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Blood, 1 June 2004, Vol. 103, No. 11, pp. 4198-4200.
Prepublished online as a Blood First Edition Paper on February 5, 2004; DOI 10.1182/blood-2003-10-3471.

Submitted October 10, 2003
Accepted January 20, 2004
Familial essential thrombocythemia associated with a dominant-positive activating mutation of the c-MPL gene, which encodes for the receptor for thrombopoietin
Jianmin Ding, Hirokazu Komatsu*, Atsushi Wakita, Miyuki Kato-Uranishi, Masato Ito, Atsushi Satoh, Kazuya Tsuboi, Masakazu Nitta, Hiroshi Miyazaki, Shinsuke Iida, and Ryuzo Ueda
Department of Internal Medicine and Molecular Science, Nagoya City University Graduate School of Medical Science, Nagoya, Aichi, Japan
Division of Hematology, Department of Internal Medicine, Aichi Medical University School of Medicine, Aichi-gun, Aichi, Japan
Kirin Brewery Company, Ltd., Tokyo, Japan
* Corresponding author; email: komatsu{at}med.nagoya-cu.ac.jp.
One Japanese pedigree of familial essential thrombocythemia (FET) inherited as an autosomal-dominant manner is presented. A unique point mutation, serine505 asparagine505 (Ser505 Asn505), was identified in the transmembrane domain of the c-MPL gene in all of the eight members with thrombocythemia, but in none of the other eight unaffected members in this FET family. The Ba/F3 cells expressing the mutant Asn505 acquired interleukin-3 (IL-3)-independent survival capacity, while those expressing wild-type Ser505 did not. The autonomous phosphorylation of Mek1/2 and Stat5b was observed in the mutant Ba/F3 cells in the absence of IL-3. The former was also found in platelets derived from the affected individual in the absence of thrombopoietin. These results show that the Asn505 is an activating mutation with respect to the intracellular signaling and survival of the cells. This is the first report of FET, deriving from a dominant-positive activating mutation of the c-MPL gene.

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