helios isoforms which impact T-cell development and leukemogenesis (P&#x003C;0.05). The genes which were associated with the Helios-&#x0394;326-1431 showed considerable and specific enrichment of the pathways involved in cell growth, such as lymph node development (lymphotoxin), and the positive regulation of leukocyte proliferation (Vav3, SYK, IL23, CD24), as well as the cytokine-mediated signaling pathway (GBP1, IRF8, SUMO1, CCR8, EGR1, and CXCR3) (<xref rid="f2-ol-0-0-8214" ref-type="fig">Fig. 2B</xref>). In addition, the lymphoid-specific genes which encoded the molecules involved in the positive regulation of leukocyte-mediated immunity, positive regulation of chronic inflammatory response, and Type-I interferon-mediated signaling pathway (ISG15, HLA-A, -C, and -E) were found to be specifically targeted by the Helios-&#x0394;326-1431 gene. When compared with the full-length Helios-1, the non-canonical Helios-&#x0394;326-1431 were associated with the translation, gene expression, and chromatin remodeling, such as the protein-DNA complex assembly (RPA2, RAD51 Recombinase, and H1 and H2), regulation of DNA binding (JUN, ID2, SUMO1, and HEY2), and chromatin assembly. These findings indicate that the non-canonical Helios-&#x0394;326-1431 variant targeted the genetic networks that support lymphocyte differentiation and regulation of gene expressions.</p>
<p>In order to examine the changes in the expression of the T-lineage transcription factors and regulatory genes during the Jurkat differentiation, we measured the transcript levels of the Notch2NL, TCEAL8, ZNF593, NUDC, CBX8, HCST, TAB1, NKAP, TGFa, TNFSF9, MSX2, HOXD11, HEYL, and DGKQ in the Helios-&#x0394;326-1431 overexpressed Jurkat cells, as well as the control cells, using real-time PCR (<xref rid="f2-ol-0-0-8214" ref-type="fig">Fig. 2C</xref>). The results were consistent with microarray data, and showed significant upregulations of the TCEAL8 (1.462-fold), ZNF593 (1.699), CBX8 (1.425), TAB1 (1.761), NKAP (1.558), TGFa (1.309), and TNFSF9 (3.673). In contrast, downregulations were observed in the expressions of the HOXD11 (0.103), HEYL (0.111), and DGKQ (0.082).</p>
</sec>
<sec>
<title>Surface marker expression</title>
<p>In order to evaluate the role of the Helios isoforms in the differentiation of the T lymphoblasts (<xref rid="b17-ol-0-0-8214" ref-type="bibr">17</xref>), the expressions of the CD4, CD8, CD3, CD25, and CD7 on the cell surface of Jurkat cells were tested on the 30th day after the transduction by flow cytometry (<xref rid="f3-ol-0-0-8214" ref-type="fig">Fig. 3</xref>). The results showed that the cells which expressed CD3 at day 30 were decreased in the Helios-&#x0394;326-1431 transduced cells (47.6&#x00B1;3&#x0025;) when compared with the groups of the Helios-1 transduced cells (59.0&#x00B1;4&#x0025;), or the control (57.6&#x00B1;3&#x0025;) (<xref rid="f3-ol-0-0-8214" ref-type="fig">Fig. 3A</xref>). The CD25 expression was determined to be increased in the Helios-&#x0394;326-1431 cells (3.59&#x00B1;0.5&#x0025;) when compared to the Helios-1 (0.59&#x00B1;0.3&#x0025;) or control cell groups (0.33&#x00B1;0.2&#x0025;) (<xref rid="f3-ol-0-0-8214" ref-type="fig">Fig. 3C</xref>). However, there was no difference between Helios-1 and control for CD3 and CD25 expression (<xref rid="f3-ol-0-0-8214" ref-type="fig">Fig. 3</xref>). This is consistent with the report that Helios functions as a master transcription factor in CD4<sup>&#x002B;</sup> CD25<sup>&#x002B;</sup> regulatory T cells (<xref rid="b9-ol-0-0-8214" ref-type="bibr">9</xref>,<xref rid="b18-ol-0-0-8214" ref-type="bibr">18</xref>). The expression patterns of CD7, which plays a role in T-cell interactions (<xref rid="b19-ol-0-0-8214" ref-type="bibr">19</xref>), were not changed upon the stable overexpression of Helios isoforms (<xref rid="f3-ol-0-0-8214" ref-type="fig">Fig. 3D</xref>). Therefore, the non-canonical Helios-&#x0394;326-1431 isoform regulates the cell surface expression of the T-lineage markers.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In this study, the effects of the alternative splicing variants of Helios on the differentiation of the Jurkat T lymphoblast cell line were evaluated. Also, the data of mRNA microarray were assessed, and the deregulated expression of the vital regulatory gene involved in the T-cell proliferation, differentiation, and leukemic transformation was confirmed. This led to the identification of the gene profiles which were controlled by the full-length Helios-1, as well as the non-canonical leukemic-type short isoform Helios-&#x0394;326-1431.</p>
