We previously found that when transplanted with 2.5 × 10
5 bone marrow cells (CD45.2
+) isolated from Nras G12D/G12D mice along with an equal number of wild-type competitor cells (CD45.1
+), 0 out of 64 recipient mice developed a sustained MPD.
1 Moreover, we noticed that the transient MPD phenotypes always diminished after Nras G12D/G12D HSC activity disappeared as demonstrated by the disappearance of donor-derived CD45.
2 cells in peripheral blood over time (data not shown). Thus, we hypothesized that MPD phenotypes are maintained by genetically altered HSCs and Nras G12D/G12D signaling might substantially alter HSC behaviors (e.g., induce their proliferative exhaustion) so that these HSCs no longer sustain MPD phenotypes to a lethal stage in recipient mice. To test this hypothesis, we increased donor cell number to 1 × 10
6 Nras G12D/G12D bone marrow cells with an equal number of wild-type competitor cells. If our hypothesis is correct, the increased number of Nras G12D/G12D HSCs may be able to sustain the development of a lethal MPD in recipient mice.
At this higher dose of HSCs, all the recipient mice died of lethal hematopoietic malignancies (n = 18) 4–8.5 mo after transplant (). This disease latency is not significantly different from that reported at a lower cell dose.
1 We analyzed hematopoietic phenotypes in diseased animals. Fourteen mice developed MPD (), similar to the chronic MPD developed in recipient mice transplanted with Nras G12D/+ bone marrow cells (). Clearly, at its endogenous level, Nras G12D/G12D does not promote the transformation of chronic MPD to acute myeloid leukemia. It does, however, significantly shorten the disease latency compared with Nras G12D/+ (6–24 mo after transplant).
1 Four recipient mice developed a thymic T-cell disease closely resembling TALL (). Interestingly, unlike the TALL developed in recipient mice with a lower cell dose, the TALL developed at a higher cell dose were CD44 negative (). Three recipient mice developed a B-cell disease in thymus and lymph nodes, closely resembling acute B-cell lymphoblastic leukemia/lymphoma (BALL) (
and E). This disease has not been found in recipient mice transplanted with either Nras G12D/+ cells
4 or Nras G12D/G12D cells at a lower cell dose,
1 suggesting that BALL requires both Nras G12D/G12D signaling and sustained HSC activity. We examined the immunophenotypes of the malignant B cells and found that they were CD43
+/− CD19
+ CD25
− IgM
+/− (data not shown). The development of BALL is not a total surprise as we previously observed abnormal B-cell development in 1 out of 10 recipient mice transplanted with Kras G12D cells.
5 However, this mouse died of a lethal MPD closely resembling juvenile myelonomocytic leukemia and TALL ~3.5 mo after transplant and did not develop a lethal B-cell disease in a timely manner. In contrast, recipient mice transplanted with Nras G12D/G12D cells developed a lethal MPD and/or TALL significantly more slowly, which allowed BALL development. It is notable that some of the MPD animals simultaneously developed TALL or BALL.
The development of highly penetrant MPD in recipient mice transplanted with a higher dose of Nras G12D/G12D cells supports our second hypothesis. Currently, we are actively investigating how Nras G12D/G12D signaling affects HSC function.