Novel activating JAK2 mutation in a patient with Down syndrome and B-cell precursor acute lymphoblastic leukemia

Blood. 2007 Mar 1;109(5):2202-4. doi: 10.1182/blood-2006-09-045963. Epub 2006 Oct 26.

Abstract

Activation of tyrosine kinase genes is a frequent event in human hematologic malignancies. Because gene activation could be associated with gene dysregulation, we attempted to screen for activating gene mutation based on high-level gene expression. We focused our study on the Janus kinase 2 (JAK2) gene in 90 cases of acute leukemia. This strategy led to the identification of a novel JAK2-acquired mutation in a patient with Down syndrome (DS) with B-cell precursor acute lymphoblastic leukemia (BCP-ALL). This mutation involves a 5-amino acid deletion within the JH2 pseudokinase domain (JAK2DeltaIREED). Expression of JAK2DeltaIREED in Ba/F3 cells induced constitutive activation of the JAK-STAT pathway and growth factor-independent cell proliferation. These results highlight the JAK2 pseudokinase domain as an oncogenic hot spot and indicate that activation of the JAK-STAT pathway may contribute to lymphoid malignancies and hematologic disorders observed in children with DS.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Sequence
  • Animals
  • B-Lymphocytes / cytology*
  • B-Lymphocytes / enzymology
  • Base Sequence
  • Cell Differentiation*
  • Cell Line, Tumor
  • Child, Preschool
  • Conserved Sequence
  • Down Syndrome / complications*
  • Down Syndrome / genetics
  • Enzyme Activation / genetics
  • Humans
  • Janus Kinase 2 / chemistry
  • Janus Kinase 2 / genetics*
  • Janus Kinase 2 / metabolism*
  • Mice
  • Molecular Sequence Data
  • Mutation / genetics
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / complications*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / enzymology*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / genetics
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / pathology
  • Sequence Alignment

Substances

  • Janus Kinase 2