<p>The presence of the alternative splice Helios variants was first revealed in research studies utilizing the primary leukemic cells from patients with newly diagnosed ALL (<xref rid="b12-ol-0-0-8214" ref-type="bibr">12</xref>&#x2013;<xref rid="b14-ol-0-0-8214" ref-type="bibr">14</xref>). In this study, we observed that dominant-negative Helios-&#x0394;326-1431 potentially induces the expression of several oncogenes. According to the results, the Helios-&#x0394;326-1431 significantly induced the upregulation of the molecules, such as the JUN proto-oncogene, which may be involved in the leukemogenesis of Helios-deregulated T-ALL (<xref rid="b20-ol-0-0-8214" ref-type="bibr">20</xref>). In addition, we observed that ectopic expression of Helios-&#x0394;326-1431 led to the upregulated expression of HRAS, which exhibited leukemogenic potential in myeloid-lineage leukemia (<xref rid="b21-ol-0-0-8214" ref-type="bibr">21</xref>). Furthermore, this study identified that other components of the RAS signaling pathway, such as RASSF7, RAB40B, and RASIP1, were upregulated in the Helios-&#x0394;326-1431 overexpressed cells. Interestingly, TFPT [TCF3 (E2A) fusion partner], which has been implicated in childhood leukemia (<xref rid="b22-ol-0-0-8214" ref-type="bibr">22</xref>), was also found to be upregulated in the Helios-&#x0394;326-1431 cells. These targeted genes consolidated the activation of the programs which promoted survival and cell proliferation, even though their deregulation led to leukemic transformation. The overexpression of non-canonical Helios may provide aberrant survival properties to the differentiating thymocytes, which are predisposed for further selection in the activations of oncogene mutations and malignant phenotypes. These analyses from the microarray data indicate that the non-canonical short Helios isoform functions as an oncogenic variant and initiates leukemogenesis.</p>
<p>This study also identified that the genes which encode the T-lineage cell markers and chemotaxis molecules, such as CD7, CCL1, and CXCR3, are upregulated in the wild-type Helios-1 overexpressed Jurkat cells, whereas the B-lineage cell marker CD79a are downregulated. It has been reported that regulatory T-cells initiate recruitment and suppressive function via a CCL1 dependent pathway (<xref rid="b23-ol-0-0-8214" ref-type="bibr">23</xref>,<xref rid="b24-ol-0-0-8214" ref-type="bibr">24</xref>). In addition, the CXCR3 signaling directly induces the mobilization and recruitment of Tregs (<xref rid="b25-ol-0-0-8214" ref-type="bibr">25</xref>). Therefore, the Helios-1 may function as the transcription factor for regulatory T-cells by targeting the CCL1 and CXCR3 molecules. The microarray data also confirmed that the tyrosine kinases, TAM family receptor tyrosine kinase TYRO3 and SYK, are upregulated in the Helios-1 overexpressed Jurkat T-cells. The TYRO3 functions as a negative regulator of type 2 immunity (<xref rid="b26-ol-0-0-8214" ref-type="bibr">26</xref>), whereas the SYK has the ability to modulate the CD4<sup>&#x002B;</sup> T cell response (<xref rid="b27-ol-0-0-8214" ref-type="bibr">27</xref>). The GO analysis indicates that the pathways of the immune effector process and immune response (for example IL28, IL36, and TLR3) are enriched in the Helios-1 T cells. The results of the research by Asanuma <italic>et al</italic> were in agreement with this finding, and confirmed that the Helios variants regulated the pathway of the TNF receptor binding (<xref rid="b11-ol-0-0-8214" ref-type="bibr">11</xref>). Therefore, consistent with previous data, these deregulated patterns of gene expression suggest that wild-type Helios-1 has an immunomodulatory role in T-cell development.</p>
