Objective:
Myeloproliferative neoplasms (MPNs) are hematopoietic stem cell (HSC)-originated diseases with clonal myeloproliferation. The constitutive activation of the JAK/STAT pathway is frequently detected in patients with Philadelphia chromosome-negative (Ph
–
) MPNs with an acquired
JAK2
V617F mutation. The c-
MYC
proto-oncogene is associated with malignant growth and cellular transformation, and
JAK2
V617F was previously shown to induce constitutive expression of c-
MYC
. This study examines the expressional profile of c-
MYC
in Ph
–
MPNs with
JAK2
V617F and highlights its hierarchical level of activation in circulating hematopoietic stem/progenitor cell (HSPC) subgroups.
Materials and Methods:
Mononuclear cells (MNCs) of Ph
–
MPNs were fluorochrome-labeled in situ with wild-type (wt)
JAK2
or
JAK2
V617F mRNA gold nanoparticle technology and sorted simultaneously. Isolated populations of
JAK2
wt or
JAK2
V617F were evaluated for their c-
MYC
expressions. The MNCs of 14 Ph
–
MPNs were further isolated for the study of HSPC subgroups regarding their CD34 and CD133 expressions, evaluated for the presence of
JAK2
V617F, and compared to cord blood (CB) counterparts for the expression of c-
MYC
.
Results:
The mRNA-labeled gold nanoparticle-treated MNCs were determined to have the highest ratio of c-
MYC
relative fold-change expression in the biallelic
JAK2
V617F compartment compared to
JAK2
wt. The relative c-
MYC
expression in MNCs of MPNs was significantly increased compared to CB (p=0.01). The circulating HSPCs of CD133
+/–
CD34
−
MPNs had statistically significantly elevated c-
MYC
expression compared to CB.
Conclusion:
This is the first study of circulating CD133
+/–
CD34
−
cells in Ph
–
MPNs and it has revealed elevated c-
MYC
expression levels in HSCs/endothelial progenitor cells (HSCs/EPCs) and EPCs. Furthermore, the steady increase in the expression of c-
MYC
within MNCs carrying no mutations and monoallelic or biallelic
JAK2
V617F transcripts was notable. The presence of
JAK2
V617F with respect to c-
MYC
expression in the circulating HSCs/EPCs and EPCs of ...