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Blood, 1 April 2004, Vol. 103, No. 7, pp. 2744-2752.
Prepublished online as a Blood First Edition Paper on December 4, 2003; DOI 10.1182/blood-2003-07-2280.

Submitted July 8, 2003
Accepted November 16, 2003
A dominant-negative mutant of C/EBP , associated with acute myeloid leukemias, inhibits differentiation of myeloid and erythroid progenitors of man but not mouse
Maike Schwieger, Juergen Loehler, Meike Fischer, Uwe Herwig, Daniel G Tenen, and Carol Stocking*
Department of Molecular Pathology, Heinrich-Pette-Institut, Hamburg, Germany
Department of Gynecology and Obstetrics, Albertinen Hospital, Hamburg, Germany
Harvard Institutes of Medicine, Boston, MA, USA
* Corresponding author; email: stocking{at}hpi.uni-hamburg.de.
The CCAAT/enhancer binding protein alpha (C/EBP ) is an essential transcription factor for granulocytic differentiation. C/EBP mutations are found in approximately 8% of acute myeloid leukemia (AML) patients. Most of these mutations occur in the N-terminal coding region, resulting in a frame-shift and the enhanced translation of a dominant-negative 30 kDa protein, which may be responsible for the differentiation block observed in AML. To test this hypothesis, we introduced a cDNA encoding a N-terminal mutated C/EBP (mut10) into primary hematopoietic progenitors using a retroviral vector. Expression of mut10 in human CD34+ cord blood cells dramatically inhibited differentiation of both myeloid and erythroid lineages. Immunohistochemical analysis demonstrated the co-expression of both myeloid and erythroid markers in the immature transformed cells. Surprisingly, mut10 did not block myelocytic differentiation in murine progenitors, but altered the differentiation kinetics and clonogenicity. Experiments were performed to confirmed that the differential effect of mut10 on murine and human progenitors was not due to species-specific differences in C/EBP protein sequences, expression levels, or inefficient targeting of relevant cells. Taken together, our results underline the intrinsic differences between hematopoietic controls in mouse and human and support the hypothesis that mutations in CEBPA are critical events in the disruption of myeloid differentiation in AMLs.

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