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Prepublished online as a Blood First Edition Paper on May 15, 2003; DOI 10.1182/blood-2002-12-3779.

Submitted December 13, 2002
Accepted May 4, 2003
A high penetrance mouse model of acute promyelocytic leukemia with very low levels of PML-RAR expression
Peter Westervelt, Andrew A Lane, Jessica L Pollock, Kristie Oldfather, Matthew S Holt, Drazen B Zimonjic, Nicholas C Popescu, John F DiPersio, and Timothy J Ley*
Division of Oncology, Departments of Medicine & Genetics, Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USA
Molecular Cytogenetics Section, Laboratory of Experimental Carcinogenesis, National Cancer Institute, Bethesda, MD, USA
Hematology/Oncology Division, Massachusetts Medical School, Worcester, MA, USA
* Corresponding author; email: tley{at}im.wustl.edu.
Transgenic mice expressing PML-RAR in early myeloid cells under control of human cathepsin G regulatory sequences all develop a myeloproliferative syndrome, but only 15-20% develop acute promyelocytic leukemia (APL) after a latent period of 6-14 months. However, this transgene is expressed at very low levels in the bone marrow cells of transgenic mice. Since the transgene includes only 6 kB of regulatory sequences from the human cathepsin G locus, we hypothesized that sequences required for high-level expression of the transgene might be located elsewhere in the cathepsin G locus, and that a knock-in model might yield much higher expression levels, and higher penetrance of disease. We therefore targeted a human PML-RAR cDNA to the 5' untranslated region of the murine cathepsin G gene, using homologous recombination in embryonic stem cells. This model produced a high-penetrance APL phenotype, with more than 90% of knock-in mice developing APL between 6-16 months of age. The latent period and phenotype of APL (including a low frequency of an interstitial deletion of chromosome 2) was similar to that of the previous transgenic model. Remarkably, however, the expression level of PML-RAR in bone marrow cells or APL cells was <3% of that measured in the low-penetrance transgenic model. Although the explanation for this result is not yet clear, one hypothesis suggests that very low levels of PML-RAR expression in early myeloid cells may be optimal for the development of APL in mice.

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