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Blood, 1 June 2006, Vol. 107, No. 11, pp. 4274-4281.
Prepublished online as a Blood First Edition Paper on February 14, 2006; DOI 10.1182/blood-2005-12-4824.
Previous Article | Next Article 
Submitted December 6, 2005
Accepted January 20, 2006
Expression of Jak2V617F causes a polycythemia vera-like disease with associated myelofibrosis in a murine bone marrow transplant model
Gerlinde Wernig, Thomas Mercher, Rachel Okabe, Ross L Levine, Benjamin H Lee, and D G Gilliland*
Division of Hematology, Department of Medicine, Harvard Medical School, Boston, MA, USA
Division of Hematology, Department of Medicine, Harvard Medical School, Boston, MA, USA; Department of Medical Oncology, Dana-Faber Cancer Institute, Harvard Medical School, Boston, MA, USA
Division of Hematology, Department of Medicine, Harvard Medical School, Boston, MA, USA; Department of Pathology, Brigham and Women's Hospital, Boston, MA, USA
Division of Hematology, Department of Medicine, Harvard Medical School, Boston, MA, USA; Howard Hughes Medical Institute, Boston, MA, USA
* Corresponding author; email: ggilliland{at}rics.bwh.harvard.edu.
An acquired somatic mutation, Jak2V617F, was recently discovered in the majority of patients with polycythemia vera (PV), chronic idiopathic myelofibrosis (CIMF) and essential thrombocythemia (ET). To investigate the role of this mutation in vivo we transplanted bone marrow (BM) transduced with a retrovirus expressing either Jak2 wildtype (wt) or Jak2V617F into lethally irradiated syngeneic recipient mice. Expression of Jak2V617F, but not Jak2wt resulted in clinico-pathological features that closely resembled PV in humans. These included striking elevation in hemoglobin/hematocrit, leukocytosis, megakaryocyte hyperplasia, extramedullary hematopoiesis resulting in splenomegaly, and reticulin fibrosis in the bone marrow. Histopathology and flow cytometric analysis showed an increase in maturing myeloid lineage progenitors, although megakaryocytes showed decreased polyploidization and staining for acetylcholinesterase. In vitro analysis of primary cells showed constitutive activation of Stat5 and cytokine independent growth of CFU-e and erythropoietin hypersensitivity, and Southern blot for retroviral integration indicated that the disease was oligoclonal. Furthermore, we observed strain-specific differences in phenotype with Balb/C mice demonstrating markedly elevated leukocyte counts, splenomegaly and reticulin fibrosis when compared with C57Bl/6 mice. We conclude that expression of Jak2V617F in bone marrow progenitors results in a PV-like syndrome with myelofibrosis, and that there are strain specific modifiers that may in part explain phenotypic pleiotropy of Jak2V617F-associated myeloproliferative disease in humans.

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