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Blood, 1 March 2008, Vol. 111, No. 5, pp. 2878-2886.
Prepublished online as a Blood First Edition Paper on January 7, 2008; DOI 10.1182/blood-2007-07-103119.


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NEOPLASIA

Development of Notch-dependent T-cell leukemia by deregulated Rap1 signaling

Shu-Fang Wang1, Misayo Aoki1, Yasuhiro Nakashima2, Yoriko Shinozuka2, Hiroki Tanaka2, Masafumi Taniwaki3, Masakazu Hattori2, and Nagahiro Minato1,2

1 Department of Immunology and Cell Biology, Graduate School of Biostudies, Kyoto University, Kyoto; 2 Graduate School of Medicine, Kyoto University, Kyoto; and 3 Department of Hematology and Oncology, Kyoto Prefectural School of Medicine, Kyoto, Japan

SPA-1 (signal-induced proliferation associated gene-1) functions as a suppressor of myeloid leukemia by negatively regulating Rap1 signaling in hematopoietic progenitor cells (HPCs). Herein, we showed that transplantation of HPCs expressing farnesylated C3G (C3G-F), a Rap1 guanine nucleotide exchange factor, resulted in a marked expansion of thymocytes bearing unique phenotypes (CD4/CD8 double positive [DP] CD3 TCRβ) in irradiated recipients. SPA-1–/– HPCs expressing C3G-F caused a more extensive expansion of DP thymocytes, resulting in lethal T-cell acute lymphoblastic leukemia (T-ALL) with massive invasion of clonal T-cell blasts into vital organs. The C3G-F+ blastic thymocytes exhibited constitutive Rap1 activation and markedly enhanced expression of Notch1, 3 as well as the target genes, Hes1, pT{alpha}, and c-Myc. All the T-ALL cell lines from C3G-F+ SPA-1–/– HPC recipients expressed high levels of Notch1 with characteristic mutations resulting in the C-terminal truncation. This proliferation was inhibited completely in the presence of a {gamma}-secretase inhibitor. Transplantation of Rag2–/– SPA-1–/– HPCs expressing C3G-F also resulted in a marked expansion and transformation of DP thymocytes. The results suggested that deregulated constitutive Rap1 activation caused abnormal expansion of DP thymocytes, bypassing the pre-T-cell receptor and eventually leading to Notch1 mutations and Notch-dependent T-ALL.


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