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NEOPLASIA
From the Division of Hematology/Oncology, Section of
Molecular Carcinogenesis, and from the Department of Pathology,
Childrens Hospital of Los Angeles Research Institute, Los Angeles, CA.
The deregulated Bcr/Abl tyrosine kinase is responsible for the
development of Philadelphia (Ph)-positive leukemia in humans. To
investigate the significance of the C-terminal Abl actin-binding domain
within Bcr/Abl p190 in the development of leukemia/lymphoma in vivo,
mutant p190 DNA constructs were used to generate transgenic mice. Eight
founder and progeny mice of 5 different lines were monitored for
leukemogenesis. Latency was markedly increased and occurrence decreased
in the p190 del C lines as compared with nonmutated p190
BCR/ABL transgenics. Western blot analysis of involved
hematologic tissues of the p190 del C transgenics with end-stage
disease showed high-level expression of the transgene and tyrosine
phosphorylation of Cbl and Hef1/Cas, proteins previously shown to be
affected by Bcr/Abl. These results show that the actin-binding domain
of Abl enhances leukemia development but does not appear to be an
absolute requirement for leukemogenesis.
(Blood. 2000;96:2226-2232) Philadelphia (Ph)-positive leukemia in humans is
characterized by a t(9;22) chromosomal translocation, which leads to
the expression of the Bcr/Abl oncoprotein. Bcr/Abl consists of
the major part of the tyrosine kinase Abl joined to a variable part of
Bcr. Mouse models have demonstrated the correlation between the
expression of Bcr/Abl and the development of
leukemia.1,2
Much attention in recent years has focused on unraveling the signal
transduction pathways used by Bcr/Abl to cause
leukemogenicity.3,4 In multiple studies, the deregulated
tyrosine kinase activity of Abl was found to be an essential element of
this process, resulting in the increased tyrosine phosphorylation of
several substrates.5 Some intriguing concepts have emerged
concerning the normal and deregulated Abl kinase. In 1991, McWhirter
and Wang6 reported that the Bcr sequences in Bcr/Abl
activate 2 functions in Abl: its tyrosine kinase activity and a
previously undescribed microfilament binding activity. Subsequently, an
actin-binding activity was identified in the C-terminal end of
Abl.7,8 Deletion of the actin-binding domain of Abl in
Bcr/Abl greatly reduced its oncogenicity in fibroblasts.7
A recent study using erythropoietin receptor/Abl fusion proteins
concluded that the C-terminal actin-binding domain of c-Abl plays an
important role in the proliferation and transformation caused by this
fusion protein.9
Thus, the C-terminal domain of Bcr/Abl enhances its binding to the
actin cytoskeleton, which may result in the increased tyrosine phosphorylation of certain cytoskeletal-associated proteins such as
talin, vinculin, or proteins that transduce signals from the cytoskeleton such as Crkl, Cas, Cbl, or Hef1.10-15 In
addition, studies on chronic myelogenous leukemia patient material and
cells expressing Bcr/Abl have shown differences compared with controls with respect to cell adhesion and motility, processes dependent upon
the actin cytoskeleton.16-21
To investigate the oncogenic potential of the p190 Bcr/Abl protein, we
generated p190 BCR/ABL transgenic mice, which rapidly and
reproducibly developed an aggressive lymphoblastic
leukemia/lymphoma.22-25 One line derived from such
founders has been maintained since 1992, and animals continue to
reproducibly die of a characteristic leukemia/lymphoma that mimics the
leukemia associated with p190 Bcr/Abl in humans.
No studies thus far have addressed the issue of the transforming
potential of a Bcr/Abl mutant lacking the C-terminal Abl actin-binding
domain directly in vivo in transgenic mice. To examine this, we have in
the current study generated p190 BCR/ABL mice that are
transgenic for constructs encoding a C-terminal actin-binding domain
deletion. Results of these studies show that this mutation has a
profound effect on the leukemogenic potential of Bcr/Abl p190 in vivo
in transgenic mice.
