Dr. Stephen D. Nimer-led Study Shows DNA Regulatory Switch Prompts Stem Cells to Give Rise to Blood

Sylvester Comprehensive Cancer Center director Stephen Nimer, M.D.
Summary
  • A key regulator of gene expression called TAF1 is emerging as a potential drug target in leukemia and other blood cancers.
  • A new study takes a deep dive into how TAF1 operates to promote the development of new blood cells.
  • TAF1 activates genes that prompt blood cell maturation from stem cells, suggests the study, led by Sylvester Director Dr. Stephen D. Nimer.

Stephen D. Nimer, M.D., leads a sophisticated, interacting network of researchers, physicians and patients as the director of Sylvester Comprehensive Cancer Center, part of the University of Miami Miller School of Medicine.

Despite the demands of the job, he also makes time to investigate the intricate interactions among cellular molecules involved in blood formation and blood cancers. After all, it’s from within the cell that new treatments often arise.

“There’s a lot of creativity in building the cancer center,” said Dr. Nimer, professor of medicine, biochemistry and molecular biology and executive dean for research at the Miller School and the Oscar de La Renta Endowed Chair in Cancer Research. “But as a physician-scientist, I also love the lab.”

Dr. Nimer and his colleagues recently released their latest study, showing how a key molecule regulates the generation of new blood cells. The process, called hematopoiesis, goes awry in cancer. The findings have the potential to lead to new therapeutic strategies targeting the molecule, a regulator of gene activity called TAF1.

The new findings “not only challenge prevailing models of hematopoietic regulation but also lay the groundwork for innovative clinical applications,” said Sylvester researcher Ramin Shiekhattar, Ph.D., professor in the Dr. John T. Macdonald Foundation Department of Human Genetics at the Miller School and a long-time collaborator of Dr. Nimer’s. Dr. Shiekhattar is an author on the study.

The findings were published July 16 in the journal Developmental Cell.

Pairing Up

Dr. Nimer helped recruit Dr. Shiekhattar to Sylvester about a decade ago. They have since authored seven papers together, including the new study. Their labs are on the same floor.

Dr. Nimer has “an unerring instinct for fundamental biological questions and a relentless drive toward mechanistic clarity,” said Dr. Shiekhattar, who is co-leader of the Cancer Epigenetics Program at Sylvester and chief of the Division of Cancer Genomics and Epigenetics and the Eugenia J. Dodson Chair in Cancer Research.

Dr. Ramin Shiekhattar in dark suit and tie
Dr. Ramin Shiekhattar

Several years ago, the pair began studying TAF1 in models of cancer. Their labs and colleagues previously reported that knocking out TAF1 quelled disease in a model of acute myeloid leukemia driven by the aberrant gene regulator AML1-ETO.

TAF1 seems to work together with the AML1-ETO protein to turn on cancer-causing genes, the researchers showed. TAF1 is part of a large molecular machine that binds to DNA and helps activate genes. The machine helps initiate the process of transcription, which involves generating RNA from the DNA code.

In the current study, the researchers took a closer look at TAF1 to better understand how it operates in normal blood cell development.

Fostering Cell Maturation

Blood cells arise from immature cells in the bone marrow called hematopoietic stem cells (HSCs).

HSCs are powerful cells. They are used for transplantation. And they do two key things: they self-renew and they give rise to mature cell types including immune cells (both T cells and B cells), myeloid cells (neutrophils and monocytes), platelets and red blood cells, in a process called lineage commitment.

TAF1 is needed to properly turn on genes involved in lineage commitment in adults. But it has a reduced role in HSC self-renewal, according to these just-published findings. The data also demonstrate that TAF1 operates differently during embryogenesis, when there is a much higher demand for blood production.

“TAF1 appears to serve as a key molecular switch that integrates transcriptional signals to balance stem cell maintenance with lineage commitment in adults,” said Dr. Shiekhattar.

A Specialized Role

The findings challenge the prevailing view of how TAF1 functions, said the researchers. TAF1 and its associated machinery were long thought to be universally necessary for turning on genes throughout the life of every cell.

The new study adds to growing evidence that TAF1 instead has a more fine-tuned role in gene regulation, in this study, preferentially turning on genes that prompt HSCs to differentiate into mature blood cells.

Dr. Fan Liu in white clinic coat
Dr. Fan Liu

“The most surprising discovery is that adult HSCs can survive without an important general transcription factor, and that the TAF1 loss only affects the activation of differentiation-associated genes, not the self-renewal-promoting genes,” said Sylvester researcher Fan Liu, Ph.D., research assistant professor of biochemistry and molecular biology and the first author of the study.

Dr. Nimer’s team, working with Sylvester bioinformatics specialist Felipe Beckedorff, Ph.D., delved even further into how TAF1 turns on genes. They found that TAF1 both prompts the initiation of transcription and releases a separate brake on the transcription process.

Questions for future studies include whether TAF1 performs similar functions in other stem cell compartments relevant for cancer, such as in the colon or brain.

A Tempting Target

Meanwhile, the new findings provide momentum to studies investigating TAF1-targeting agents, which are under development.

One challenge in hematology is finding drugs that are powerful enough to kill the cancer cells but not kill normal blood cell development. The data suggest that TAF1 inhibitors might fulfill this criterion. Knocking out TAF1 did not stop stem cell self-renewal or blood cell production, which are essential for life.

“A key question that we needed to address was, if you successfully target TAF1, do you compromise normal blood production? What this paper says is no,” said Dr. Nimer.

Other potential therapeutic use-cases include harnessing TAF1 to improve the expansion of HSCs in petri dishes, a process that could improve stem cell transplantation.

Teamwork and Mentorship

Dr. Nimer credits the working relationships he and his colleagues have fostered with supporting high-quality research, despite the demands on his time and the time of his colleagues.

“This team has been together for many years,” said Dr. Nimer, crediting Dr. Shiekhattar and his colleagues for establishing one of the only cancer epigenetics programs in the country.

The study’s author list also reflects his commitment to training the next generation of scientists, added Dr. Nimer, who was named Mentor of the Year in 2024 by the American Society of Hematology.

Dr. Liu is a former postdoctoral fellow in Dr. Nimer’s lab. Dr. Beckedorff was a postdoc in Dr. Shiekhattar’s lab. Both are now research assistant professors. Other authors include former postdocs and technicians from Dr. Nimer’s lab who have gone on to positions at Moffitt Cancer Center, AstraZeneca, the Mayo Clinic and elsewhere.

“As a collaborator on this project, I have appreciated Stephen’s thoughtful input and the clarity he brings to our discussions,” said Dr. Beckedorff. “Despite his demanding leadership role at the Sylvester Comprehensive Cancer Center, he remains deeply committed to the science.”


Tags: Acute Myeloid Leukemia, biochemistry and molecular biology, blood cancers, cancer research, Department of Biochemistry and Molecular Biology, Dr. Fan Liu, Dr. Ramin Shiekhattar, Dr. Stephen Nimer, Leukemia, Sylvester Comprehensive Cancer Center