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Blood, 15 June 2001, Vol. 97, No. 12, pp. 3910-3918
NEOPLASIA
H4(D10S170), a gene frequently rearranged in papillary
thyroid carcinoma, is fused to the platelet-derived growth factor
receptor gene in atypical chronic myeloid leukemia with
t(5;10)(q33;q22)
Juerg Schwaller,
Ema Anastasiadou,
Danielle Cain,
Jeff Kutok,
Sarah Wojiski,
Ifor R. Williams,
Roberta LaStarza,
Barbara Crescenzi,
David W. Sternberg,
Patrick Andreasson,
Roberta Schiavo,
Salvatore Siena,
Cristina Mecucci, and
D. Gary Gilliland
From the Division of Hematology, Department of
Medicine, and the Department of Pathology, Brigham and Women's
Hospital, and the Howard Hughes Medical Institute, Harvard Medical
School, Boston, MA; the Department of Pathology, Emory University,
Atlanta, GA; Divisione di Oncologia-Ematologia, Ospedale Niguarda Ca'
Granda, Milan, and Sezione di Ematologia, Università degli studi
di Perugia, Italy.
The molecular cloning of the t(5;10)(q33;q22) associated with
atypical chronic myeloid leukemia (CML) is reported.
Fluorescence in situ hybridization (FISH), Southern blot, and reverse
transcriptase- polymerase chain reaction analysis demonstrated that
the translocation resulted in an H4/platelet-derived growth
factor receptor R (PDGF R) fusion transcript that
incorporated 5' sequences from H4 fused in frame to 3'
PDGF R sequences encoding the transmembrane, WW-like, and
tyrosine kinase domains. FISH combined with immunophenotype analysis
showed that t(5;10)(q33;q22) was present in CD13+ and
CD14+ cells but was not observed in CD3+ or
CD19+ cells. H4 has previously been
implicated in pathogenesis of papillary thyroid carcinoma as a fusion
partner of RET. The H4/RET fusion incorporates 101 amino
acids of H4, predicted to encode a leucine zipper
dimerization domain, whereas the H4/PDGF R fusion incorporated an
additional 267 amino acids of H4. Retroviral transduction of H4/PDGF R, but not a kinase-inactive mutant, conferred
factor-independent growth to Ba/F3 cells and caused a T-cell
lymphoblastic lymphoma in a murine bone marrow transplantation assay of
transformation. Mutational analysis showed that the amino-terminal H4
leucine zipper domain (amino acids 55-93), as well as H4 amino acids
101 to 386, was required for efficient induction of factor-independent growth of Ba/F3 cells. Tryptophan-to-alanine substitutions in the
PDGF R WW-like domain at positions 566/593, or
tyrosine-to-phenylalanine substitutions at PDGF R positions
579/581 impaired factor-independent growth of Ba/F3 cells. H4/PDGF R
is an oncoprotein expressed in t(5;10)(q33;q22) atypical CML and
requires dimerization motifs in the H4 moiety, as well as residues
implicated in signal transduction by PDGF R, for efficient induction
of factor-independent growth of Ba/F3 cells.

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