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Blood, Vol. 93 No. 5 (March 1), 1999:
pp. 1707-1714
TEL/PDGF R Induces Hematologic Malignancies in Mice That
Respond to a Specific Tyrosine Kinase Inhibitor
Michael H. Tomasson,
Ifor R. Williams,
Robert Hasserjian,
Chirayu Udomsakdi,
Shannon M. McGrath,
Juerg Schwaller,
Brian Druker, and
D. Gary Gilliland
From the Division of Hematology, Brigham and Women's Hospital,
Boston; Howard Hughes Medical Institute, Harvard Medical School,
Boston, MA; Department of Pathology, Emory University, Atlanta, GA;
Hammersmith Hospital, London, UK; and Oregon Health Sciences
University, Portland, OR.
The TEL/PDGF R fusion protein is expressed as the consequence of a
recurring t(5;12) translocation associated with chronic myelomonocytic
leukemia (CMML). Unlike other activated protein tyrosine kinases
associated with hematopoietic malignancies, TEL/PDGF R is invariably
associated with a myeloid leukemia phenotype in humans. To test the
transforming properties of TEL/PDGF R in vivo, and to analyze the
basis for myeloid lineage specificity in humans, we constructed
transgenic mice with TEL/PDGF R expression driven by a
lymphoid-specific immunoglobulin enhancer-promoter cassette. These mice
developed lymphoblastic lymphomas of both T and B lineage, demonstrating that TEL/PDGF R is a transforming protein in vivo, and
that the transforming ability of this fusion is not inherently restricted to the myeloid lineage. Treatment of TEL/PDGF R transgenic animals with a protein tyrosine kinase inhibitor with in vitro activity
against PDGF R (CGP57148) resulted in suppression of disease and a
prolongation of survival. A therapeutic benefit was apparent both in
animals treated before the development of overt clonal disease and in
animals transplanted with clonal tumor cells. These results suggest
that small-molecule tyrosine kinase inhibitors may be effective
treatment for activated tyrosine kinase-mediated malignancies both
early in the course of disease and after the development of additional
transforming mutations.

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