Chan Gordon, Kalaitzidis Demetrios, Usenko Tatiana, Kutok Jeffery L, Yang Wentian, Mohi M Golam, Neel Benjamin G
Department of Stem Cell and Developmental Biology, Ontario Cancer Institute, Toronto, ON, Canada.
Blood. 2009 Apr 30;113(18):4414-24. doi: 10.1182/blood-2008-10-182626. Epub 2009 Jan 29.
PTPN11, which encodes the tyrosine phosphatase SHP2, is mutated in approximately 35% of patients with juvenile myelomonocytic leukemia (JMML) and at a lower incidence in other neoplasms. To model JMML pathogenesis, we generated knockin mice that conditionally express the leukemia-associated mutant Ptpn11(D61Y). Expression of Ptpn11(D61Y) in all hematopoietic cells evokes a fatal myeloproliferative disorder (MPD), featuring leukocytosis, anemia, hepatosplenomegaly, and factor-independent colony formation by bone marrow (BM) and spleen cells. The Lin(-)Sca1(+)cKit(+) (LSK) compartment is expanded and "right-shifted," accompanied by increased stem cell factor (SCF)-evoked colony formation and Erk and Akt activation. However, repopulating activity is decreased in diseased mice, and mice that do engraft with Ptpn11(D61Y) stem cells fail to develop MPD. Ptpn11(D61Y) common myeloid progenitors (CMPs) and granulocyte-monocyte progenitors (GMPs) produce cytokine-independent colonies in a cell-autonomous manner and demonstrate elevated Erk and Stat5 activation in response to granulocyte-macrophage colony-stimulating factor (GM-CSF) stimulation. Ptpn11(D61Y) megakaryocyte-erythrocyte progenitors (MEPs) yield increased numbers of erythrocyte burst-forming units (BFU-Es), but MEPs and erythrocyte-committed progenitors (EPs) produce fewer erythrocyte colony-forming units (CFU-Es), indicating defective erythroid differentiation. Our studies provide a mouse model for Ptpn11-evoked MPD and show that this disease results from cell-autonomous and distinct lineage-specific effects of mutant Ptpn11 on multiple stages of hematopoiesis.
PTPN11基因编码酪氨酸磷酸酶SHP2,约35%的青少年骨髓单核细胞白血病(JMML)患者存在该基因突变,在其他肿瘤中的发生率较低。为了模拟JMML的发病机制,我们构建了条件性表达白血病相关突变体Ptpn11(D61Y)的敲入小鼠。Ptpn11(D61Y)在所有造血细胞中的表达引发了一种致命的骨髓增殖性疾病(MPD),其特征为白细胞增多、贫血、肝脾肿大以及骨髓(BM)和脾细胞形成非因子依赖性集落。Lin(-)Sca1(+)cKit(+)(LSK)区室扩大并“右移”,同时干细胞因子(SCF)诱导的集落形成增加以及Erk和Akt激活。然而,患病小鼠的再增殖活性降低,移植了Ptpn11(D61Y)干细胞的小鼠未能发展为MPD。Ptpn11(D61Y)常见髓系祖细胞(CMP)和粒细胞-单核细胞祖细胞(GMP)以细胞自主方式产生非细胞因子依赖性集落,并在粒细胞-巨噬细胞集落刺激因子(GM-CSF)刺激下表现出Erk和Stat5激活升高。Ptpn11(D61Y)巨核细胞-红细胞祖细胞(MEP)产生的红细胞爆式形成单位(BFU-E)数量增加,但MEP和红细胞定向祖细胞(EP)产生的红细胞集落形成单位(CFU-E)较少,表明红系分化存在缺陷。我们的研究为Ptpn11引发的MPD提供了一个小鼠模型,并表明这种疾病是由突变体Ptpn11对造血多个阶段的细胞自主和不同谱系特异性作用导致的。