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  1. Article ; Online: Gene regulation in t(6;9) DEK::NUP214 Acute Myeloid Leukemia resembles that of FLT3-ITD/NPM1 Acute Myeloid Leukemia but with an altered HOX/MEIS axis.

    Potluri, Sandeep / Kellaway, Sophie G / Coleman, Daniel J L / Keane, Peter / Imperato, Maria Rosaria / Assi, Salam A / Cockerill, Peter N / Bonifer, Constanze

    Leukemia

    2024  Volume 38, Issue 2, Page(s) 403–407

    MeSH term(s) Humans ; Leukemia, Myeloid, Acute/genetics ; Nuclear Proteins/genetics ; Nuclear Proteins/metabolism ; fms-Like Tyrosine Kinase 3/genetics ; Mutation ; Prognosis ; Nuclear Pore Complex Proteins/genetics
    Chemical Substances Nuclear Proteins ; fms-Like Tyrosine Kinase 3 (EC 2.7.10.1) ; FLT3 protein, human (EC 2.7.10.1) ; NUP214 protein, human ; Nuclear Pore Complex Proteins
    Language English
    Publishing date 2024-01-04
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 807030-1
    ISSN 1476-5551 ; 0887-6924
    ISSN (online) 1476-5551
    ISSN 0887-6924
    DOI 10.1038/s41375-023-02118-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: RUNX1-EVI1 disrupts lineage determination and the cell cycle by interfering with RUNX1 and EVI1 driven gene regulatory networks.

    Kellaway, Sophie G / Keane, Peter / Kennett, Ella / Bonifer, Constanze

    Haematologica

    2021  Volume 106, Issue 6, Page(s) 1569–1580

    Abstract: Hematological malignancies are characterised by a block in differentiation, which in many cases is caused by recurrent mutations affecting the activity of hematopoietic transcription factors. RUNX1-EVI1 is a fusion protein formed by the t(3;21) ... ...

    Abstract Hematological malignancies are characterised by a block in differentiation, which in many cases is caused by recurrent mutations affecting the activity of hematopoietic transcription factors. RUNX1-EVI1 is a fusion protein formed by the t(3;21) translocation linking two transcription factors required for normal hematopoiesis. RUNX1-EVI1 expression is found in myelodysplastic syndrome, secondary acute myeloid leukemia, and blast crisis of chronic myeloid leukemia; with clinical outcomes being worse than in patients with RUNX1-ETO, RUNX1 or EVI1 mutations alone. RUNX1-EVI1 is usually found as a secondary mutation, therefore the molecular mechanisms underlying how RUNX1-EVI1 alone contributes to poor prognosis are unknown. To address this question, we induced expression of RUNX1-EVI1 in hematopoietic cells derived from an embryonic stem cell differentiation model. Induction resulted in disruption of the RUNX1-dependent endothelial-hematopoietic transition, blocked the cell cycle and undermined cell fate decisions in multipotent hematopoietic progenitor cells. Integrative analyses of gene expression with chromatin and transcription factor binding data demonstrated that RUNX1-EVI1 binding caused the re-distribution of endogenous RUNX1 within the genome and interfered with both RUNX1 and EVI1 regulated gene expression programs. In summary, RUNX1-EVI1 expression alone leads to extensive epigenetic reprogramming which is incompatible with healthy blood production.
    MeSH term(s) Cell Cycle/genetics ; Core Binding Factor Alpha 2 Subunit/genetics ; Gene Regulatory Networks ; Humans ; Leukemia, Myeloid, Acute/genetics ; MDS1 and EVI1 Complex Locus Protein/genetics ; Translocation, Genetic
    Chemical Substances Core Binding Factor Alpha 2 Subunit ; MDS1 and EVI1 Complex Locus Protein ; RUNX1 protein, human
    Language English
    Publishing date 2021-06-01
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2333-4
    ISSN 1592-8721 ; 0017-6567 ; 0390-6078
    ISSN (online) 1592-8721
    ISSN 0017-6567 ; 0390-6078
    DOI 10.3324/haematol.2019.241885
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Analysis of Falls within Paediatric Hospital and Community Healthcare Settings.