DNA construct
Transgenic mice and pathology
Peripheral blood samples were drawn from the tail artery and processed and assayed for BCR/ABL expression using reverse transcription (RT)-PCR as described.23,24 Animals were killed and autopsied when they became visibly ill. Tissues were fixed in buffered formalin. Routine histology included bone marrow, liver, and spleen. Peripheral blood and bone marrow samples were analyzed using double-color flow cytometry on a FACScan (Becton Dickinson, Lincoln Park, NJ) as described27 and monoclonal antibodies anti-CD45R (RA3-6B2), anti-Thy-1.2 (53-2.1), anti-GR-1 (RB6-8C5) (PharMingen, San Diego, CA), and anti-Mac-1 (M1/70.15) (Caltag, Burlingame, CA). Competitive quantitative PCR To generate a competitor, a 305-base pair (bp) RT-PCR product was generated from the peripheral blood of a leukemic p190 mouse with oligonucleotides ALL E and ALL F.24 This product spans the BCR/ABL junction in the messenger RNA (mRNA) encoding p190. This plasmid was digested with Bsu36I × NcoI, the small fragment removed, and the plasmid religated. ALL E and ALL F primers generate a 260-bp fragment from this plasmid. The DNA concentration of the plasmid was determined by measurement of the OD260 and by electrophoresis of aliquots of DNA on an agarose gel together with samples of known concentration. Different dilutions were made so that 1 µL would contain between 0.5 × 107 and 0.5 × 103 molecules of competitor. RT-PCR reactions were performed as described previously24 using 2 µg of total bone marrow RNA or the equivalent of 2 µL of peripheral blood. Competitor was added before the PCR step. Using this method, 2 µL of peripheral blood from an overtly leukemic mouse was found to contain approximately 106 BCR/ABL mRNAs. Total RNA was isolated essentially as described24 from bone marrow or peripheral blood. Animal No. 2207 was a p190 wild-type transgenic that developed leukemia/lymphoma. Total RNA was isolated from its involved spleen. Animal No. 4445 was overtly healthy and was killed at the age of 6 months. Examination of peripheral blood and bone marrow revealed no evidence for the development of leukemia. p190 wild-type no. 1 and no. 2 were overtly healthy animals that were killed at the age of 2 months. Bone marrow and peripheral blood showed no evidence of leukemogenesis.Western and far-Western blot analysis Tissues were dissected from animals at autopsy and stored on ice until further processing. Some of the Crkl SH2-binding tyrosine-phosphorylated proteins are very susceptible to dephosphorylation. Therefore, most samples were minced and then immediately homogenized in 2 × sodium dodecyl sulfate (SDS) sample buffer lacking DTT (dithiothreitol) and bromophenol blue using a straight-wall tissue grinder. After boiling for 5 minutes, insoluble residues were removed by centrifugation and the protein concentration determined using the BCA method (Pierce, Rockford, IL).For direct Western blot analysis, 30 µg of protein was run per lane. The Ab-2 and Ab-3 anti-c-Abl antibodies were from Oncogene Science, Inc (Uniondale, NY). The anti-Abl monoclonal antibody 3F12 was a kind gift from Dr Ravi Salgia (Dana-Farber Cancer Institute, Boston, MA). Far-Western blot analysis using the Crkl SH2 domain was performed as described.26 For analysis of Crkl SH2-binding proteins, extracts in sample buffer were diluted 50 times in pull-down buffer consisting of 50-mmol/L Tris-HCl, pH 7.5; 100-mmol/L NaCl; 1-mmol/L ethylenediaminetetraacetic acid; 10-mmol/L NaF; 0.1% Tween 20; and 0.2% (weight/vol) bovine serum albumin. Samples were further processed using GST-Crkl SH2 as described.11 Anti-Cas monoclonal antibodies, which recognize both Cas and Hef1 as well as the antiphosphotyrosine antibodies RC20H, were obtained from Transduction Laboratories (Lexington, KY).
Transgenes and transgenics High-level expression of Bcr/Abl during embryonic development in transgenic mice for example, from the BCR promoter leads to prenatal lethality.28 Therefore, a truncated
methallothionein (MT) promoter was used previously in the nonmutant
p190 transgenics to control transgene expression.22,24
This p190 construct allowed embryonic development, most probably
because of spatiotemporally restricted expression or limited expression
levels of the transgene. In concordance with this, Bcr/Abl p190 protein
was not detectable in any of the healthy tissues of these mice
(unpublished results).
