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Gene & Protein in Disease                                      The roles and mechanisms of ETS1 in diseases



            an ERK-dependent manner in all melanoma cell lines,   increased in adult T-cell leukemia/lymphoma of North
            that mutations in TRET create ETS transcription factor-  American – descendent patient (NA-ATLL) cell lines and
            binding sites, and that ETS1 binding to the mutated TRET   primary tumor samples, and knocking down  ETS1 in
            promoter leads to re-expression of TRET . Furthermore,   NA-ATLL cells resulted in cell growth inhibition, indicating
                                             [67]
            Gabler et al. reported that the coexistence of mutations in   that ETS1 is a new dominant oncogenic transcription
                                                                                 [78]
            serine/threonine kinase (BRAF V600E ) and TRET promoter   regulator in NA-ATLL .
            leads to cancer cell proliferation and immortalization, and
            ETS1 functionally links these two driver alterations .   5. Conclusion
                                                        [71]
            These studies provide significant insights into the roles of   This comprehensive review provides an in-depth
            ETS1 in regulating the immortalization of cancer cells by   examination of the outcomes and functions associated
            the mutated  TRET promoter, which could contribute to   with ETS1. The myriad roles of this transcription factor
            immense therapeutic implications.                  assume in immune-related diseases that are reviewed.

            4.6. The role of ETS1 in B-cell and T-cell malignancies  Furthermore, this review explores the diverse contributions
                                                               of ETS1 to the onset and progression of various diseases,
            ETS1  has  crucial  roles  in  the  development of  lymphoid   incorporating the most  recent findings  from  scientific
            tissue and the activation of lymphocytes, indicating   research. ETS1 not only induces immune-related diseases
            that it has a potential relationship with B-cell and T-cell   but also correlates with disease severity. Although these
            malignancies. A  previous study focused on the multiple   studies provide us with a clear understanding of the role
            roles and regulatory mechanisms of ETS1 in hematological   of  ETS1 in immune-related diseases, additional specific
            development, including T-cell and natural killer (NK) cell   molecular mechanisms have not been elucidated. We
            activation and B-cell maturation and differentiation [72,73] .   believe that the continuous development of research
            With in-depth research on the mechanisms of action   methods and technologies can enable further exploration
            of ETS1 in diseases, its role as a key transcription factor   of  the  diverse  and  complex  roles  of  ETS1  in  immune-
            in B-cell and T-cell malignancies has gradually been   related diseases, which may have significant implications
            revealed. In classical Hodgkin’s lymphoma (cHL),   for clinical treatment.
            ETS1 is hypermethylated exclusively and is markedly
            decreased in the cHL cell line. Recurrent deletions and   Acknowledgments
            loss of ETS1 expression could contribute to the potential   None.
            escape and survival of Hodgkin and Reed-Sternberg cells
            (HRS) and impair B-cell development . In diffuse large   Funding
                                           [74]
            B-cell lymphoma (DLBCL), 11q24.3 genomic lesions are
            correlated with high expression levels of ETS1 and FLI1,   This work was supported by the National Natural Science
            and overexpression of these two genes could contribute   Foundation of China (32060177, 82260397, and 82360328),
            to the pathogenesis of DLBCL in a cooperative manner   the Joint Special Fund of the Department of Science
                                                               and Technology, Yunnan Province – Kunming Medical
            by deregulating genes involved in the germinal center
            expression program and cell proliferation . Further   University (202201AY070001-046 and 202301AY070001-
                                                [75]
            study of DLBCL demonstrated that  ETS1 silencing   139), the Yunnan Fundamental Research Projects
            affected genes involved in B-cell signaling, differentiation,   (202201AT070292 and 202201AU070202), and the
            cell  cycle,  and  immune  processes,  highlighting  its  role   Fund of Beijing Key Laboratory for HIV/AIDS Research
            in lymphomagenesis, particularly in activated-like   (BJYAHKF2021001).
            B-cell (ABC) DLBCL . Recent research has indicated   Conflict of interest
                              [73]
            that B-cell receptor-mediated ETS1 phosphorylation
            at threonine 38 is important for the growth of DLBCL   The authors have no personal, financial, or institutional
            cells and is related to the ABC-DLBCL phenotype but   interest  with regard to any of  the drugs,  materials,  or
            is predictive of poor outcome in patients with germinal   devices described in this article.
            center B-cell-like (GCB) DLBCL . Drug-mediated     Author contributions
                                          [76]
            inhibition of ETS1 phosphorylation could have a positive
            effect on lymphoma patients . Regarding the role of   Conceptualization: Yi-Qun Kuang
                                    [76]
            ETS1 in T-cell malignancies, a recent study showed that   Writing – original draft: Kai-Cheng Gao, Yu Zhao, Jie Jia,
            Notch activation is closely related to the induction of T-cell   Dan Liang, Lin Xu
            acute lymphoblastic leukemia . Moreover, Luchtel et al.   Writing – review and editing: Kai-Cheng Gao, Yu Zhao, Jie
                                    [77]
            reported that the expression of ETS1 was significantly   Jia

            Volume 2 Issue 4 (2023)                         6                        https://doi.org/10.36922/gpd.2141
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