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Blood, 15 August 2006, Vol. 108, No. 4, pp. 1339-1345.
Prepublished online as a Blood First Edition Paper on April 25, 2006April 20, 2006; DOI 10.1182/blood-2005-11-011429.
Previous Article | Next Article 
Submitted November 21, 2005
Accepted April 2, 2006
Roles of Tyrosine 589 and 591 in STAT5 activation and
transformation mediated by FLT3-ITD
Jennifer L Rocnik*, Rachel Okabe, Jin-Chen Yu, Neill Giese, David P Schenkein, and D Gary Gilliland
Brigham and Women's Hospital and Harvard Medical School, Boston, MA
Millenium Pharmaceuticals, Cambridge, MA
* Corresponding author; email: jrocnik{at}rics.bwh.harvard.edu.
Acquired mutations in the FLT3 receptor tyrosine kinase
are common in acute myeloid leukemia, and result in
constitutive activation. The most frequent mechanism of
activation is disruption of the juxtamembrane
autoregulatory domain by internal tandem duplications
(ITDs). FLT3-ITDs confer factor independent growth to
hematopoietic cells, and induce a myeloproliferative
syndrome in murine bone marrow transplant models. We,
and others, have observed that FLT3-ITD activates STAT5
and its downstream effectors, whereas ligand stimulated
wild type FLT3 (FLT3WT) does not. In vitro mapping of
tyrosine phosphorylation sites in FLT3-ITD identified
two candidate STAT5 docking sites within the
juxtamembrane domain that is disrupted by the ITD.
Tyrosine to phenylalanine substitution of residues 589
and 591 in the context of the FLT3-ITD did not affect
tyrosine kinase activity, but abrogated STAT5
activation. Furthermore, FLT3-ITD Y589/591F was
incapable of inducing a myeloproliferative phenotype
when transduced into primary murine bone marrow cells,
whereas FLT3-ITD induced myeloproliferative disease with
a median latency of 50 days. Thus, the conformational
change in the FLT3 juxtamembrane domain induced by the
ITD activates the kinase through dysregulation of
autoinhibition, and results in qualitative differences
in signal transduction through STAT5 that are essential
for the transforming potential of FLT3-ITD in vivo.

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