To prevent the above-mentioned problems asssociated with high-level
Bcr/Abl expression during murine development, the DNA construct
encoding a C-terminally deleted form of Bcr/Abl p190 was also put under
control of the truncated MT promoter. Futhermore, to allow direct
comparison with the nonmutated p190, the mutant construct was made
using the same components as the original p190 construct. Bcr/Abl p190
del C contained a deletion of the terminal 31 amino acid residues, a
region that encompasses the actin-binding domain of Abl7
(Figure 1B). To ensure that this
construct produced a stable protein product of the right size, the
insert was subcloned into an SV-40-based expression vector and
transiently transfected to COS-1 cells. As shown in Figure 1A, the p190
del C construct encoded a single protein (lane 4), which was slightly
smaller than the wild-type p190 Bcr/Abl (lanes 1,3). In agreement with the deletion of its C-terminal sequences, the p190 del C protein reacted very poorly with antibodies directed against the Abl C-terminal region (Figure 1A, lane 2), although it was readily detected with antisera against a more N-terminal segment of Abl (Figure 1A, lane 4).
These results indicate that the mutant protein is stable.
Vector sequences were removed, and the mutant construct was used to
generate transgenic mice. Eight p190 del C F0 animals were
obtained (Table 1). Southern blot
analysis of tail DNAs showed that copy numbers of the transgenes varied
from 1 to approximately 8 (Table 1). All animals were bred with
C57Bl/CBA F1 mice to produce offspring; 5 of the 8 F0 mice
produced transgenic progeny (Table 1).
Compared with nonmutated p190, p190 del C is significantly less leukemogenic In agreement with the low-level activity of the MT promoter that controlled transgene expression, we were unable to detect Bcr/Abl p190 protein in healthy tissues of the mice transgenic for mutant p190 (not shown). However, to be able to draw conclusions concerning the biologic activity of the mutants, it was important to examine whether the transgene was expressed in vivo.Previously, RT-PCR assays were developed to examine BCR/ABL p190 mRNA in wild-type p190 transgenics.24 Detailed studies in one line, no. 623, showed that BCR/ABL mRNA was generally not detected in the peripheral blood of such animals at an early age. Serial sampling of peripheral blood of these mice revealed that BCR/ABL p190 mRNA began to be detected as the animals grew older and invariably preceded the development of overt leukemia.23,24 These data were consistent with a model in which a very low level of basal expression from the transgene in a primitive hematopoietic cell in the bone marrow eventually led to other mutations in that cell, resulting in blocked maturation and malignant outgrowth.23,24 To analyze expression from the mutant transgene, blood samples were taken from all F0 animals at the age of 4 weeks. As indicated in Table 1, at this age a substantial number of transgenics showed expression of the mutant BCR/ABL p190 transgene in peripheral blood leukocytes. As indicated above, animals transgenic for the nonmutated
BCR/ABL p190 invariably develop leukemia/lymphoma. One line
of p190 transgenic mice that has been maintained shows a characteristic pattern of transgene expression in which preleukemic animals lack expression of p190 mRNA in their peripheral blood. To compare expression of the transgenes of these animals with that of the p190 del
C transgenics, total RNA was isolated from the bone marrow and
peripheral blood of 2 young wild-type p190 mice and analyzed for
BCR/ABL mRNA. As shown in Figure
2A, both peripheral blood and bone marrow
of these animals contained RNA that was suitable for RT-PCR (Figure 2A,
lanes 1-4), but, as expected, only the bone marrow contained detectable
BCR/ABL mRNA (lanes 7,8). To quantitate expression levels in
these preleukemic animals, competitive quantitative RT-PCR was used.
This analysis showed that 2 µg of total RNA from the bone marrow of
such a wild-type p190 transgenic contained about
0.5 × 104 molecules of BCR/ABL mRNA (Figure
2B, lane 4). A similar analysis with 2 µg of total bone marrow of a
mouse transgenic for p190 del C showed that this transgene was
expressed at approximately the same level (Figure 2B, lane 13).
