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Blood, 15 May 2006, Vol. 107, No. 10, pp. 4071-4079.
Prepublished online as a Blood First Edition Paper on January 17, 2006; DOI 10.1182/blood-2005-08-3153.


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NEOPLASIA

The FIP1L1-PDGFRA fusion gene cooperates with IL-5 to induce murine hypereosinophilic syndrome (HES)/chronic eosinophilic leukemia (CEL)–like disease

Yoshiyuki Yamada, Marc E. Rothenberg, Andrew W. Lee, Hiroko Saito Akei, Eric B. Brandt, David A. Williams, and Jose A. Cancelas

From the Division of Allergy and Immunology and the Division of Experimental Hematology, Cincinnati Children's Hospital Medical Center, OH; and Hoxworth Blood Center, University of Cincinnati College of Medicine, OH.

Dysregulated tyrosine kinase activity by the Fip1-like1 (FIP1L1)–platelet-derived growth factor receptor alpha (PDGFRA) (F/P) fusion gene has been identified as a cause of clonal hypereosinophilic syndrome (HES), called F/P-positive chronic eosinophilic leukemia (CEL) in humans. However, transplantation of F/P-transduced hematopoietic stem cells/progenitors (F/P+ HSCs/Ps) into mice results in a chronic myelogenous leukemia–like disease, which does not resemble HES. Because a subgroup of patients with HES show T-cell–dependent interleukin-5 (IL-5) overexpression, we determined if expression of the F/P fusion gene in the presence of transgenic T-cell IL-5 overexpression in mice induces HES-like disease. Mice that received a transplant of CD2-IL-5–transgenic F/P+ HSC/Ps (IL-5Tg-F/P) developed intense leukocytosis, strikingly high eosinophilia, and eosinophilic infiltration of nonhematopoietic as well as hematopoietic tissues, a phenotype resembling human HES. The disease phenotype was transferable to secondary transplant recipients of a high cell dose, suggesting involvement of a short-term repopulating stem cell or an early myeloid progenitor. Induction of significant eosinophilia was specific for F/P since expression of another fusion oncogene, p210-BCR/ABL, in the presence of IL-5 overexpression was characterized by a significantly lower eosinophilia than IL-5Tg-F/P recipients. These results suggest that F/P is not sufficient to induce a HES/CEL-like disease but requires a second event associated with IL-5 overexpression.


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