<p>It is interesting to note that the results of the previous research demonstrated that the dominant-negative isoform of Ikaros, Ik-6 was overexpressed in patients with blast crisis of chronic myelogenous leukemia, and acute B-lymphoblastic leukemia (<xref rid="b28-ol-0-0-8214" ref-type="bibr">28</xref>). These findings suggest that Ikaros plays the role of a tumor suppressor gene in the myeloid and B-cell lineages (<xref rid="b28-ol-0-0-8214" ref-type="bibr">28</xref>). In support of this viewpoint, Mullighan <italic>et al</italic> defined the oncogenic lesions that cooperate with <italic>BCR-ABL1</italic> to induce ALL by genome-wide analysis, and identified that Ikaros was deleted in 83.7&#x0025; of BCR-ABL1 lymphoblastic leukemia (<xref rid="b29-ol-0-0-8214" ref-type="bibr">29</xref>). In contrast, the T-cell malignancies were only observed in the gene-targeted mice of Ikaros (<xref rid="b30-ol-0-0-8214" ref-type="bibr">30</xref>). The related gene Helios has been shown to frequently exhibit multiple dominant-negative isoforms in patients with T-cell acute leukemia (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>,<xref rid="b11-ol-0-0-8214" ref-type="bibr">11</xref>&#x2013;<xref rid="b14-ol-0-0-8214" ref-type="bibr">14</xref>). In the mouse model, the overexpression of the artificial dominant-negative Helios isoform leads to increased T-cell proliferation, as well as the development of T-cell lymphomas (<xref rid="b31-ol-0-0-8214" ref-type="bibr">31</xref>). However, in Helios-deficient mouse line, Helios is not essential for the development, homeostasis, and function of the thymic-derived T lymphocytes, which suggests that other Ikaros family members possibly compensate for the Helios in the T-cells (<xref rid="b32-ol-0-0-8214" ref-type="bibr">32</xref>). Overall, these data indicate that the coordinated deregulation of the Ikaros gene family may lead to human hematologic malignancies.</p>
<p>In this study, the roles of Helios in target gene activations and repressions, as well as T-cell development, were investigated. The findings in this study suggest that the full-length Helios-1 may play a decisive role in shaping the Treg cell identity. In addition, Helios family members are thought to coordinate gene transcription through chromatin remodeling, and previous research showed that Ikaros and Helios interact in the nucleosome remodeling complex of DNA-dependent ATPase Mi-2 and histone deacetylases (<xref rid="b6-ol-0-0-8214" ref-type="bibr">6</xref>,<xref rid="b33-ol-0-0-8214" ref-type="bibr">33</xref>). Thus, it is possible that Helios-1 modulates the expression of CD25, which is the marker for distinguishing Treg cells (<xref rid="f3-ol-0-0-8214" ref-type="fig">Fig. 3C</xref>). In contrast, the proportion of CD25<sup>&#x002B;</sup> cells was increased in the Jurkat T lymphoblast cells that were stably transduced with dominant-negative Helios-&#x0394;326-1431. Therefore, the dominant-negative Helios-&#x0394;326-1431 isoform promotes the leukemogenesis and T-cell differentiation by inhibiting the activity of the functional Ikaros proteins, and also defining the leukemic transcriptional program, such as HRAS, TGF, and JUN.</p>
<p>The events initiated by Helios overexpression consolidate activation of the gene expression programs, which promote cell growth and survival. When deregulated, this process gives rise to leukemic transformation. The alternative splicings of Helios isoforms are part of a regulatory mechanism, which is effective during T-cell development and leukemogenesis. Helios also controls a network of epigenetic and transcriptional regulators during the normal T-cell development and leukemogenesis. Therefore, targeting the transcriptional regulation of Helios may open new avenues for leukemia treatment.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors would like to thank Dr. Alan Holt and Dr. Phillip Bryant for their assistance in editing this manuscript.</p>
</ack>
<sec>
<title>Funding</title>
<p>This study was supported by grants from National Science Foundation (grant no. NSF 81202309; <uri xlink:href="http://nsfc.gov.cn/">nsfc.gov.cn/</uri>), Tianjin City Foundation of Basic and Advanced Research (grant no. 13JCQNJC11200; <uri xlink:href="http://tstc.gov.cn/">tstc.gov.cn/</uri>) and the New Teacher Fund from the Ministry of Education (grant no. 20120031120057) to FL. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>All data generated or analyzed during this study are included in this published article.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>YIL, YAL and CL performed experiments and analyzed the data. FL designed research, analyzed data and wrote the paper. FL, JL and DL performed experiments and provided technical support. WZ and WL assisted with the experiments.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
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<fig id="f1-ol-0-0-8214" position="float">
<label>Figure 1.</label>
