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BCLAF1 links RNA splicing to ATF4-dependent metabolic adaptation in acute myeloid leukemia

Lopez-Hernandez, L.; Crowley, S. J.; Cea-Sanchez, S.; de Arellano, R.; Krishnan, N.; Toolan-Kerr, P.; White, L.; Ignoti, D.; Soto-Hidalgo, E.; Gustincich, S.; Gonzalez-Prieto, R.; Pandolfini, L.; Barbieri, I.; Altea-Manzano, P.; Magee, J. A.; Bednarsk, J. J.; Millan-Zambrano, G.; Millan-Zambrano, G.

2026-01-22 cancer biology
10.64898/2026.01.19.700325 bioRxiv
Show abstract

Acute myeloid leukemia (AML) is driven by a combination of genetic alterations and non-mutational mechanisms that disrupt normal hematopoiesis and support leukemic cell survival. While the mutational landscape of AML is well characterized, the non-genetic processes that sustain leukemic maintenance remain comparatively less understood. Using human AML cell lines and murine models of AML, we identify BCL2-associated transcription factor 1 (BCLAF1) as a key regulator of leukemic progression through control of mRNA processing. BCLAF1 physically associates with core spliceosome components and regulates alternative splicing, with a predominant effect on intron retention. We demonstrate that BCLAF1 is required for the productive splicing of activating transcription factor 4 (ATF4) mRNA, thereby sustaining ATF4 protein expression. Loss of BCLAF1 reduces ATF4 protein levels, leading to downregulation of metabolic target genes and disruption of de novo amino acid biosynthesis. Furthermore, depletion of BCLAF1 sensitizes AML cells to venetoclax, a clinically relevant BCL-2 inhibitor. Together, these findings uncover a previously unrecognized role for BCLAF1 in coordinating mRNA splicing and metabolic adaptation in AML, highlighting its potential as a therapeutic target. Statement of significanceAberrant RNA splicing and metabolic reprogramming are hallmarks of cancer, yet how these processes are mechanistically linked remains unclear. This study identifies BCLAF1 as a key regulator connecting splicing control to amino acid metabolism in acute myeloid leukemia, revealing a previously unrecognized functional vulnerability at the intersection of these pathways.

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