Yamada Yoshiyuki, Cancelas Jose A, Rothenberg Marc E
Division of Allergy and Immunology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Int Arch Allergy Immunol. 2009;149 Suppl 1:102-7. doi: 10.1159/000211381. Epub 2009 Jun 3.
Hypereosinophilic syndrome (HES) includes heterogeneous hematological disorders that are characterized by distinctive blood and tissue eosinophilia. In addition to classical HES criteria, the World Health Organization proposed a set of criteria that distinguish chronic eosinophilic leukemia (CEL) from HES. As such, the fusion gene FIP1L1/PDGFRA was found as a cause of CEL in a significant proportion of patients initially diagnosed as having HES. Several investigations have tried to dissect the mechanism of leukemogenesis; eosinophilia and signaling induced by FIP1L1/PDGFRalpha in cell lines, bone marrow mast cells, primary human eosinophils and in murine myeloproliferative disorder models. In this review, we introduce the current knowledge on the relationship between FIP1L1/PDGFRalpha and cell signaling, eosinophil proliferation, survival and activation and mastocytosis specially focusing on the evidence learned from murine models.
高嗜酸性粒细胞综合征(HES)包括多种血液系统疾病,其特征为显著的血液和组织嗜酸性粒细胞增多。除了经典的HES标准外,世界卫生组织还提出了一套将慢性嗜酸性粒细胞白血病(CEL)与HES区分开来的标准。因此,在最初被诊断为患有HES的相当一部分患者中,发现融合基因FIP1L1/PDGFRA是CEL的一个病因。多项研究试图剖析白血病发生的机制;FIP1L1/PDGFRα在细胞系、骨髓肥大细胞、原代人嗜酸性粒细胞以及小鼠骨髓增殖性疾病模型中诱导的嗜酸性粒细胞增多和信号传导。在这篇综述中,我们介绍了目前关于FIP1L1/PDGFRα与细胞信号传导、嗜酸性粒细胞增殖、存活和激活以及肥大细胞增多症之间关系的知识,特别关注从鼠模型中获得的证据。