    Parker, Caitlin / Kellaway, Jasmine / Stockton, Kellie

    Journal of pediatric nursing

    2019  Volume 50, Page(s) 31–36

    Abstract: ... setting (39.84%, p < .001) and the emergency department (72.13%, p < .001). Falls from furniture/equipment ...

    Abstract Purpose: To identify characteristics of paediatric falls within a healthcare setting.
    Design and methods: A retrospective analysis of falls occurring within inpatient, outpatient, emergency and community healthcare settings of children aged 0-<18 years was conducted using data from the Children's Health Queensland Hospital and Health Service (CHQ-HHS) Clinical Incident Database and Electronic Medical Record between January 1st 2015 and December 31st 2017. One-sample and two-sample Chi-squared tests with post-hoc tests were performed to assess relationships between categorical variables.
    Results: The final dataset contained 385 fall events. Children 0-2 years fell most frequently (46.75%) and falls were higher in males (55.58%). Falls from bed were the most common mechanism (30.65%). The incidence rate of inpatient falls was 0.53 falls per 1000 bed days in the tertiary hospital setting and 1.2% of presentations to inpatient community health facilities. Falls from bed were most common in the tertiary hospital inpatient setting (39.84%, p < .001) and the emergency department (72.13%, p < .001). Falls from furniture/equipment constituted 26.04% of outpatient falls. Most falls occurred in the presence of parents/caregivers (79.48%) and 4.66% of fallers sustained multiple falls.
    Conclusions: This study provides a comprehensive review of the characteristics of fall events in CHQ-HHS over a three-year period and summarises the existing literature in paediatric fall prevention.
    Practice implications: Risk assessment and management plans should focus on education, particularly surrounding bed safety. Our findings have informed the development of an integrated evidence-based paediatric-specific fall risk assessment tool and management plan to prevent falls in hospital and community healthcare settings.
    MeSH term(s) Accidental Falls/prevention & control ; Accidental Falls/statistics & numerical data ; Adolescent ; Age Factors ; Child ; Child, Hospitalized ; Child, Preschool ; Community Health Services/statistics & numerical data ; Female ; Hospitals, Pediatric/statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Male ; Retrospective Studies ; Risk Assessment ; Sex Factors
    Language English
    Publishing date 2019-11-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632731-x
    ISSN 1532-8449 ; 0882-5963
    ISSN (online) 1532-8449
    ISSN 0882-5963
    DOI 10.1016/j.pedn.2019.09.026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Different mutant RUNX1 oncoproteins program alternate haematopoietic differentiation trajectories.

    Kellaway, Sophie G / Keane, Peter / Edginton-White, Benjamin / Regha, Kakkad / Kennett, Ella / Bonifer, Constanze

    Life science alliance

    2021  Volume 4, Issue 2

    Abstract: Mutations of the haematopoietic master regulator RUNX1 are associated with acute myeloid leukaemia, familial platelet disorder and other haematological malignancies whose phenotypes and prognoses depend upon the class of the RUNX1 mutation. The ... ...

