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Blood, 27 August 2009, Vol. 114, No. 9, pp. 1842-1851. Prepublished online as a Blood First Edition Paper on July 9, 2009; DOI 10.1182/blood-2008-09-176875.
Submitted September 9, 2008
Inserm, U790, Institut Gustave Roussy (IGR), Villejuif, France * Corresponding author; email: villeval{at}igr.fr.
The JAKV617F mutation is responsible for the majority of BCR/ABL-negative myeloproliferative disorders (MPD). Ongoing clinical trials of JAK2 inhibitors in MPD patients use small molecules targeting both wild type and mutated JAK2. In order to selectively target malignant cells, we developed JAK2V617F-specific small interfering RNAs (siRNAs) or short hairpin RNAs (shRNAs). Expression of these RNAs in cell lines or CD34+ cells from patients reduced JAK2V617F-driven autonomous cell proliferation. Mechanisms of inhibition involved selective JAK2V617F protein down-regulation and consequently decrease in Stat5 phosphorylation, cell cycle progression and cell survival. However, the addition of high concentrations of cytokines to cell lines or EPO to patient cells greatly reduced growth inhibition. Similarly, the efficacy of a JAK2 small molecule inhibitor on cell line and patient cell proliferation dose-dependently decreased with the addition of cytokines. Our results demonstrate that it is possible to specifically target JAK2V617F by RNAi strategies. In addition, cytokines partially reverse the inhibition induced by both RNAi and small molecule approaches. This strongly suggests that patient cytokine levels in current JAK2 inhibitor clinical trials modulate the outcome of these therapies.
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