Targeting the CALR interactome in myeloproliferative neoplasms Journal Article


Authors: Pronier, E.; Cifani, P.; Merlinsky, T. R.; Berman, K. B.; Somasundara, A. V. H.; Rampal, R. K.; LaCava, J.; Wei, K. E.; Pastore, F.; Maag, J. L. V.; Park, J.; Koche, R.; Kentsis, A.; Levine, R. L.
Article Title: Targeting the CALR interactome in myeloproliferative neoplasms
Abstract: Mutations in the ER chaperone calreticulin (CALR) are common in myeloproliferative neoplasm (MPN) patients, activate the thrombopoietin receptor (MPL), and mediate constitutive JAK/STAT signaling. The mechanisms by which CALR mutations cause myeloid transformation are incompletely defined. We used mass spectrometry proteomics to identify CALR-mutant interacting proteins. Mutant CALR caused mislocalization of binding partners and increased recruitment of FLI1, ERP57, and CALR to the MPL promoter to enhance transcription. Consistent with a critical role for CALR-mediated JAK/STAT activation, we confirmed the efficacy of JAK2 inhibition on CALR-mutant cells in vitro and in vivo. Due to the altered interactome induced by CALR mutations, we hypothesized that CALR-mutant MPNs may be vulnerable to disruption of aberrant CALR protein complexes. A synthetic peptide designed to competitively inhibit the carboxy terminal of CALR specifically abrogated MPL/JAK/STAT signaling in cell lines and primary samples and improved the efficacy of JAK kinase inhibitors. These findings reveal what to our knowledge is a novel potential therapeutic approach for patients with CALR-mutant MPN.
Keywords: signal transduction; oncology; proteomics; drug therapy; hematology
Journal Title: JCI Insight
Volume: 3
Issue: 22
ISSN: 2379-3708
Publisher: Amer Soc Clinical Investigation Inc  
Date Published: 2018-11-15
Start Page: e122703
Language: English
DOI: 10.1172/jci.insight.122703
PUBMED: 30429377
PROVIDER: scopus
PMCID: PMC6302938
DOI/URL:
Notes: Source: Scopus
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MSK Authors
  1. Raajit Kumar Rampal
    339 Rampal
  2. Ross Levine
    778 Levine
  3. Richard Patrick Koche
    174 Koche
  4. Elodie Pronier
    10 Pronier
  5. Alex   Kentsis
    103 Kentsis
  6. Paolo   Cifani
    32 Cifani
  7. Friederike   Pastore
    12 Pastore
  8. Jesper Lars Viktor Maag
    14 Maaaag
  9. Karen Elizabeth Wei
    1 Wei
  10. Katharine Barr Berman
    4 Berman
  11. Jane Park
    8 Park