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Blood, 15 September 2008, Vol. 112, No. 6, pp. 2429-2438.
Prepublished online as a Blood First Edition Paper on July 8, 2008; DOI 10.1182/blood-2008-02-137877.
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Submitted February 6, 2008
Accepted July 2, 2008
The hematopoietic stem cell compartment of JAK2V617F positive myeloproliferative disorders is a reflection of disease heterogeneity
Chloe James*, Frederic Mazurier, Sabrina Dupont, Ronan Chaligne, Isabelle Lamrissi-Garcia, Micheline Tulliez, Eric Lippert, Francois-Xavier Mahon, Jean-Max Pasquet, Gabriel Etienne, Francois Delhommeau, Stephane Giraudier, William Vainchenker, and Hubert de Verneuil
INSERM U876, Universite Bordeaux, Bordeaux, France
Universite V. Segalen Bordeaux 2, Bordeaux, France
INSERM UMR790, Institut Gustave Roussy, Villejuif, France
Universite Paris XI, Villejuif, France
Laboratoire d'anatomie et de cytologie pathologiques, Hopital Cochin, AP-HP, Paris, France
Laboratoire d'hematologie, CHU de Bordeaux, Bordeaux, France
Departement d'hematologie, Institut Bergonie, Bordeaux, France
Labatoire d'hematologie, Hopital Saint Antoine, AP-HP, Paris, France
Labatoire d'hematologie, Hopital Henri Mondor, AP-HP, Creteil, France
* Corresponding author; email: chloe.james{at}wanadoo.fr.
The JAK2V617F somatic point mutation has been described in patients with myeloproliferative disorders (MPD). Despite this progress, it remains unknown how a single JAK2 mutation causes three different MPD phenotypes, polycythemia vera (PV), essential thrombocythemia and primitive myelofibrosis (PMF). Using an in vivo xenotransplantation assay in nonobese diabetic-severe combined immunodeficient (NOD/SCID) mice, we tested whether disease heterogeneity was associated with quantitative or qualitative differences in the hematopoietic stem cell (HSC) compartment. We show that the HSC compartment of PV and PMF patients contains JAK2V617F-positive long-term, multipotent and self-renewing cells. However, the proportion of JAK2V617F and JAK2 wild type SCID repopulating cells (SRC) was dramatically different in these diseases, without major modifications of the self-renewal and proliferation capacities for JAK2V617F SRC. These experiments provide new insights into the pathogenesis of JAK2V617F MPD and demonstrate that a JAK2 inhibitor needs to target the HSC compartment for optimal disease control in classical MPD.

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