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Prepublished online as a Blood First Edition Paper on October 17, 2002; DOI 10.1182/blood-2002-08-2635.

Submitted August 28, 2002
Accepted October 4, 2002
Leukemic potential of doubly mutant Nf1 and Wv hematopoietic cells
David A Ingram*, Mary Jo Wenning, Kevin Shannon, and D W Clapp
Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, USA
Department of Pediatrics, University of California at San Francisco, San Francisco, CA, USA
Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Microbiology/Immunology, Indiana University School of Medicine, Indianapolis, IN, USA
* Corresponding author; email: dingram{at}iupui.edu.
The development of molecularly targeted treatments of adult leukemias warrants investigation of these targets in similar pediatric leukemias. The NF1 tumor suppressor gene, which encodes a GTPase activating protein (GAP) for p21ras, is frequently inactivated in juvenile myelomonocytic leukemia (JMML). Other patients with JMML acquire activating RAS gene mutations. Recipient mice reconstituted with Nf1 -/- fetal hematopoietic cells develop a myeloproliferative disease (MPD) that models the human disease. JMML arises from clonal expansion of a hematopoietic stem cell (HSC), and JMML cells and murine Nf1-/- hematopoietic cells are hypersensitive to granulocyte macrophage-colony stimulating factor (GM-CSF) and KitL, the ligand for c-kit. We generated embryos doubly mutant for the Wv allele of c-kit and Nf1 to ask if reduction of c-kit activity would delay or prevent the development of MPD. Despite a reduction in c-kit activity to approximately 10% of wildtype levels, Nf1 -/-;Wv/Wv cells induced MPD in recipient mice.

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