Xing Shu, Wanting Tina Ho, Zhao Wanming, Ma Junfeng, Wang Shaofeng, Xu Xuesong, Li Qingshan, Fu Xueqi, Xu Mingjiang, Zhao Zhizhuang Joe
Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, USA.
Blood. 2008 May 15;111(10):5109-17. doi: 10.1182/blood-2007-05-091579. Epub 2008 Mar 11.
The JAK2(V617F) mutation was found in most patients with myeloproliferative disorders (MPDs), including polycythemia vera, essential thrombocythemia, and primary myelofibrosis. We have generated transgenic mice expressing the mutated enzyme in the hematopoietic system driven by a vav gene promoter. The mice are viable and fertile. One line of the transgenic mice, which expressed a lower level of JAK2(V617F), showed moderate elevations of blood cell counts, whereas another line with a higher level of JAK2(V617F) expression displayed marked increases in blood counts and developed phenotypes that closely resembled human essential thrombocythemia and polycythemia vera. The latter line of mice also developed primary myelofibrosis-like symptoms as they aged. The transgenic mice showed erythroid, megakaryocytic, and granulocytic hyperplasia in the bone marrow and spleen, displayed splenomegaly, and had reduced levels of plasma erythropoietin and thrombopoietin. They possessed an increased number of hematopoietic progenitor cells in peripheral blood, spleen, and bone marrow, and these cells formed autonomous colonies in the absence of growth factors and cytokines. The data show that JAK2(V617F) can cause MPDs in mice. Our study thus provides a mouse model to study the pathologic role of JAK2(V617F) and to develop treatment for MPDs.
在大多数骨髓增殖性疾病(MPD)患者中发现了JAK2(V617F)突变,这些疾病包括真性红细胞增多症、原发性血小板增多症和原发性骨髓纤维化。我们构建了在vav基因启动子驱动下在造血系统中表达突变酶的转基因小鼠。这些小鼠可存活且可育。其中一组表达较低水平JAK2(V617F)的转基因小鼠血细胞计数有中度升高,而另一组JAK2(V617F)表达水平较高的小鼠血细胞计数显著增加,并出现了与人类原发性血小板增多症和真性红细胞增多症极为相似的表型。后一组小鼠随着年龄增长还出现了原发性骨髓纤维化样症状。转基因小鼠在骨髓和脾脏中表现出红系、巨核系和粒系增生,脾脏肿大,血浆促红细胞生成素和血小板生成素水平降低。它们在外周血、脾脏和骨髓中造血祖细胞数量增加,并且这些细胞在没有生长因子和细胞因子的情况下形成自主集落。数据表明JAK2(V617F)可在小鼠中引发MPD。因此,我们的研究提供了一个小鼠模型,用于研究JAK2(V617F)的病理作用并开发MPD的治疗方法。