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Prepublished online as a Blood First Edition Paper on August 1, 2002; DOI 10.1182/blood-2002-04-1244.
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Blood, 1 December 2002, Vol. 100, No. 12, pp. 4177-4184
NEOPLASIA
Oncogenic interaction between BCR-ABL and
NUP98-HOXA9 demonstrated by the use of an in
vitro purging culture system
Nadine Mayotte,
Denis-Claude Roy,
Jing Yao,
Evert Kroon, and
Guy Sauvageau
From the Laboratory of Molecular Genetics of Stem
Cells, Clinical Research Institute of Montreal; the Department of
Medicine, University of Montreal; and the Division of Hematology,
Maisonneuve-Rosemont Hospital; Montreal, QC, Canada.
Chronic myelogenous leukemia (CML) is a clonal stem cell disease
caused by the BCR-ABL oncoprotein and is characterized, in its early
phase, by excessive accumulation of mature myeloid cells, which
eventually leads to acute leukemia. The genetic events involved in
CML's progression to acute leukemia remain largely unknown. Recent
studies have detected the presence of the
NUP98-HOXA9 fusion oncogene in acute leukemia
derived from CML patients, which suggests that these 2 oncoproteins may
interact and influence CML disease progression. Using in vitro purging
of BCR-ABL-transduced mouse bone marrow cells, we can now
report that recipients of bone marrow cells engineered to coexpress
BCR-ABL with NUP98-HOXA9 develop acute leukemia
within 7 to 10 days after transplantation. However, no disease is
detected for more than 2 months in mice receiving bone marrow
cells expressing either BCR-ABL or
NUP98-HOXA9. We also provide evidence of high levels of
HOXA9 expressed in leukemic blasts from acute-phase CML
patients and that it interacts significantly on a genetic level with
BCR-ABL in our in vivo CML model. Together, these studies
support a causative, as opposed to a consequential, role for
NUP98-HOXA9 (and possibly HOXA9) in CML disease progression.

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