Germline and somatic gain-of-function mutations in tyrosine phosphatase PTPN11 (SHP-2) are associated with juvenile myelomonocytic leukemia (JMML), a myeloproliferative disease (MPD) of early childhood. The mechanism by which PTPN11 mutations induce this disease is not fully understood. Signaling partners that mediate the pathogenic effects of PTPN11 mutations have not been explored. Here we report that germ line mutation Ptpn11 D61G in mice aberrantly accelerates hematopoietic stem cell (HSC) cycling, increases the stem cell pool, and elevates short-term and long-term repopulating capabilities, leading to the development of MPD. MPD is reproduced in primary and secondary recipient mice transplanted with Ptpn11 D61G/؉ whole bone marrow cells or purified Lineage ؊ Sca-1 ؉ c-Kit ؉ cells, but not lineage committed progenitors. The deleterious effects of Ptpn11 D61G mutation on HSCs are attributable to enhancing cytokine/growth factor signaling. The aberrant HSC activities caused by Ptpn11 D61G mutation are largely corrected by deletion of Gab2, a prominent interacting protein and target of Shp-2 in cell signaling. As a result, MPD phenotypes are markedly ameliorated in Ptpn11 D61G/؉ / Gab2 ؊/؊ double mutant mice. Collectively, our data suggest that oncogenic Ptpn11 induces MPD by aberrant activation of HSCs. This study also identifies Gab2 as an important mediator for the pathogenic effects of Ptpn11 mutations. (Blood. 2010;116(18): 3611-3621)
IntroductionJuvenile myelomonocytic leukemia (JMML), a myeloproliferative disease (MPD) of young children characterized by cytokine hypersensitivity of myeloid progenitors, is associated with mutations in the rat sarcoma viral oncogene (RAS) pathway. 1,2 Thirtyfive percent of patients with JMML have activating mutations in tyrosine phosphatase PTPN11 (SHP-2), a known positive regulator of the Ras pathway (see next paragraph), while activating mutations in RAS (N-RAS or K-RAS) and homozygous inactivation of NF1, a GTPase activating protein that negatively regulates RAS output, account for 20% and 15% of JMML cases, respectively. 1,2 More recently, loss-of-function mutations in a E3 ubiquitin ligase c-CBL have been identified in 10%-15% of patients with JMML. 3,4 PTPN11, RAS, NF1, and c-CBL mutations are usually mutually exclusive in patients. Remarkably, mutations in these genes play a causal role in the pathogenesis of JMML. Single disease mutations, such as Ptpn11 D61G/Y , K-Ras G12D , Nf1 deficiency, and Cbl deficiency, are necessary and sufficient to induce cytokine hypersensitivity in myeloid progenitors and JMML-like MPD in mice. [5][6][7][8][9][10][11][12] Ptpn11 (Shp-2), a ubiquitously expressed protein tyrosine phosphatase, is involved in multiple cell signaling processes, such as the RAS-MAP kinase, JAK/STAT, PI3K/AKT, NF-B, and NFAT pathways. [13][14][15] Intriguingly, despite its direct function in protein dephosphorylation, Shp-2 generally plays a positive role in transducing signals initiated from receptor and cytosolic kinases. This is particularly the case for ...