Laboratory of Cell and Developmental Biology, Institute of Molecular Genetics of the Czech Academy of Sciences, Videnska 1083, 142 20 Prague 4, Czech Republic.
Division of Hematology & Hematologic Malignancies, Department of Internal Medicine, University of Utah, School of Medicine and VAH, Salt Lake City, UT 84132, USA.
Genes (Basel). 2019 Oct 15;10(10):813. doi: 10.3390/genes10100813.
Myeloproliferative neoplasms (MPN) are genetically very complex and heterogeneous diseases in which the acquisition of a somatic driver mutation triggers three main myeloid cytokine receptors, and phenotypically expresses as polycythemia vera (PV), essential thrombocytosis (ET), and primary myelofibrosis (PMF). The course of the diseases may be influenced by germline predispositions, modifying mutations, their order of acquisition and environmental factors such as aging and inflammation. Deciphering these contributory elements, their mutual interrelationships, and their contribution to MPN pathogenesis brings important insights into the diseases. Animal models (mainly mouse and zebrafish) have already significantly contributed to understanding the role of several acquired and germline mutations in MPN oncogenic signaling. Novel technologies such as induced pluripotent stem cells (iPSCs) and precise genome editing (using CRISPR/) contribute to the emerging understanding of MPN pathogenesis and clonal architecture, and form a convenient platform for evaluating drug efficacy. In this overview, the genetic landscape of MPN is briefly described, with an attempt to cover the main discoveries of the last 15 years. Mouse and zebrafish models of the driver mutations are discussed and followed by a review of recent progress in modeling MPN with patient-derived iPSCs and CRISPR/ gene editing.
骨髓增殖性肿瘤(MPN)是一种遗传上非常复杂和异质性的疾病,其中获得体细胞驱动突变会触发三个主要的髓系细胞因子受体,并表型上表达为真性红细胞增多症(PV)、特发性血小板增多症(ET)和原发性骨髓纤维化(PMF)。疾病的进程可能受到种系易感性、修饰突变、获得它们的顺序和环境因素(如衰老和炎症)的影响。解析这些促成因素、它们的相互关系以及它们对 MPN 发病机制的贡献,为我们深入了解这些疾病提供了重要的见解。动物模型(主要是小鼠和斑马鱼)已经为理解几种获得性和种系突变在 MPN 致癌信号中的作用做出了重要贡献。新技术,如诱导多能干细胞(iPSCs)和精确的基因组编辑(使用 CRISPR/),有助于对 MPN 发病机制和克隆结构的新兴理解,并为评估药物疗效提供了便利的平台。在这篇综述中,简要描述了 MPN 的遗传景观,并试图涵盖过去 15 年的主要发现。讨论了携带驱动突变的小鼠和斑马鱼模型,然后回顾了使用患者来源的 iPSCs 和 CRISPR/基因编辑来模拟 MPN 的最新进展。