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Blood, 15 March 2004, Vol. 103, No. 6, pp. 2325-2331.
Prepublished online as a Blood First Edition Paper on November 26, 2003; DOI 10.1182/blood-2003-09-3287.

Submitted September 25, 2003
Accepted November 11, 2003
Somatic mutations in PTPN11 implicate the protein tyrosine phosphatase SHP-2 in leukemogenesis
Mignon L Loh*, Shashaank Vattikuti, Suzanne Schubbert, Melissa G Reynolds, Elaine Carlson, Kenneth H Lieuw, Jennifer W Cheng, Connie M Lee, David Stokoe, Jeannette M Bonifas, Nicole P Curtiss, Jason Gotlib, Soheil Meshinchi, Michelle M Le Beau, Peter D Emanuel, and Kevin M Shannon
Department of Pediatrics, University of California, San Francisco, CA, USA; Comprehensive Cancer Center, University of California, San Francisco, CA, USA
Program in Human Genetics, University of California, San Francisco, CA, USA
Cancer Research Institute, University of California, San Francisco, CA, USA
Division of Hematology, Stanford University, Stanford, CA, USA
Department of Pediatrics, University of Washington, Seattle, WA, USA
Section of Hematology/Oncology, University of Chicago, Chicago, IL, USA
Division of Hematology/Oncology, University of Alabama, Birmingham, AL, USA
* Corresponding author; email: lohm{at}itsa.ucsf.edu.
The PTPN11 gene encodes SHP-2, a non-receptor tyrosine PTPase that relays signals from activated growth factor receptors to p21Ras (Ras) and other signaling molecules. Mutations in PTPN11 cause Noonan syndrome(NS), a developmental disorder characterized by cardiac and skeletal defects, and dysmorphism. NS is also associated with a spectrum of hematologic disorders including juvenile myelomonocytic leukemia (JMML). To test the hypothesis that germline and somatic PTPN11 mutations might contribute to myeloid leukemogenesis, we screened the entire coding region for mutations in 51 JMML specimens and in selected exons from 60 patients with other myeloid malignancies. Somatic missense mutations in PTPN11 were detected in 16 of 49 JMML specimens from patients without NS, but were less common in other myeloid malignancies. Almost all of the mutations are located in the N-SH2 domain, and are predicted to activate SHP-2 PTPase activity. RAS, NF1, and PTPN11 mutations are largely mutually exclusive in JMML, which suggests that mutant SHP-2 proteins deregulate myeloid growth through Ras. However, although Ba/F3 cells engineered to express leukemia-associated SHP-2 proteins cells showed enhanced growth-factor independent survival, biochemical analysis failed to demonstrate hyperactivation of the Ras effectors ERK or Akt. We conclude that SHP-2 is an important cellular PTPase that is mutated in myeloid malignancies. Further investigation is required to clarify how these leukemia-associated mutant proteins interact with the Ras and other effectors to deregulate myeloid growth control.

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