<caption><p>Comprehensive search for Helios-1 target genes which function in T-cell differentiation by microarray analysis. (A) The comparative expression analysis of the gene encoding molecules involved in the T-cell differentiation in overexpressed Helios-1, and control Jurkat cells, presented as a hierarchical clustering of the normalized expression. The Jurkat cells which stably expressed the Helios-1 and control were used to analyze the gene expressions using microarray. The 2D hierarchical clusters between the comparisons are indicated in the figure. (B) The pathway analysis of the genes deregulated in Helios-1 Jurkat T cells relative to their expression in the control cells. The P-values (-log) for the pathway discovery are indicated by the numbers along the vertical line. (C) Quantitative RT-PCR was used to analyze the relative gene expression in the Jurkat cells which stably expressed Helios-1, compared with the mock transfected Jurkat cells. Three independent experiments were performed, and asterisk (&#x002A;) indicates P&#x003C;0.05 compared to control. Error bars represent SEM.</p></caption>
<graphic xlink:href="ol-15-05-6957-g00.tif"/>
</fig>
<fig id="f2-ol-0-0-8214" position="float">
<label>Figure 2.</label>
<caption><p>Expression analysis of the genes targeted by the Helios-&#x0394;326-1431. (A) The gene expression analysis and clustering of the genes in the Helios-&#x0394;326-1431 transduced Jurkat cells compared to the control. The gene expression patterns of the Jurkat cells which expressed Helios-&#x0394;326-1431 were comprehensively analyzed using the microarray technique. The obtained 2D hierarchical cluster between the cells which did or did not express the Helios-&#x0394;326-1431 is shown. (B) The gene ontology of the deregulated genes targeted by Helios-&#x0394;326-1431, which was established in the Jurkat cells transduced with the non-canonical or wild-type Helios isoforms. (C) The quantitative-polymerase chain reaction of the Helios-&#x0394;326-1431 target genes from the mRNAs which were isolated from the transduced Jurkat cells, and the control. Three independent experiments were performed, and asterisk (&#x002A;) indicates P&#x003C;0.05 compared to control. Error bars represent SEM.</p></caption>
<graphic xlink:href="ol-15-05-6957-g01.tif"/>
</fig>
<fig id="f3-ol-0-0-8214" position="float">
<label>Figure 3.</label>
<caption><p>Expression analysis of the surface markers CD3, CD8, CD25, and CD7 using flow cytometry. The profiles showed the expression of the CD molecules in the groups transduced by Helios-1, Helios-&#x0394;326-1431, or the backbone of the vector. The top panel (A) shows the CD3 and CD4 staining. The middle two (B and C) are the CD8 and CD25 staining with CD4, and the bottom panel (D) shows the expression of CD7 and CD4 in total Jurkat cells which had been transduced with the Helios variants. The numbers indicate the percentage of cells in each of the subsets. The right panel indicates the quantification of the cells in FACS profiles. Data shown are the mean percentage &#x00B1; standard deviation (n=3). &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01.</p></caption>
<graphic xlink:href="ol-15-05-6957-g02.tif"/>
</fig>
<table-wrap id="tI-ol-0-0-8214" position="float">
<label>Table I.</label>
<caption><p>T-cell target genes of Helios-1.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Target gene</th>
<th align="center" valign="bottom">Location</th>
<th align="center" valign="bottom">Expression during T-cell specification</th>
<th align="center" valign="bottom">Function</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">RAB27B</td>
<td align="center" valign="top">18q21.2</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Small GTPase mediated signal transduction</td>
</tr>
<tr>
<td align="left" valign="top">PIK3R5</td>
<td align="center" valign="top">17p13.1</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Cell growth, proliferation, differentiation, motility, survival and oncogenesis</td>
</tr>
<tr>
<td align="left" valign="top">WNT3</td>
<td align="center" valign="top">17q21.32</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Oncogenesis, regulation of cell fate and patterning, morphogenesis</td>
</tr>
<tr>
<td align="left" valign="top">TGFA</td>
<td align="center" valign="top">2p13.3</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Growth factor activity, angiogenesis and cancer</td>
</tr>
<tr>
<td align="left" valign="top">CCL1</td>
<td align="center" valign="top">17q12</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Monocyte chemotaxis, immunoregulatory and inflammatory processes</td>
