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Blood, 1 April 2008, Vol. 111, No. 7, pp. 3849-3858.
Prepublished online as a Blood First Edition Paper on February 1, 2008; DOI 10.1182/blood-2007-08-109942.


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Submitted August 31, 2007
Accepted January 27, 2008

Knock-in of an internal tandem duplication mutation into murine FLT3 confers myeloproliferative disease in a mouse model

Li Li, Obdulio Piloto, Ho Bao Nguyen, Kathleen Greenberg, Kogo Takamiya, Frederick Racke, David Huso, and Donald Small*

Department of Oncology, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins University School of Medicine, Baltimore, MD, United States
Department of Neurological Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, United States
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, United States
Department of Molecular and Comparative Pathobiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, United States

* Corresponding author; email: donsmall{at}jhmi.edu.

Constitutive activation of FLT3 by internal tandem duplication (ITD) mutations is one of the most common molecular alterations known in AML. To investigate the role FLT3/ITD mutations play in the development of leukemia, we generated a FLT3/ITD knock-in mouse model by inserting an ITD mutation into the juxtamembrane domain of murine FLT3. FLT3wt/ITD mice developed myeloproliferative disease, characterized by splenomegaly, leukocytosis, and myeloid hypercellularity, which progressed to mortality by 6-20 months. BM and spleen from FLT3wt/ITD mice had an increased fraction of granulocytes/monocytes and dendritic cells, and a decreased fraction of B lymphocytes. No sign of acute leukemia was observed over the lifetime of these mice. BM from FLT3wt/ITD mice showed enhanced potential to generate myeloid colonies in vitro. BM from FLT3wt/ITD mice also produced more spleen colonies in the in vivo spleen-CFU assay. In the long-term competitive repopulation assay, BM cells from FLT3wt/ITD mice outgrew the wild-type competitor cells and showed increased myeloid and reduced lymphoid expansion activity. In summary, our data indicate that expression of FLT3/ITD mutations alone is capable of conferring normal HSPCs with enhanced myeloid expansion. It also appears to suppress B lymphoid maturation. Additional cooperative events appear to be required to progress to acute leukemia.


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