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Blood, 15 September 2008, Vol. 112, No. 6, pp. 2500-2507.
Prepublished online as a Blood First Edition Paper on June 6, 2008; DOI 10.1182/blood-2007-11-126268.
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NEOPLASIA
FIP1L1/PDGFR synergizes with SCF to induce systemic mastocytosis in a murine model of chronic eosinophilic leukemia/hypereosinophilic syndrome
Yoshiyuki Yamada1,
Abel Sanchez-Aguilera2,
Eric B. Brandt1,
Melissa McBride1,
Nabeel J. H. Al-Moamen3,
Fred D. Finkelman4,
David A. Williams5,
Jose A. Cancelas2,6,*, and
Marc E. Rothenberg1,*
1 Division of Allergy and Immunology, and
2 Division of Experimental Hematology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, OH;
3 Department of Molecular Genetics, Biochemistry, and Microbiology, and
4 Division of Immunology, Department of Internal Medicine, University of Cincinnati College of Medicine, OH;
5 Division of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, MA; and
6 Hoxworth Blood Center, University of Cincinnati College of Medicine, OH
Expression of the fusion gene FIP1-like 1/platelet-derived growth factor receptor alpha (FIP1L1/PDGFR , F/P) and dysregulated c-kit tyrosine kinase activity are associated with systemic mastocytosis (SM) and chronic eosinophilic leukemia (CEL)/hypereosinophilic syndrome (HES). We analyzed SM development and pathogenesis in a murine CEL model induced by F/P in hematopoietic stem cells and progenitors (HSCs/Ps) and T-cell overexpression of IL-5 (F/P-positive CEL mice). These mice had more mast cell (MC) infiltration in the bone marrow (BM), spleen, skin, and small intestine than control mice that received a transplant of IL-5 transgenic HSCs/Ps. Moreover, intestinal MC infiltration induced by F/P expression was severely diminished, but not abolished, in mice injected with neutralizing anti–c-kit antibody, suggesting that endogenous stem cell factor (SCF)/c-kit interaction synergizes with F/P expression to induce SM. F/P-expressing BM HSCs/Ps showed proliferation and MC differentiation in vitro in the absence of cytokines. SCF stimulated greater migration of F/P-expressing MCs than mock vector–transduced MCs. F/P-expressing bone marrow–derived mast cells (BMMCs) survived longer than mock vector control BMMCs in cytokine-deprived conditions. The increased proliferation and survival correlated with increased SCF-induced Akt activation. In summary, F/P synergistically promotes MC development, activation, and survival in vivo and in vitro in response to SCF.

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