All F0 animals were monitored until they appeared seriously ill, at which point they were killed and autopsies were performed. The F0 generation mice of the current set of transgenics died at an average age of 23 months. Table 1 summarizes the pathologic findings on these mice. Most animals did not die of malignant hematologic diseases. Only one F0 animal, no. 4208, died of lymphoblastic lymphoma at the age of 28 months and showed Bcr/Abl protein in the involved tissues. Animal no. 4231 became very ill and, upon autopsy, showed splenomegaly (2.2 g). FACS analysis of bone marrow showed decreased T- and B-cell numbers and a prominent myeloid left shift (not shown). However, a Triton X-100-phosphate buffer lysate prepared from this spleen showed evidence of proteolytic degradation, and it was therefore not possible to correlate the hematologic abnormalities found in this mouse with transgene expression. A caveat in the study of F0 animals is that they could have been chimeric and lacked expression in the critical cell type, ie, the right hematopoietic stem cell. For this reason, many of the transgenic founders were bred to obtain subsequent transgenic generations (Table 1), which were monitored. Of the 5 p190 del C lines that could be bred, the no. 4237 line averaged 24 months at death (n = 12; range 5-30 months); the no. 4243 line, 20.8 months (n = 12; range 4-27.5); the no. 4231 line, 15.6 months (n = 12; range 3-28); the no. 4266 line, 14.5 months (n = 5; range 0.5-19); and the no. 4208 line, including both single- and double-transgenics (see "Materials and methods"), 13.7 months (n = 46; range 0.5-27 months). These data indicate that, among these lines, only a limited number exhibited a substantially reduced life span. Leukemia in p190 del C animals Animals of the no. 4208 line had a higher incidence of hematologic malignancies than the other lines, although not all animals died of clearly diagnosed hematologic malignancies. Among the animals diagnosed with leukemia/lymphoma, deaths were not clustered in a certain age range but, rather, were found to occur stochastically over the entire life span of the mice, as shown in Figure 3. As illustrated by the FACS analysis of the bone marrow of one such animal in Figure 4 (no. 4208 Fx, which died at 5 months of age), animals of this line typically developed B-lineage lymphoblastic leukemia/lymphoma with bone marrow involvement. This animal showed malignant lymphoblasts invading the skeletal muscle surrounding the sternum, had a pleural effusion consisting mostly of blasts, and had an obliteration of normal splenic architecture (not shown).
Animals of other p190 del C transgenic lines, including nos. 4231 and
4243, also developed leukemia/lymphoma, albeit sporadically. For
example, animal no. 5085, a descendant of F0 no. 4243 (Table 1), developed lymphoblastic lymphoma/leukemia with lymph node and splenic involvement. There was no hepatomegaly or splenomegaly. Its
pleural cavity contained a cellular exudate consisting of lymphoblasts.
The bone marrow of this animal contained malignant lymphoblasts that
invaded the surrounding muscle (Figure
5).
Other pathologic findings Malignancies or hyperplasias found in either F0 animals or subsequent generations were analyzed for expression of Bcr/Abl p190 protein on Western blots. Apart from the leukemias and lymphomas (also see below), 7 animals of different generations, at an average age of 26 months, had to be killed because of regenerative hyperplasia of the liver, which in some cases completely displaced internal organs. A number of these were analyzed for Bcr/Abl expression using Western blots, but no expression could be detected at this level. Additionally, a similar hyperplasia was also seen in 2 control non-BCR/ABL transgenics. Therefore, this and other rarer nonhematologic tumors (also found sporadically in wild-type controls) probably represent the normal background of tumorigenesis found in this strain of mice at advanced age. However, because liver hyperplasia leading to overt neoplasia has been reported in PML-RAR transgenic mice29 in which essentially the same MT promoter was used as in our studies, we cannot exclude the possibility that chronic low-level expression of the mutant BCR/ABL transgene in liver contributed to this phenotype. In addition, other sporadic tissue hyperplasias and tumors (eg, F0 nos. 4237 and 4243, Table 1) were observed and analyzed. However, none of these showed expression of the Bcr/Abl p190 protein on a Western blot level.Western blot analysis of tissues involved with hematologic malignancies shows p190 Bcr/Abl expression To investigate correlations between transgene expression and malignancy, protein extracts from all tissues involved with hematologic malignancies were examined for expression of Bcr/Abl p190 protein. As exemplified for 2 animals of the no. 4208 p190 del C line, bone marrow of overtly leukemic animals clearly expressed p190 del C protein (Figure 6A, lanes 1,5) at levels comparable to those found in the lymphoma of a mouse transgenic for the nonmutated p190 (lane 4). In comparison, an animal of the no. 4208 line that did not have a hematologic malignancy, but instead died of liver hyperplasia at 18 months of age, did not express Bcr/Abl p190 del C protein in its bone marrow at a level detectable on a Western blot (Figure 6A, lane 6).
