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Blood, 15 November 2008, Vol. 112, No. 10, pp. 4220-4226.
Prepublished online as a Blood First Edition Paper on August 28, 2008; DOI 10.1182/blood-2008-01-136366.


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Submitted January 28, 2008
Accepted July 21, 2008

Activating mutations in human acute megakaryoblastic leukemia

Sebastien Malinge, Christine Ragu, Veronique Della-Valle, Didier Pisani, Stefan N Constantinescu, Christelle Perez, Jean-Luc Villeval, Dirk Reinhardt, Judith Landman-Parker, Lucienne Michaux, Nicole Dastugue, Andre Baruchel, William Vainchenker, Jean-Pierre Bourquin, Virginie Penard-Lacronique*, and Olivier A Bernard

INSERM, E0210, Paris, France
Universite Rene Descartes, Paris, France
INSERM, U790, IFR54, Institut Gustave Roussy, Villejuif, France
Ludwig Institute for Cancer Research, Universite catholique de Louvain, Brussels, Belgium
Universite Paris XI, Orsay, France
Medizinische Hochschule Hannover, Hannover, Germany
Service d'hematologie et d'oncologie pediatrique Hopital d'Enfant Armand Trousseau, AP-HP, Paris, France
Cliniques Universitaires St Luc, Brussels, Belgium
Laboratoire d’Hematologie, Genetique des Hemopathies, Hopital Purpan, Toulouse, France
Service d'hematologie pediatrique Hopital St Louis, AP-HP, Paris, France
Division of Oncology, Universitaets-Kinderklinik Zurich, Zurich, Switzerland

* Corresponding author; email: virginie.penard-lacronique{at}inserm.fr.

Oncogenic activation of tyrosine kinase signaling pathway is recurrent in human leukemia. To gain insight into the oncogenic process leading to acute megakaryoblastic leukemia (AMKL) we performed sequence analyses of a subset of oncogenes known to be activated in human myeloid and myeloproliferative disorders. In a series of human AMKL samples from both Down Syndrome and non-Down Syndrome patients, mutations were identified within KIT, FLT3, JAK2, JAK3 and MPL genes with a higher frequency in DS than in non-DS patients. The novel mutations were analyzed using BaF3 cells, showing that JAK3 mutations were activating mutations. Finally, we report a novel constitutively active MPL mutant, MPLT487A, observed in a non-Down Syndrome childhood AMKL that induces a myeloproliferative disease in mouse bone marrow transplantation assay.


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