    Abstract Mutations of the haematopoietic master regulator RUNX1 are associated with acute myeloid leukaemia, familial platelet disorder and other haematological malignancies whose phenotypes and prognoses depend upon the class of the RUNX1 mutation. The biochemical behaviour of these oncoproteins and their ability to cause unique diseases has been well studied, but the genomic basis of their differential action is unknown. To address this question we compared integrated phenotypic, transcriptomic, and genomic data from cells expressing four types of RUNX1 oncoproteins in an inducible fashion during blood development from embryonic stem cells. We show that each class of mutant RUNX1 deregulates endogenous RUNX1 function by a different mechanism, leading to specific alterations in developmentally controlled transcription factor binding and chromatin programming. The result is distinct perturbations in the trajectories of gene regulatory network changes underlying blood cell development which are consistent with the nature of the final disease phenotype. The development of novel treatments for RUNX1-driven diseases will therefore require individual consideration.
    MeSH term(s) CCAAT-Binding Factor/metabolism ; Cell Differentiation/genetics ; Core Binding Factor Alpha 2 Subunit/genetics ; Core Binding Factor Alpha 2 Subunit/metabolism ; Hematopoiesis/genetics ; Humans ; Models, Biological ; Mutation ; Oncogene Proteins/genetics ; Oncogene Proteins/metabolism ; Protein Binding
    Chemical Substances CCAAT-Binding Factor ; Core Binding Factor Alpha 2 Subunit ; Oncogene Proteins ; RUNX1 protein, human
    Language English
    Publishing date 2021-01-04
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2575-1077
    ISSN (online) 2575-1077
    DOI 10.26508/lsa.202000864
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A genome-wide relay of signalling-responsive enhancers drives hematopoietic specification.

    Edginton-White, B / Maytum, A / Kellaway, S G / Goode, D K / Keane, P / Pagnuco, I / Assi, S A / Ames, L / Clarke, M / Cockerill, P N / Göttgens, B / Cazier, J B / Bonifer, C

    Nature communications

    2023  Volume 14, Issue 1, Page(s) 267

    Abstract: Developmental control of gene expression critically depends on distal cis-regulatory elements including enhancers which interact with promoters to activate gene expression. To date no global experiments have been conducted that identify their cell type ... ...

    Abstract Developmental control of gene expression critically depends on distal cis-regulatory elements including enhancers which interact with promoters to activate gene expression. To date no global experiments have been conducted that identify their cell type and cell stage-specific activity within one developmental pathway and in a chromatin context. Here, we describe a high-throughput method that identifies thousands of differentially active cis-elements able to stimulate a minimal promoter at five stages of hematopoietic progenitor development from embryonic stem (ES) cells, which can be adapted to any ES cell derived cell type. We show that blood cell-specific gene expression is controlled by the concerted action of thousands of differentiation stage-specific sets of cis-elements which respond to cytokine signals terminating at signalling responsive transcription factors. Our work provides an important resource for studies of hematopoietic specification and highlights the mechanisms of how and where extrinsic signals program a cell type-specific chromatin landscape driving hematopoietic differentiation.
    MeSH term(s) Regulatory Sequences, Nucleic Acid ; Chromatin/genetics ; Cell Differentiation/genetics ; Transcription Factors/genetics ; Transcription Factors/metabolism ; Promoter Regions, Genetic/genetics ; Enhancer Elements, Genetic/genetics
    Chemical Substances Chromatin ; Transcription Factors
    Language English
    Publishing date 2023-01-17
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2553671-0
    ISSN 2041-1723 ; 2041-1723
    ISSN (online) 2041-1723
    ISSN 2041-1723
    DOI 10.1038/s41467-023-35910-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Leukemic stem cells activate lineage inappropriate signalling pathways to promote their growth.

    Kellaway, Sophie G / Potluri, Sandeep / Keane, Peter / Blair, Helen J / Ames, Luke / Worker, Alice / Chin, Paulynn S / Ptasinska, Anetta / Derevyanko, Polina K / Adamo, Assunta / Coleman, Daniel J L / Khan, Naeem / Assi, Salam A / Krippner-Heidenreich, Anja / Raghavan, Manoj / Cockerill, Peter N / Heidenreich, Olaf / Bonifer, Constanze

    Nature communications

    2024  Volume 15, Issue 1, Page(s) 1359

    Abstract: Acute Myeloid Leukemia (AML) is caused by multiple mutations which dysregulate growth and differentiation of myeloid cells. Cells adopt different gene regulatory networks specific to individual mutations, maintaining a rapidly proliferating blast cell ... ...