Involvement of Crkl SH2-binding proteins in leukemia/lymphoma associated with the p190 Bcr/Abl del C mutant In Ph-positive leukemia in humans, the adapter protein Crkl binds directly to and becomes abnormally constitutively tyrosine-phosphorylated by the deregulated Bcr/Abl tyrosine kinase.30-32 In addition, Bcr/Abl abnormally phosphorylates tyrosine residues in a number of signaling proteins to which Crkl can bind via its SH2 domain.15,33 We have shown that in the Bcr/Abl p190 wild-type mouse model, Crkl becomes tyrosine-phosphorylated and forms stable complexes with Hef1/Cas and the proto-oncogene Cbl.11,12,34The del C mutant is not expected to have impaired binding to Crkl, because the mutated region lies outside the Crkl binding sites in Abl. However, because Crkl, Cbl, and Hef1/Cas have been implicated in signal transduction involving the actin cytoskeleton/integrins15,33 and the Bcr/Abl p190 del C protein lacks the sequences in Abl that mediate binding to F-actin, it was of interest to examine the involvement of Crkl, Cbl, and Hef1/Cas in the leukemias developing in the p190 del C transgenic mice. To investigate this, different lysates isolated from involved tissues of these mice were Western blotted and "probed" with the Crkl SH2 domain. As shown in Figure 6B, lane 5, the Crkl SH2 domain detects a number of proteins in the 110- to 140-kd molecular weight range in the lymphoma lysate of an animal transgenic for the nonmutated p190 BCR/ABL. In contrast, no proteins of that size were detected in an unrelated lymphoma of a non-BCR/ABL transgenic (Figure 6, lane 3), consistent with the finding that the activated Bcr/Abl kinase is needed to phosphorylate tyrosine residues that are binding partners for the Crkl SH2 domain. Lysates were prepared from involved tissues of animal no. 5085 (no. 4243 line; Figure 5) and animal no. 4909 (no. 4208 line). As shown in Figure 6B, lanes 1, 2, and 4, involved tissues of the p190 del C transgenics contained proteins that clearly bound to the Crkl SH2 domain. To investigate the identity of the proteins binding to the Crkl SH2
domain, lysates were subjected to a pull-down reaction using the Crkl
SH2 domain. As shown in Figure 7A,
tyrosine-phosphorylated proteins in the 110- to 140-kd molecular weight
range were precipitated with the Crkl SH2 domain. In parallel
experiments, proteins coprecipitated with the Crkl SH2 domain were
Western blotted and reacted with anti-Cbl antisera (Figure 7C) or with
anti-Hef1/Cas antiserum (Figure 7B). The wild-type p190 Bcr/Abl sample
showed high levels of Crkl SH2 domain coprecipitating
tyrosine-phosphorylated proteins (Figure 7A, lane 4), and these
consisted of both Cbl and Hef1/Cas. The 3 p190 Bcr/Abl del C samples
showed different levels of tyrosine-phosphorylated, Crkl SH2
domain-coprecipitating proteins (Figure 7A, lanes 1-3). Two of the
samples showed the presence of Cbl (Figure 7C, lanes 1,3), whereas all
3 contained Hef1/Cas (Figure 7B, lanes 1-3).
The original wild-type p190 BCR/ABL construct gave rise to the relatively rapid onset of leukemia/lymphoma in most of the F0 generation of transgenic mice (n = 14) in the same genetic background (B6xCBAF1 hybrid) in which the currently studied F0 transgenics were made.23,24 The average age of death associated with the nonmutated p190 construct was 8.8 months, including a few relatively long-lived F0 animals.23 All F0 transgenics for the nonmutated p190 construct or their progeny, with the exception of one line, developed hematopoietic malignancies, either lymphoblastic leukemias, lymphomas, or both. Most involved the B-lineage. A very different result was obtained with the p190 del C BCR/ABL construct studied here. The average age at death of these 8 F0 transgenic mice was 23 months, which can be considered to approach the natural life span of the mice. Secondly, in most F0 animals or their progeny, there was no clear evidence of hematologic malignancy (Table 1). Expression of mutant BCR/ABL mRNA in peripheral blood was detected in some of the F0 generation at a very early age of 4 weeks. For one of the animals, no. 4208, this eventually resulted in development of lymphomas late in life, at 2.4 years of age. This is consistent with a model in which a weakly oncogenic Bcr/Abl protein directly or indirectly can cause additional mutations, which are needed for full-blown leukemia to develop. In comparison, transgenics for nonmutant p190 (no. 623 line) survived an average of about 2 months after detection of expression in peripheral blood.24 Furthermore, the expression level of the transgenes in the preleukemic bone marrow of p190 wild-type and p190 del C mice was not significantly different. These combined data demonstrate that the