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Updated: Apr 23, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
JAK2V617F promotes replication fork stalling with disease-restricted impairment of the intra-S checkpoint response
Edwin Chen1, Jong Sook Ahn1, Charlie E Massie1
1Cambridge Institute for Medical Research, Medical Research Council/Wellcome Trust Cambridge Stem Cell Institute, and Department of Haematology, University of Cambridge, Cambridge CB2 0XY, United Kingdom;
Abstract:
Cancers result from the accumulation of genetic lesions, but the cellular consequences of driver mutations remain unclear, especially during the earliest stages of malignancy. The V617F mutation in the JAK2 non-receptor tyrosine kinase (JAK2V617F) is present as an early somatic event in most patients with myeloproliferative neoplasms (MPNs), and the study of these chronic myeloid malignancies provides an experimentally tractable approach to understanding early tumorigenesis. Introduction of exogenous JAK2V617F impairs replication fork progression and is associated with activation of the intra-S checkpoint, with both effects mediated by phosphatidylinositide 3-kinase (PI3K) signaling. Analysis of clonally derived JAK2V617F-positive erythroblasts from MPN patients also demonstrated impaired replication fork progression accompanied by increased levels of replication protein A (RPA)-containing foci. However, the associated intra-S checkpoint response was impaired in erythroblasts from polycythemia vera (PV) patients, but not in those from essential thrombocythemia (ET) patients. Moreover, inhibition of p53 in PV erythroblasts resulted in more gamma-H2Ax (γ-H2Ax)-marked double-stranded breaks compared with in like-treated ET erythroblasts, suggesting the defective intra-S checkpoint function seen in PV increases DNA damage in the context of attenuated p53 signaling. These results demonstrate oncogene-induced impairment of replication fork progression in primary cells from MPN patients, reveal unexpected disease-restricted differences in activation of the intra-S checkpoint, and have potential implications for the clonal evolution of malignancies.
Insights
The JAK2V617F mutation impairs DNA replication fork progression in myeloproliferative neoplasms (MPNs). This study reveals disease-specific differences in the intra-S checkpoint response, impacting DNA damage accumulation in MPN patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Cancers arise from accumulated genetic lesions, but early-stage cellular consequences of driver mutations are not fully understood.
- The JAK2 V617F mutation is an early event in myeloproliferative neoplasms (MPNs), offering a model for studying early tumorigenesis.
- JAK2V617F impacts DNA replication and activates the intra-S checkpoint via PI3K signaling.
Purpose of the Study:
- To investigate the cellular consequences of the JAK2V617F mutation in early tumorigenesis.
- To analyze replication fork progression and intra-S checkpoint activation in MPN erythroblasts.
- To explore disease-specific differences in DNA damage response in polycythemia vera (PV) and essential thrombocythemia (ET).
Main Methods:
- Analysis of clonally derived JAK2V617F-positive erythroblasts from MPN patients.
- Assessment of replication fork progression and replication protein A (RPA) foci.
- Evaluation of intra-S checkpoint response and gamma-H2Ax (γ-H2Ax) double-strand breaks following p53 inhibition.
Main Results:
- JAK2V617F expression impairs replication fork progression in primary MPN cells.
- Intra-S checkpoint response was impaired in polycythemia vera (PV) erythroblasts but not in essential thrombocythemia (ET) erythroblasts.
- Inhibition of p53 in PV erythroblasts led to increased γ-H2Ax foci compared to ET erythroblasts, indicating higher DNA damage.
Conclusions:
- Oncogene-induced replication stress occurs in primary MPN cells.
- Disease-specific differences in intra-S checkpoint activation exist within MPNs.
- Defective intra-S checkpoint function in PV, coupled with attenuated p53 signaling, may increase DNA damage and influence clonal evolution.
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