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Blood, 1 July 2005, Vol. 106, No. 1, pp. 311-317.
Prepublished online as a Blood First Edition Paper on March 10, 2005; DOI 10.1182/blood-2004-11-4207.
Previous Article | Next Article 
Submitted November 3, 2004
Accepted March 1, 2005
Functional analysis of leukemia-associated PTPN11 mutations in primary hematopoietic cells
Suzanne Schubbert, Kenneth Lieuw, Sara L Rowe, Connie M Lee, XiaXin Li, Mignon L Loh, D W Clapp, and Kevin M Shannon*
Department of Pediatrics, University of California, San Francisco, CA, USA
Department of Pediatrics and Herman B. Wells Center, Indiana University School of Medicine, Indianapolis, IN, USA
Department of Pediatrics, University of California, San Francisco, CA, USA; Comprehensive Cancer Center, University of California, San Francisco, CA, USA
* Corresponding author; email: kevins{at}itsa.ucsf.edu.
PTPN11 encodes the protein tyrosine phosphatase SHP-2, which relays signals from growth factor receptors to Ras and other effectors. Germline PTPN11 mutations underlie ~50% of Noonan Syndrome (NS), a developmental disorder that is associated with an elevated risk of juvenile myelomonocytic leukemia (JMML). Somatic PTPN11 mutations were recently identified in ~35% of JMML patients; these mutations introduce amino acid substitutions that are largely distinct from those found in NS. We assessed the functional consequences of leukemia-associated PTPN11 mutations in murine hematopoietic cells. Expressing an E76K SHP-2 protein induced a hypersensitive pattern of colony-forming unit granulocyte-macrophage (CFU-GM) colony growth in response to granulocyte-macrophage colony-stimulating factor (GM-CSF) and interleukin 3 (IL-3) that was dependent on SHP-2 catalytic activity. E76K SHP-2 expression also enhanced the growth of immature progenitor cells with high replating potential, perturbed erythroid growth, and impaired normal differentiation in liquid cultures. In addition, leukemia-associated SHP-2 proteins conferred a stronger hematopoietic phenotype than a germline mutation found in patients with NS. Mutant SHP-2 proteins induce aberrant growth in multiple hematopoietic compartments, which supports a primary role of hyperactive Ras in the pathogenesis of JMML.

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