C-terminal mutation severely restricts the oncogenic potential of Bcr/Abl p190 in vivo in transgenic mice. The effect of the c-Abl actin-binding domain on leukemogenicity of Bcr/Abl had not previously been investigated directly in a transgenic in vivo model system. Bcr/Abl with deletions of the actin-binding domain was reported to no longer colocalize with actin stress fibers after expression in transfected fibroblasts. Also, both reduced transformation of fibroblasts and reduced ability to abrogate interleukin-3 independence of Ba/F3 cells was found.7 Thus, the current study confirms the reduced biologic activity of the Bcr/Abl del C mutant found in cell lines. In human and murine patient material, Bcr/Abl can constitutively tyrosine-phosphorylate a number of cytoskeleton or integrin/cytokine-signaling-associated proteins that subsequently become binding targets for the Crkl SH2 domain, including Cbl, Cas, Hef1, and p62doc.15,33,35 In this process, Crkl and Cbl bind directly to Bcr/Abl, whereas Cas/Hef1 and also Cbl indirectly complex with Bcr/Abl via their binding to Crkl.15 Therefore, complex formation between Crkl and these tyrosine-phosphorylated proteins was also investigated in the involved tissues of p190 BCR/ABL del C transgenics. The Crkl SH2 domain bound to Hef1/Cas as well as to Cbl, and the apparent levels of tyrosine-phosphorylated Cbl and Hef1/Cas were similar to those observed in the leukemic tissues of a nonmutated BCR/ABL p190 transgenic (Figure 7). Although the Bcr/Abl del C protein was reported to retain full tyrosine kinase activity, the deletion of the C-terminal actin-binding domain causes dissociation of Bcr/Abl from actin stress fibers in fibroblasts6 and shifts its subcellular location in myeloid cells to vesicle-like structures that lack F-actin.36 The loss of binding of Bcr/Abl to F-actin would be predicted to decrease the tyrosine phosphorylation by the deregulated Bcr/Abl kinase of cytoskeleton-associated targets. However, Western blot analysis on tyrosine-phosphorylated proteins binding to the Crkl SH2 domain in the transgenic mice showed that end-stage leukemic tissues of Bcr/Abl p190 nonmutated, and del C animals were indistinguishable in this respect. We have considered several possible explanations for this finding. It is possible that additional mutations have occurred during the process of leukemogenesis (eg, in the Bcr/Abl del C mutant or in Crkl, a protein that mediates binding to Bcr/Abl) that resulted in increased colocalization of Bcr/Abl with Hef1/Cas and with Cbl in vivo. Another explanation could be that the binding of Bcr/Abl to F-actin is irrelevant for its ability to tyrosine-phosphorylate Hef1/Cas and Cbl. This would correlate with the finding that a p210 mutant lacking the actin-binding domain colocalized with Cbl and, to a lesser extent, with Crkl and Cas in vesicle-like structures.36 Finally, a minor amount of Bcr/Abl that initially could colocalize with F-actin may have been sufficient to phosphorylate target proteins and initiate early steps in leukemogenesis. Subsequent activation of cytokine receptors or integrin signaling could then be responsible for the increased tyrosine phosphorylation of Hef1/Cas and Cbl observed in the mutants. This latter explanation, however, does not seem likely because, in a lymphoma of a non-BCR/ABL transgenic, increased levels of Crkl SH2-binding proteins were not observed (Figure 6B). Because the ultimate outcome of expression of Bcr/Abl p190 wild type and of Bcr/Abl p190 del C can be similar, yet the frequency of leukemia development and the latency period is increased in the mutant, the 2 proteins may differ most in their activity at the level of precursor cells in the bone marrow. However, further experiments will be needed to identify targets of Bcr/Abl in such cells.
We thank Stijn de Lange for help with the figures, Arnoud van Wijk for his contribution to the Western blot analysis, and Roberto Rosato and Yan Zhang for assistance with monitoring of the mice.
Submitted July 21, 1999; accepted May 15, 2000.
Supported by Public Health Service, National Institutes of Health grants CA 50248 (N.H.) and CA 47456 (J.G.).
N.H. and J.W.V. contributed equally to this work.
The publication costs of this article were defrayed in part by page charge payment. Therefore, and solely to indicate this fact, this article is hereby marked "advertisement" in accordance with 18 U.S.C. section 1734.
Reprints: Nora Heisterkamp, Division of Hematology/Oncology, Ms#54, Section of Molecular Carcinogenesis, Childrens Hospital of Los Angeles Research Institute, 4650 Sunset Boulevard, Los Angeles, CA 90027; e-mail heisterk{at}hsc.usc.edu.
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