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Blood, 15 September 2008, Vol. 112, No. 6, pp. 2500-2507.
Prepublished online as a Blood First Edition Paper on June 6, 2008; DOI 10.1182/blood-2007-11-126268.
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Submitted November 29, 2007
Accepted April 20, 2008
FIP1L1/PDGFR synergizes with SCF to induce systemic mastocytosis in a murine model of chronic eosinophilic leukemia/hypereosinophilic syndrome
Yoshiyuki Yamada, Abel Sanchez-Aguilera, Eric B Brandt, Melissa McBride, Nabeel JH Al-Moamen, Fred D Finkelman, David A Williams, Jose A Cancelas, and Marc E Rothenberg*
Division of Allergy and Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
Division of Experimental Hematology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
Department of Molecular Genetics, Biochemistry, and Microbiology, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States
Division of Immunology, University of Cincinnati College of Medicine, Cincinnati, Ohio, United States
Division of Hematology/Oncology, Children's Hospital, Harvard Medical School, Boston, MA, United States
Hoxworth Blood Center, University of Cincinnati College of Medicine, Cincinnati, OH, United States
* Corresponding author; email: rothenberg{at}cchmc.org.
Expression of the fusion gene FIP1-like 1/platelet-derived growth factor receptor alpha (FIP1L1/PDGFR , F/P) and dysregulated c-kit tyrosine kinase activity are associated with systemic mastocytosis (SM) and chronic eosinophilic leukemia (CEL) /hypereosinophilic syndrome (HES). We analyzed SM development and pathogenesis in a murine CEL model induced by F/P in hematopoietic stem cells and progenitors (HSC/P) and T-cell overexpression of IL-5 (F/P positive CEL mice). These mice had more mast cell (MC) infiltration in the bone marrow (BM), spleen, skin and small intestine than control mice transplanted with IL-5 transgenic HSC/P. Moreover, intestinal MC infiltration induced by F/P expression was severely diminished, but not abolished, in mice injected with neutralizing anti-c-kit antibody, suggesting that endogenous stem cell factor (SCF)/c-kit interaction synergizes with F/P expression to induce SM. F/P-expressing BM HSC/P showed proliferation and MC differentiation in vitro in the absence of cytokines. SCF stimulated significantly greater migration of F/P-expressing MC than mock vector-transduced MC. F/P-expressing BMMC survived longer than mock-vector control BMMC in cytokine-deprived conditions. The increased proliferation and survival correlated with increased SCF-induced Akt activation. In summary, F/P synergistically promotes MC development, activation and survival in vivo and in vitro in response to SCF.

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