    Abstract Acute Myeloid Leukemia (AML) is caused by multiple mutations which dysregulate growth and differentiation of myeloid cells. Cells adopt different gene regulatory networks specific to individual mutations, maintaining a rapidly proliferating blast cell population with fatal consequences for the patient if not treated. The most common treatment option is still chemotherapy which targets such cells. However, patients harbour a population of quiescent leukemic stem cells (LSCs) which can emerge from quiescence to trigger relapse after therapy. The processes that allow such cells to re-grow remain unknown. Here, we examine the well characterised t(8;21) AML sub-type as a model to address this question. Using four primary AML samples and a novel t(8;21) patient-derived xenograft model, we show that t(8;21) LSCs aberrantly activate the VEGF and IL-5 signalling pathways. Both pathways operate within a regulatory circuit consisting of the driver oncoprotein RUNX1::ETO and an AP-1/GATA2 axis allowing LSCs to re-enter the cell cycle while preserving self-renewal capacity.
    MeSH term(s) Humans ; Leukemia, Myeloid, Acute/genetics ; Leukemia, Myeloid, Acute/metabolism ; Mutation ; Stem Cells/metabolism ; Neoplastic Stem Cells/metabolism
    Language English
    Publishing date 2024-02-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2553671-0
    ISSN 2041-1723 ; 2041-1723
    ISSN (online) 2041-1723
    ISSN 2041-1723
    DOI 10.1038/s41467-024-45691-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Pharmacological inhibition of RAS overcomes FLT3 inhibitor resistance in FLT3-ITD+ AML through AP-1 and RUNX1.

    Coleman, Daniel J L / Keane, Peter / Chin, Paulynn S / Ames, Luke / Kellaway, Sophie / Blair, Helen / Khan, Naeem / Griffin, James / Holmes, Elizabeth / Maytum, Alexander / Potluri, Sandeep / Strate, Lara / Koscielniak, Kinga / Raghavan, Manoj / Bushweller, John / Heidenreich, Olaf / Rabbitts, Terry / Cockerill, Peter N / Bonifer, Constanze

    iScience

    2024  Volume 27, Issue 4, Page(s) 109576

    Abstract: AML is characterized by mutations in genes associated with growth regulation such as internal tandem duplications (ITD) in the receptor kinase FLT3. Inhibitors targeting FLT3 (FLT3i) are being used to treat patients with FLT3-ITD+ but most relapse and ... ...

    Abstract AML is characterized by mutations in genes associated with growth regulation such as internal tandem duplications (ITD) in the receptor kinase FLT3. Inhibitors targeting FLT3 (FLT3i) are being used to treat patients with FLT3-ITD+ but most relapse and become resistant. To elucidate the resistance mechanism, we compared the gene regulatory networks (GRNs) of leukemic cells from patients before and after relapse, which revealed that the GRNs of drug-responsive patients were altered by rewiring their AP-1-RUNX1 axis. Moreover, FLT3i induces the upregulation of signaling genes, and we show that multiple cytokines, including interleukin-3 (IL-3), can overcome FLT3 inhibition and send cells back into cycle. FLT3i leads to loss of AP-1 and RUNX1 chromatin binding, which is counteracted by IL-3. However, cytokine-mediated drug resistance can be overcome by a pan-RAS inhibitor. We show that cytokines instruct AML growth via the transcriptional regulators AP-1 and RUNX1 and that pan-RAS drugs bypass this barrier.
    Language English
    Publishing date 2024-03-26
    Publishing country United States
    Document type Journal Article
    ISSN 2589-0042
    ISSN (online) 2589-0042
    DOI 10.1016/j.isci.2024.109576
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: The use of sedative-induced sleep as an aid to electroencephalographic diagnosis in children.