</tr>
<tr>
<td align="left" valign="top">IRF8</td>
<td align="center" valign="top">16q24.1</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Regulation of lineage commitment and in myeloid cell maturation</td>
</tr>
<tr>
<td align="left" valign="top">RUNX3</td>
<td align="center" valign="top">1p36.11</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Transcription factor, and tumor suppressor, hematopoiesis</td>
</tr>
<tr>
<td align="left" valign="top">RASIP1</td>
<td align="center" valign="top">19q13.33</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Vascular-specific regulator of GTPase signaling, cell architecture, and adhesion</td>
</tr>
<tr>
<td align="left" valign="top">CXCR3</td>
<td align="center" valign="top">Xq13.1</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">G protein-coupled receptor for chemokine, involved in leukocyte traffic</td>
</tr>
<tr>
<td align="left" valign="top">RIPK4</td>
<td align="center" valign="top">21q22.3</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Serine/threonine protein kinase that interacts with PKC, activate NF-&#x03BA;B</td>
</tr>
<tr>
<td align="left" valign="top">CD7</td>
<td align="center" valign="top">17q25.3</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Expressed on on thymocytes and mature T cells, play a role in T-cell interactions</td>
</tr>
<tr>
<td align="left" valign="top">MLLT4</td>
<td align="center" valign="top">6q27</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Involved in acute myeloid leukemias with t(6;11)(q27;q23) translocation</td>
</tr>
<tr>
<td align="left" valign="top">FOXN2</td>
<td align="center" valign="top">2p16.3</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Transcription factor activity, T-Cell leukemia</td>
</tr>
<tr>
<td align="left" valign="top">RALB</td>
<td align="center" valign="top">2q14.2</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Pathways in cancer and signaling by GPCR</td>
</tr>
<tr>
<td align="left" valign="top">IL36A</td>
<td align="center" valign="top">2q14.1</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Activate NF-&#x03BA;B and MAPK signaling pathways in inflammatory response</td>
</tr>
<tr>
<td align="left" valign="top">EEF1A2</td>
<td align="center" valign="top">20q13.33</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Protein biosynthesis, enzymatic delivery of aminoacyl tRNAs to the ribosome</td>
</tr>
<tr>
<td align="left" valign="top">TP53</td>
<td align="center" valign="top">17p13.1</td>
<td align="left" valign="top">Downregulated</td>
<td align="left" valign="top">Cell cycle arrest, apoptosis, senescence, DNA repair, and tumor formation</td>
</tr>
<tr>
<td align="left" valign="top">MSX2</td>
<td align="center" valign="top">5q35.2</td>
<td align="left" valign="top">Downregulated</td>
<td align="left" valign="top">Transcription factor activity, development</td>
</tr>
<tr>
<td align="left" valign="top">TGFBR2</td>
<td align="center" valign="top">3p24.1</td>
<td align="left" valign="top">Downregulated</td>
<td align="left" valign="top">TGF-&#x03B2; signaling pathway</td>
</tr>
<tr>
<td align="left" valign="top">CD40LG</td>
<td align="center" valign="top">Xq26.3</td>
<td align="left" valign="top">Downregulated</td>
<td align="left" valign="top">T-cell immune responses, T-cell proliferation and cytokine production</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-ol-0-0-8214"><p>RAB27B, member RAS oncogene family; PIK3R5, phosphoinositide-3-kinase regulatory subunit 5; wnt3, wnt family member 3; TGFA, transforming growth factor &#x03B1;; CCL1, C-C motif chemokine ligand 1; IRF8, interferon regulatory factor 8; RUNX3, runt related transcription factor 3; RASIP1, ras interacting protein 1; CXCR3, C-X-C motif chemokine receptor 3; RIPK4, receptor interacting serine/threonine kinase 4; FOXN2, forkhead box N2; RALB, RAS like proto-oncogene B; IL36A, interleukin 36, &#x03B1;; EEF1A2, eukaryotic translation elongation factor 1 &#x03B1; 2; TP53, tumor protein P53; MSX2, Msh homeobox 2; TGFBR2, transforming growth factor &#x03B2; receptor 2; CD40LG, CD40 ligand.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tII-ol-0-0-8214" position="float">
<label>Table II.</label>
<caption><p>T-cell target genes of Helios-&#x0394;326-1431.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Target gene</th>
<th align="center" valign="bottom">Location</th>
<th align="center" valign="bottom">Expression during T-cell specification</th>
