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Transduction-Transplantation Mouse Model of Myeloproliferative Neoplasm
Published on: December 22, 2016
JAK2/IDH-mutant-driven myeloproliferative neoplasm is sensitive to combined targeted inhibition
Anna Sophia McKenney1,2,3, Allison N Lau4, Amritha Varshini Hanasoge Somasundara3
1Weill Cornell/Rockefeller/Sloan Kettering Tri-Institutional MD-PhD Program, New York, New York, USA.
Abstract:
Patients with myeloproliferative neoplasms (MPNs) frequently progress to bone marrow failure or acute myeloid leukemia (AML), and mutations in epigenetic regulators such as the metabolic enzyme isocitrate dehydrogenase (IDH) are associated with poor outcomes. Here, we showed that combined expression of Jak2V617F and mutant IDH1R132H or Idh2R140Q induces MPN progression, alters stem/progenitor cell function, and impairs differentiation in mice. Jak2V617F Idh2R140Q-mutant MPNs were sensitive to small-molecule inhibition of IDH. Combined inhibition of JAK2 and IDH2 normalized the stem and progenitor cell compartments in the murine model and reduced disease burden to a greater extent than was seen with JAK inhibition alone. In addition, combined JAK2 and IDH2 inhibitor treatment also reversed aberrant gene expression in MPN stem cells and reversed the metabolite perturbations induced by concurrent JAK2 and IDH2 mutations. Combined JAK2 and IDH2 inhibitor therapy also showed cooperative efficacy in cells from MPN patients with both JAK2mut and IDH2mut mutations. Taken together, these data suggest that combined JAK and IDH inhibition may offer a therapeutic advantage in this high-risk MPN subtype.
Insights
Combining JAK and IDH inhibition therapies may treat high-risk myeloproliferative neoplasms (MPNs). This approach normalized stem cell function and reduced disease burden in mice and patient cells.
Area of Science:
- Hematology
- Oncology
- Molecular Biology
Background:
- Myeloproliferative neoplasms (MPNs) can progress to bone marrow failure or acute myeloid leukemia (AML).
- Mutations in epigenetic regulators like isocitrate dehydrogenase (IDH) are linked to poor MPN outcomes.
- Concurrent mutations in JAK2 and IDH are observed in high-risk MPN patients.
Purpose of the Study:
- To investigate the impact of combined JAK2 and IDH mutations on MPN development and progression.
- To evaluate the therapeutic potential of combined JAK2 and IDH inhibition in MPN models.
Main Methods:
- Utilized a murine model with combined Jak2V617F and mutant IDH1R132H or Idh2R140Q expression.
- Assessed the efficacy of small-molecule inhibitors targeting IDH and JAK2.
- Analyzed stem/progenitor cell function, differentiation, gene expression, and metabolite profiles.
- Tested combined inhibitor efficacy in patient-derived cells with concurrent JAK2 and IDH2 mutations.
Main Results:
- Combined Jak2V617F and Idh2R140Q mutations induced MPN progression, altered stem/progenitor cell function, and impaired differentiation in mice.
- MPNs driven by Jak2V617F and Idh2R140Q mutations responded to IDH inhibition.
- Combined JAK2 and IDH2 inhibition normalized stem/progenitor cell compartments and reduced disease burden more effectively than JAK inhibition alone.
- Combined therapy reversed aberrant gene expression and metabolite perturbations in MPN stem cells.
- Cooperative efficacy was observed in patient cells with concurrent JAK2 and IDH2 mutations.
Conclusions:
- Combined JAK and IDH inhibition demonstrates therapeutic potential for high-risk MPN subtypes with concurrent mutations.
- This dual-targeting strategy offers a promising approach to normalize cellular function and reduce disease burden in MPNs.
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