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Blood, 2 April 2009, Vol. 113, No. 14, pp. 3337-3347. Prepublished online as a Blood First Edition Paper on January 23, 2009; DOI 10.1182/blood-2008-08-174813.
Submitted August 20, 2008
Division of Hematology/Oncology, Northwestern University, Chicago, IL, United States * Corresponding author; email: j-crispino{at}northwestern.edu.
ETS2 and ERG are transcription factors, encoded on human chromosome 21 (Hsa21), that have been implicated in human cancer. Individuals with Down syndrome (DS), who are trisomic for Hsa21, are predisposed to Acute Megakaryoblastic Leukemia (AMKL). DS-AMKL blasts harbor a mutation in GATA1, which lead to loss of full-length protein but expression of the GATA-1s isoform. To assess the consequences of ETS protein mis-expression on megakaryopoiesis, we expressed ETS2, ERG and the related protein FLI1 in wild-type and Gata1-mutant murine fetal liver progenitors. These studies revealed that ETS2, ERG and FLI-1 facilitated the expansion of megakaryocytes from wild-type, Gata1-knockdown and Gata1s knock-in progenitors, but none of the genes could overcome the differentiation block characteristic of the Gata1-knockdown megakaryocytes. Furthermore, although overexpression of ETS proteins increased the proportion of CD41+ cells generated from Gata1s-knock-in progenitors, their expression led to a significant reduction in the more mature CD42 fraction. Serial replating assays revealed that overexpression of ERG or FLI1 immortalized Gata1-knockdown and Gata1s knock-in, but not wild-type, fetal liver progenitors. Immortalization was accompanied by activation of the JAK/STAT pathway, commonly seen in megakaryocytic malignancies. These findings provide evidence for synergy between alterations in GATA-1 and overexpression of ETS proteins in aberrant megakaryopoiesis.
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