    KELLAWAY, P

    The Journal of pediatrics

    2003  Volume 37, Issue 6, Page(s) 862–877

    MeSH term(s) Barbital/analogs & derivatives ; Electroencephalography ; Hypnotics and Sedatives ; Seizures ; Sleep
    Chemical Substances Hypnotics and Sedatives ; Barbital (5WZ53ENE2P)
    Language English
    Publishing date 2003-12-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 3102-1
    ISSN 1097-6833 ; 0022-3476
    ISSN (online) 1097-6833
    ISSN 0022-3476
    DOI 10.1016/s0022-3476(50)80048-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: The electroencephalographic features of benign centrotemporal (rolandic) epilepsy of childhood.

    Kellaway, P

    Epilepsia

    2000  Volume 41, Issue 8, Page(s) 1053–1056

    MeSH term(s) Brain Mapping ; Cerebral Cortex/physiopathology ; Child ; Electroencephalography/statistics & numerical data ; Epilepsy, Rolandic/diagnosis ; Epilepsy, Rolandic/physiopathology ; Frontal Lobe/physiopathology ; Functional Laterality/physiology ; Humans ; Neural Pathways/physiopathology ; Sleep, REM/physiology ; Temporal Lobe/physiopathology ; Thalamus/physiopathology
    Language English
    Publishing date 2000-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 216382-2
    ISSN 1528-1167 ; 0013-9580
    ISSN (online) 1528-1167
    ISSN 0013-9580
    DOI 10.1111/j.1528-1157.2000.tb00296.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Gene regulatory network analysis predicts cooperating transcription factor regulons required for FLT3-ITD+ AML growth.

    Coleman, Daniel J L / Keane, Peter / Luque-Martin, Rosario / Chin, Paulynn S / Blair, Helen / Ames, Luke / Kellaway, Sophie G / Griffin, James / Holmes, Elizabeth / Potluri, Sandeep / Assi, Salam A / Bushweller, John / Heidenreich, Olaf / Cockerill, Peter N / Bonifer, Constanze

    Cell reports

    2023  Volume 42, Issue 12, Page(s) 113568

    Abstract: Acute myeloid leukemia (AML) is a heterogeneous disease caused by different mutations. Previously, we showed that each mutational subtype develops its specific gene regulatory network (GRN) with transcription factors interacting within multiple gene ... ...

    Abstract Acute myeloid leukemia (AML) is a heterogeneous disease caused by different mutations. Previously, we showed that each mutational subtype develops its specific gene regulatory network (GRN) with transcription factors interacting within multiple gene modules, many of which are transcription factor genes themselves. Here, we hypothesize that highly connected nodes within such networks comprise crucial regulators of AML maintenance. We test this hypothesis using FLT3-ITD-mutated AML as a model and conduct an shRNA drop-out screen informed by this analysis. We show that AML-specific GRNs predict crucial regulatory modules required for AML growth. Furthermore, our work shows that all modules are highly connected and regulate each other. The careful multi-omic analysis of the role of one (RUNX1) module by shRNA and chemical inhibition shows that this transcription factor and its target genes stabilize the GRN of FLT3-ITD+ AML and that its removal leads to GRN collapse and cell death.
    MeSH term(s) Humans ; Gene Regulatory Networks ; Regulon ; Leukemia, Myeloid, Acute/genetics ; Leukemia, Myeloid, Acute/metabolism ; Mutation/genetics ; RNA, Small Interfering ; fms-Like Tyrosine Kinase 3/genetics
    Chemical Substances RNA, Small Interfering ; fms-Like Tyrosine Kinase 3 (EC 2.7.10.1) ; FLT3 protein, human (EC 2.7.10.1)
    Language English
    Publishing date 2023-12-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2649101-1
    ISSN 2211-1247 ; 2211-1247
    ISSN (online) 2211-1247
    ISSN 2211-1247
    DOI 10.1016/j.celrep.2023.113568
    Database MEDical Literature Analysis and Retrieval System OnLINE

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