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Blood, Vol. 93 No. 5 (March 1), 1999: pp. 1707-1714

TEL/PDGFbeta R Induces Hematologic Malignancies in Mice That Respond to a Specific Tyrosine Kinase Inhibitor

Michael H. Tomasson, Ifor R. Williams, Robert Hasserjian, Chirayu Udomsakdi, Shannon M. McGrath, Juerg Schwaller, Brian Druker, and D. Gary Gilliland

From the Division of Hematology, Brigham and Women's Hospital, Boston; Howard Hughes Medical Institute, Harvard Medical School, Boston, MA; Department of Pathology, Emory University, Atlanta, GA; Hammersmith Hospital, London, UK; and Oregon Health Sciences University, Portland, OR.

The TEL/PDGFbeta R fusion protein is expressed as the consequence of a recurring t(5;12) translocation associated with chronic myelomonocytic leukemia (CMML). Unlike other activated protein tyrosine kinases associated with hematopoietic malignancies, TEL/PDGFbeta R is invariably associated with a myeloid leukemia phenotype in humans. To test the transforming properties of TEL/PDGFbeta R in vivo, and to analyze the basis for myeloid lineage specificity in humans, we constructed transgenic mice with TEL/PDGFbeta R expression driven by a lymphoid-specific immunoglobulin enhancer-promoter cassette. These mice developed lymphoblastic lymphomas of both T and B lineage, demonstrating that TEL/PDGFbeta R is a transforming protein in vivo, and that the transforming ability of this fusion is not inherently restricted to the myeloid lineage. Treatment of TEL/PDGFbeta R transgenic animals with a protein tyrosine kinase inhibitor with in vitro activity against PDGFbeta R (CGP57148) resulted in suppression of disease and a prolongation of survival. A therapeutic benefit was apparent both in animals treated before the development of overt clonal disease and in animals transplanted with clonal tumor cells. These results suggest that small-molecule tyrosine kinase inhibitors may be effective treatment for activated tyrosine kinase-mediated malignancies both early in the course of disease and after the development of additional transforming mutations.


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