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Blood, 29 January 2009, Vol. 113, No. 5, pp. 1086-1096. Prepublished online as a Blood First Edition Paper on October 24, 2008; DOI 10.1182/blood-2008-01-132316.
Submitted January 9, 2008
Department of Genetics, Cell Biology, and Development, University of Minnesota, Minneapolis, MN, United States * Corresponding author; email: larga002{at}umn.edu.
To study the oncogenic role of the NRAS oncogene (NRASG12V) in the context of acute myeloid leukemia (AML), we used a Vav promoter-tetracycline transactivator (Vav-(tTA)-driven repressible TRE-NRASG12V transgene system in Mll-AF9 knock-in mice developing AML. Conditional repression of NRASG12V expression greatly reduced peripheral white blood cell (WBC) counts in leukemia recipient mice and induced apoptosis in the transplanted AML cells correlated with reduced Ras/Erk signaling. After marked decrease of AML blast cells, myeloproliferative disease (MPD)-like AML relapsed characterized by cells that did not express NRASG12V. In comparison with primary AML, the MPD-like AML showed significantly reduced aggressiveness, reduced myelosuppression and a more differentiated phenotype. We conclude that, in AML induced by an Mll-AF9 transgene, NRASG12V expression contributes to acute leukemia maintenance by suppressing apoptosis and reducing differentiation of leukemia cells. Moreover, NRASG12V oncogene has a cell non-autonomous role in suppressing erythropoiesis that results in the MPD-like AML showed significantly reduced ability to induce anemia. Our results imply that targeting NRAS or RAS oncogene activated pathways is a good therapeutic strategy for AML and attenuating aggressiveness of relapsed AML.
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