# Dynamic epigenetic regulation of BCLAF1 splicing in acute myeloid leukemia

**Authors:** Giulia Sgueglia, Crescenzo Massaro, Annamaria Muro, Ida Lettiero, Erika D’Agostino, Gregorio Favale, Nicla Simonelli, Nunzio Del Gaudio, Vincenzo Carafa, Tommaso De Marchi, Dante Rotili, Sergio Valente, Antonello Mai, Gianluca Sbardella, Mariacarla De Simone, Lucia Altucci, Carmela Dell’Aversana

PMC · DOI: 10.1038/s41419-026-08594-4 · Cell Death & Disease · 2026-03-24

## TL;DR

This study explores how splicing of the BCLAF1 gene is regulated in acute myeloid leukemia and how epidrugs can restore normal splicing patterns.

## Contribution

The paper identifies a novel regulatory mechanism involving HDAC1 and DNMT3A in BCLAF1 splicing in AML.

## Key findings

- Two distinct BCLAF1 isoforms were identified in AML cell lines, with opposing oncogenic and tumor suppressor roles.
- Epidrug treatment can restore the balance between BCLAF1 isoforms.
- HDAC1 and DNMT3A interplay regulates BCLAF1 splicing in hematopoietic cells.

## Abstract

Dysregulation of alternative splicing is increasingly associated with cancer development and tumor progression. BCL2-associated transcription factor 1 (BCLAF1) is involved in a wide range of biological processes and it is continuously being investigated due to its intricate function in tumorigenesis and drug resistance. In acute myeloid leukemia (AML) cell lines, we identified two distinct, unbalanced isoforms of BCLAF1: the full-length isoform, which exhibits oncogenic properties, and the short-length isoform, which seems to act as a tumor suppressor. Treatment with specific epidrugs can re-establish the physiological balance of full- and short-length isoforms, restoring their correct equilibrium. Our results suggest the existence of a newly identified mechanism underlying the regulation of BCLAF1 splicing orchestrated, at least in part, by the interplay between HDAC1 and DNMT3A, and directly correlated with the healthy or cancerous state of hematopoietic cells. Our findings shed light on a novel regulatory axis in AML and highlight the potential of epidrugs to restore normal splicing patterns, paving the way for innovative therapies.

## Linked entities

- **Genes:** BCLAF1 (BCL2 associated transcription factor 1) [NCBI Gene 9774], HDAC1 (histone deacetylase 1) [NCBI Gene 3065], DNMT3A (DNA methyltransferase 3 alpha) [NCBI Gene 1788]
- **Diseases:** acute myeloid leukemia (MONDO:0015667), AML (MONDO:0018874)

## Full-text entities

- **Genes:** ATM (ATM serine/threonine kinase) [NCBI Gene 472] {aka AT1, ATA, ATC, ATD, ATDC, ATE}, FLT3LG (fms related receptor tyrosine kinase 3 ligand) [NCBI Gene 2323] {aka FL, FLG3L, FLT3L, IMD125}, SRSF10 (serine and arginine rich splicing factor 10) [NCBI Gene 10772] {aka FUSIP1, FUSIP2, NSSR, PPP1R149, SFRS13, SFRS13A}, CASP9 (caspase 9) [NCBI Gene 842] {aka APAF-3, APAF3, ICE-LAP6, MCH6, PPP1R56}, RUNX1T1 (RUNX1 partner transcriptional co-repressor 1) [NCBI Gene 862] {aka AML1-MTG8, AML1T1, CBFA2T1, CDR, ETO, MTG8}, MORF4L1 (mortality factor 4 like 1) [NCBI Gene 10933] {aka Eaf3, FWP006, HsT17725, MEAF3, MORFRG15, MRG15}, BRCA1 (BRCA1 DNA repair associated) [NCBI Gene 672] {aka BRCAI, BRCC1, BROVCA1, FANCS, IRIS, PNCA4}, HDAC9 (histone deacetylase 9) [NCBI Gene 9734] {aka HD7, HD7b, HD9, HDAC, HDAC7B, HDAC9B}, DNMT3B (DNA methyltransferase 3 beta) [NCBI Gene 1789] {aka FSHD4, ICF, ICF1, M.HsaIIIB}, HDAC4 (histone deacetylase 4) [NCBI Gene 9759] {aka AHO3, BDMR, HA6116, HD4, HDAC-4, HDAC-A}, CD34 (CD34 molecule) [NCBI Gene 947], PRKCD (protein kinase C delta) [NCBI Gene 5580] {aka ALPS3, CVID9, MAY1, PKCD, nPKC-delta}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, CSNK2A2 (casein kinase 2 alpha 2) [NCBI Gene 1459] {aka CK2A2, CK2alpha', CSNK2A1}, BCLAF1 (BCL2 associated transcription factor 1) [NCBI Gene 9774] {aka BTF, bK211L9.1}, CDK9 (cyclin dependent kinase 9) [NCBI Gene 1025] {aka C-2k, CDC2L4, CTK1, PITALRE, TAK}, PTBP1 (polypyrimidine tract binding protein 1) [NCBI Gene 5725] {aka HNRNP-I, HNRNPI, HNRPI, PTB, PTB-1, PTB-T}, DNMT1 (DNA methyltransferase 1) [NCBI Gene 1786] {aka ADCADN, AIM, CXXC9, DNMT, HSN1E, MCMT}, RIPK1 (receptor interacting serine/threonine kinase 1) [NCBI Gene 8737] {aka AIEFL, IMD57, RIP, RIP-1, RIP1}, RUNX1 (RUNX family transcription factor 1) [NCBI Gene 861] {aka AML1, AML1-EVI-1, AMLCR1, CBF2alpha, CBFA2, EVI-1}, DNMT3A (DNA methyltransferase 3 alpha) [NCBI Gene 1788] {aka DNMT3A2, HESJAS, M.HsaIIIA, TBRS}, HDAC1 (histone deacetylase 1) [NCBI Gene 3065] {aka GON-10, HD1, KDAC1, RPD3, RPD3L1}
- **Diseases:** colon cancer (MESH:D015179), hepatocellular carcinoma (MESH:D006528), bladder cancer (MESH:D001749), gastric cancer (MESH:D013274), FL (MESH:D007870), leukemia (MESH:D007938), cancer (MESH:D009369), tumorigenesis (MESH:D063646), lung cancer (MESH:D008175), AML (MESH:D015470), myeloid (MESH:D007951)
- **Chemicals:** puromycin (MESH:D011691), amphotericin (MESH:D000666), SAHA (MESH:D000077337), SGI-1027 (MESH:C581203), glutamine (MESH:D005973), penicillin (MESH:D010406), 5-azacytidine (MESH:D001374), DMEM (-), doxycycline (MESH:D004318), MS-275 (MESH:C118739), streptomycin (MESH:D013307)
- **Species:** Homo sapiens (human, species) [taxon 9606]
- **Cell lines:** NB4 — Homo sapiens (Human), Acute promyelocytic leukemia with PML-RARA, Cancer cell line (CVCL_0005), K562 — Homo sapiens (Human), Blast phase chronic myelogenous leukemia, BCR-ABL1 positive, Cancer cell line (CVCL_0004), U937 — Homo sapiens (Human), Adult acute monocytic leukemia, Cancer cell line (CVCL_0007), HEK293FT — Homo sapiens (Human), Transformed cell line (CVCL_6911)

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13039510/full.md

## References

2 references — full list in the complete paper: https://tomesphere.com/paper/PMC13039510/full.md

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Source: https://tomesphere.com/paper/PMC13039510