Small-molecule CBP/p300 histone acetyltransferase inhibition mobilizes leukocytes from the bone marrow via the endocrine stress response

Histone acetyltransferase Leukopenia
DOI: 10.1016/j.immuni.2024.01.005 Publication Date: 2024-01-31T14:29:41Z
ABSTRACT
Mutations of the CBP/p300 histone acetyltransferase (HAT) domain can be linked to leukemic transformation in humans, suggestive a checkpoint leukocyte compartment sizes. Here, we examined impact reversible inhibition this by small-molecule A485. We found that A485 triggered acute and transient mobilization leukocytes from bone marrow into blood. Leukocyte was equally potent as, but mechanistically distinct from, granulocyte colony-stimulating factor (G-CSF), which allowed for additive neutrophil when both compounds were combined. These effects maintained models leukopenia conferred augmented host defenses. Mechanistically, activation hypothalamus-pituitary-adrenal gland (HPA) axis relayed shifts distribution through corticotropin-releasing hormone receptor 1 (CRHR1) adrenocorticotropic (ACTH), independently glucocorticoids. Our findings identify strategy rapid expansion blood via neuroendocrine loop, with implications treatment human pathologies.
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