RT Journal A1 Teppo, Susanna A1 Laukkanen, Saara A1 Liuksiala, Thomas A1 Nordlund, Jessica A1 Oittinen, Mikko A1 Teittinen, Kaisa A1 Grönroos, Toni A1 St-Onge, Pascal A1 Sinnett, Daniel A1 Syvänen, Ann-Christine A1 Nykter, Matti A1 Viiri, Keijo A1 Heinäniemi, Merja A1 Lohi, Olli T1 Genome-wide repression of eRNA and target gene loci by the ETV6-RUNX1 fusion in acute leukemia JF Genome Research JO Genome Research YR 2016 FD November 01 VO 26 IS 11 SP 1468 OP 1477 DO 10.1101/gr.193649.115 UL http://genome.cshlp.org/content/26/11/1468.abstract AB Approximately 20%–25% of childhood acute lymphoblastic leukemias carry the ETV6-RUNX1 (E/R) fusion gene, a fusion of two central hematopoietic transcription factors, ETV6 (TEL) and RUNX1 (AML1). Despite its prevalence, the exact genomic targets of E/R have remained elusive. We evaluated gene loci and enhancers targeted by E/R genome-wide in precursor B acute leukemia cells using global run-on sequencing (GRO-seq). We show that expression of the E/R fusion leads to widespread repression of RUNX1 motif–containing enhancers at its target gene loci. Moreover, multiple super-enhancers from the CD19+/CD20+-lineage were repressed, implicating a role in impediment of lineage commitment. In effect, the expression of several genes involved in B cell signaling and adhesion was down-regulated, and the repression depended on the wild-type DNA-binding Runt domain of RUNX1. We also identified a number of E/R-regulated annotated and de novo noncoding genes. The results provide a comprehensive genome-wide mapping between E/R-regulated key regulatory elements and genes in precursor B cell leukemia that disrupt normal B lymphopoiesis.