<th align="center" valign="bottom">Function</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">GSC</td>
<td align="center" valign="top">14q32.13</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Act as a transcription factor in the development during embryogenesis</td>
</tr>
<tr>
<td align="left" valign="top">IL23A</td>
<td align="center" valign="top">12q13.3</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Stimulate the production of IFN-&#x03B3;, act on memory CD4(&#x002B;) T cells</td>
</tr>
<tr>
<td align="left" valign="top">CBX8</td>
<td align="center" valign="top">17q25.3</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Transcriptional repressor, chromatin remodeling</td>
</tr>
<tr>
<td align="left" valign="top">TFPT</td>
<td align="center" valign="top">19q13.42</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Associated with childhood leukemia</td>
</tr>
<tr>
<td align="left" valign="top">TGFA</td>
<td align="center" valign="top">2p13.3</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Activate a signaling pathway for cell proliferation, differentiation and development</td>
</tr>
<tr>
<td align="left" valign="top">JUN</td>
<td align="center" valign="top">1p32.1</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Sequence-specific DNA binding to regulate gene expression, involved in malignancies</td>
</tr>
<tr>
<td align="left" valign="top">HCST</td>
<td align="center" valign="top">19q13.12</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Activate PI3K dependent signaling pathways, cell survival and proliferation</td>
</tr>
<tr>
<td align="left" valign="top">HES6</td>
<td align="center" valign="top">2q37.3</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Regulate cell differentiation, participate in Notch-mediated HES/HEY network</td>
</tr>
<tr>
<td align="left" valign="top">NKAP</td>
<td align="center" valign="top">Xq24</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Activation of the ubiquitous transcription factor NF-&#x03BA;B</td>
</tr>
<tr>
<td align="left" valign="top">HRAS</td>
<td align="center" valign="top">11p15.5</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Signal pathways by intrinsic GTPase activity, involved in development, cancer</td>
</tr>
<tr>
<td align="left" valign="top">TNFSF9</td>
<td align="center" valign="top">19p13.3</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Involved in the antigen presentation process and in the generation of cytotoxic T cells</td>
</tr>
<tr>
<td align="left" valign="top">HOXB7</td>
<td align="center" valign="top">17q21.32</td>
<td align="left" valign="top">Upregulated</td>
<td align="left" valign="top">Transcription factor that is involved in cell proliferation, differentiation and development</td>
</tr>
<tr>
<td align="left" valign="top">HEYL</td>
<td align="center" valign="top">1p34.2</td>
<td align="left" valign="top">Downregulated</td>
<td align="left" valign="top">An effector of Notch signaling and a regulator of cell fate decisions</td>
</tr>
<tr>
<td align="left" valign="top">PPIP5K1</td>
<td align="center" valign="top">15q15.3</td>
<td align="left" valign="top">Downregulated</td>
<td align="left" valign="top">Intracellular signaling pathways of Inositol phosphates</td>
</tr>
<tr>
<td align="left" valign="top">LTA</td>
<td align="center" valign="top">6p21.33</td>
<td align="left" valign="top">Downregulated</td>
<td align="left" valign="top">Mediate a large variety of inflammatory, immunostimulatory, and antiviral responses</td>
</tr>
<tr>
<td align="left" valign="top">KLF10</td>
<td align="center" valign="top">8q22.3</td>
<td align="left" valign="top">Downregulated</td>
<td align="left" valign="top">Transcriptional repressor, inhibitory activity of cancer growth</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn2-ol-0-0-8214"><p>GSC, goosecoid homeobox; IL23A, interleukin 23 subunit &#x03B1;; CBX8, chromobox 8; TFPT, TCF3 (E2A) fusion partner; TGFA, transforming growth factor &#x03B1;; JUN, jun proto-oncogene; HCST, hematopoietic cell signal transducer; HES6, hes family BHLH transcription factor 6; NKAP, NF-&#x03BA;B activating protein; HRAS, HRas proto-oncogene, GTPase; TNFSF9, tumor necrosis factor superfamily member 9; HOXB7, homeobox B7; HEYL, hairy/enhancer-of-split related with YRPW motif 3; PPIP5K1, diphosphoinositol pentakisphosphate kinase 1; LTA, lymphotoxin &#x03B1;; KLF10, Kruppel like factor 10.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
