Activation of JAK/STAT signaling in megakaryocytes sustains myeloproliferation in vivo Journal Article


Authors: Woods, B.; Chen, W.; Chiu, S.; Marinaccio, C.; Fu, C.; Gu, L.; Bulic, M.; Yang, Q.; Zouak, A.; Jia, S.; Suraneni, P. K.; Xu, K.; Levine, R. L.; Crispino, J. D.; Wen, Q. J.
Article Title: Activation of JAK/STAT signaling in megakaryocytes sustains myeloproliferation in vivo
Abstract: Purpose: The myeloproliferative neoplasms (MPN), including polycythemia vera, essential thrombocythemia, and primary myelofibrosis, are characterized by the expansion of the erythroid, megakaryocytic, and granulocytic lineages. A common feature of these disorders is the presence of abnormal megakaryocytes, which have been implicated as causative agents in the development of bone marrow fibrosis. However, the specific contributions of megakaryocytes to MPN pathogenesis remain unclear. Experimental Design: We used Pf4-Cre transgenic mice to drive expression of JAK2V617F in megakaryocyte lineage-committed hematopoietic cells. We also assessed the critical role of mutant megakaryocytes in MPN maintenance through cell ablation studies in JAK2V617F and MPLW515L BMT models of MPN. Results: JAK2V617F-mutant presence in megakaryocytes was sufficient to induce enhanced erythropoiesis and promote fibrosis, which leads to a myeloproliferative state with expansion of mutant and nonmutant hematopoietic cells. The increased erythropoiesis was associated with elevated IL6 level, which was also required for aberrant erythropoiesis in vivo. Furthermore, depletion of megakaryocytes in the JAK2V617F and MPLW515L BMT models ameliorated polycythemia and leukocytosis in addition to expected effects on megakaryopoiesis. Conclusions: Our observations reveal that JAK/STAT pathway activation in megakaryocytes induces myeloproliferation and is necessary for MPN maintenance in vivo. These observations indicate that MPN clone can influence the behavior of the wild-type hematopoietic milieu, at least, in part, via altered production of proinflammatory cytokines and chemokines. Our findings resonate with patients who present with a clinical MPN and a low JAK2V617F allele burden, and support the development of MPN therapies aimed at targeting megakaryocytes. © 2019 American Association for Cancer Research.
Keywords: controlled study; protein expression; myeloproliferative disorder; janus kinase 2; pathogenesis; nonhuman; cell proliferation; animal cell; mouse; phenotype; animal tissue; erythroid precursor cell; erythropoiesis; animal experiment; animal model; in vivo study; cell differentiation; cell population; cell lineage; erythroid cell; hematopoietic cell; interleukin 6; hematopoiesis; blood cell count; megakaryocyte; cell expansion; diphtheria toxin; polycythemia vera; spleen cell; priority journal; article; bone marrow derived mononuclear cell
Journal Title: Clinical Cancer Research
Volume: 25
Issue: 19
ISSN: 1078-0432
Publisher: American Association for Cancer Research  
Date Published: 2019-10-01
Start Page: 5901
End Page: 5912
Language: English
DOI: 10.1158/1078-0432.Ccr-18-4089
PUBMED: 31217200
PROVIDER: scopus
PMCID: PMC6774846
DOI/URL:
Notes: Article -- Export Date: 1 November 2019 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Ross Levine
    775 Levine
  2. Brittany Anne Woods
    11 Woods
  3. Sophia   Chiu
    6 Chiu
  4. Lilly Gu
    10 Gu
  5. Anouar Zouak
    4 Zouak