Li S, Gillessen S, Tomasson M H, Dranoff G, Gilliland D G, Van Etten R A
The Center for Blood Research, Dana-Farber Cancer Institute, and Harvard Institutes of Medicine and Howard Hughes Medical Institute, Harvard Medical School, Boston, MA, USA.
Blood. 2001 Mar 1;97(5):1442-50. doi: 10.1182/blood.v97.5.1442.
Primitive hematopoietic progenitors from some patients with Philadelphia chromosome (Ph)-positive chronic myeloid leukemia (CML) express aberrant transcripts for interleukin 3 (IL-3) and granulocyte colony-stimulating factor (G-CSF), and exhibit autonomous proliferation in serum-free cultures that is inhibited by anti-IL-3 and anti-IL-3 receptor antibodies. Expression of the product of the Ph chromosome, the BCR/ABL oncogene, in mice by retroviral bone marrow transduction and transplantation induces CML-like leukemia, and some leukemic mice have increased circulating IL-3, and perhaps granulocyte-macrophage colony-stimulating factor (GM-CSF). These observations raise the possibility of autocrine or paracrine cytokine production in the pathogenesis of human CML. Mice with homozygous inactivation of the Il-3 gene, the Gm-csf gene, or both, were used to test the requirement for these cytokines for induction of CML-like disease by BCR/ABL. Neither IL-3 nor GM-CSF was required in donor, recipient, or both for induction of CML-like leukemia by p210 BCR/ABL. Use of novel mice deficient in both IL-3 and GM-CSF demonstrated that the lack of effect on leukemogenesis was not due to redundancy between these hematopoietic growth factors. Analysis of cytokine levels in leukemic mice where either donor or recipient was Il-3(-/-) indicated that the increased IL-3 originated from the recipient, suggestive of a host reaction to the disease. These results demonstrate that IL-3 and GM-CSF are not required for BCR/ABL-induced CML-like leukemia in mice and suggest that autocrine production of IL-3 does not play a role in established chronic phase CML in humans.
一些费城染色体(Ph)阳性慢性髓性白血病(CML)患者的原始造血祖细胞表达白细胞介素3(IL-3)和粒细胞集落刺激因子(G-CSF)的异常转录本,并在无血清培养中表现出自主增殖,而这种增殖受到抗IL-3和抗IL-3受体抗体的抑制。通过逆转录病毒骨髓转导和移植在小鼠中表达Ph染色体产物BCR/ABL癌基因可诱导出类似CML的白血病,一些白血病小鼠的循环IL-3水平升高,可能还有粒细胞-巨噬细胞集落刺激因子(GM-CSF)水平升高。这些观察结果提示在人类CML发病机制中存在自分泌或旁分泌细胞因子产生的可能性。利用Il-3基因、Gm-csf基因或两者均纯合失活的小鼠来测试这些细胞因子对BCR/ABL诱导类似CML疾病的必要性。对于p210 BCR/ABL诱导类似CML的白血病,供体、受体或两者中均不需要IL-3和GM-CSF。使用同时缺乏IL-3和GM-CSF的新型小鼠表明,对白血病发生缺乏影响并非由于这些造血生长因子之间的冗余。对供体或受体为Il-3(-/-)的白血病小鼠的细胞因子水平分析表明,升高的IL-3源自受体,提示宿主对疾病的反应。这些结果表明,IL-3和GM-CSF对于小鼠中BCR/ABL诱导的类似CML的白血病并非必需,并且提示IL-3的自分泌在人类已确诊的慢性期CML中不发挥作用。