JAK2V617F expression in mice amplifies early hematopoietic cells and gives them a competitive advantage that is hampered by IFNα

S Hasan, C Lacout, C Marty, M Cuingnet… - Blood, The Journal …, 2013 - ashpublications.org
S Hasan, C Lacout, C Marty, M Cuingnet, E Solary, W Vainchenker, JL Villeval
Blood, The Journal of the American Society of Hematology, 2013ashpublications.org
The acquired gain-of-function V617F mutation in the Janus Kinase 2 (JAK2V617F) is the
main mutation involved in BCR/ABL-negative myeloproliferative neoplasms (MPNs), but its
effect on hematopoietic stem cells as a driver of disease emergence has been questioned.
Therefore, we reinvestigated the role of endogenous expression of JAK2V617F on early
steps of hematopoiesis as well as the effect of interferon-α (IFNα), which may target the
JAK2V617F clone in humans by using knock-in mice with conditional expression of …
Abstract
The acquired gain-of-function V617F mutation in the Janus Kinase 2 (JAK2V617F) is the main mutation involved in BCR/ABL-negative myeloproliferative neoplasms (MPNs), but its effect on hematopoietic stem cells as a driver of disease emergence has been questioned. Therefore, we reinvestigated the role of endogenous expression of JAK2V617F on early steps of hematopoiesis as well as the effect of interferon-α (IFNα), which may target the JAK2V617F clone in humans by using knock-in mice with conditional expression of JAK2V617F in hematopoietic cells. These mice develop a MPN mimicking polycythemia vera with large amplification of myeloid mature and precursor cells, displaying erythroid endogenous growth and progressing to myelofibrosis. Interestingly, early hematopoietic compartments [Lin-, LSK, and SLAM (LSK/CD48−/CD150+)] increased with the age. Competitive repopulation assays demonstrated disease appearance and progressive overgrowth of myeloid, Lin-, LSK, and SLAM cells, but not lymphocytes, from a low number of engrafted JAK2V617F SLAM cells. Finally, IFNα treatment prevented disease development by specifically inhibiting JAK2V617F cells at an early stage of differentiation and eradicating disease-initiating cells. This study shows that JAK2V617F in mice amplifies not only late but also early hematopoietic cells, giving them a proliferative advantage through high cell cycling and low apoptosis that may sustain MPN emergence but is lost upon IFNα treatment.
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