PMID- 14687986 OWN - NLM STAT- MEDLINE DCOM- 20060406 LR - 20111117 IS - 1592-8721 (Electronic) IS - 0390-6078 (Linking) VI - 88 IP - 12 DP - 2003 Dec TI - Lhx2 expression in hematopoietic progenitor/stem cells in vivo causes a chronic myeloproliferative disorder and altered globin expression. PG - 1336-47 AB - BACKGROUND AND OBJECTIVES: Chronic myeloproliferative disorders (CMDs) are thought to be due to mutation(s) in a single clone at the level of the hematopoietic stem cell (HSC). Such mutations and additional mutations causing progression of the disease are largely unknown. Chronic myeloid leukemia (CML) is a CMD characterized by a chromosomal translocation between chromosomes 9 and 22 creating the fusion protein BCR-ABL. This translocation has also been suggested to cause mis-expression of the LIM-homeobox gene Lhx2 in hematopoietic cells. We have previously shown that Lhx2 expression in mouse HSC generates cytokine-dependent stem cell-like cell lines that can produce long-term repopulation in stem cell-deficient mice. DESIGN AND METHODS: Since the consequences of Lhx2 expression in hematopoietic cells in vivo were unknown, mice engrafted with the stem cell-like cell lines were analyzed in detail for any pathologic changes. RESULTS: Expression of Lhx2 was maintained in vivo and most engrafted mice developed a myeloproliferative disorder characterized by splenomegaly, extramedullary hematopoiesis and anemia. The disorder was transplantable and the Lhx2-expressing cells could also cause acute leukemia. The anemia was due to both a reduced number of circulating erythrocytes and a reduced mean corpuscular hemoglobin concentration (MCHC). INTERPRETATION AND CONCLUSIONS: These observations suggest that constitutive expression of Lhx2 in hematopoietic cells causes CMD, and also that a novel cell-autonomous mechanism can contribute to anemia. FAU - Richter, Karin AU - Richter K AD - Umea Center for Molecular Medicine, Umea University, 901 87 Umea, Sweden. FAU - Pinto do O, Perpetua AU - Pinto do O P FAU - Hagglund, Anna-Carin AU - Hagglund AC FAU - Wahlin, Anders AU - Wahlin A FAU - Carlsson, Leif AU - Carlsson L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Haematologica JT - Haematologica JID - 0417435 RN - 0 (Homeodomain Proteins) RN - 0 (LIM-Homeodomain Proteins) RN - 0 (Lhx2 protein, mouse) RN - 0 (Transcription Factors) RN - 9004-22-2 (Globins) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-kit) RN - EC 5.3.1.9 (Glucose-6-Phosphate Isomerase) SB - IM MH - Anemia/genetics MH - Animals MH - Bone Marrow/pathology MH - Chronic Disease MH - Colony-Forming Units Assay MH - Disease Progression MH - Erythrocyte Count MH - Erythrocyte Indices MH - Gene Expression Regulation, Leukemic MH - Globins/*biosynthesis/genetics MH - Glucose-6-Phosphate Isomerase/genetics MH - Hematopoiesis, Extramedullary/genetics MH - Hematopoietic Stem Cell Transplantation/adverse effects MH - Hematopoietic Stem Cells/*pathology MH - Homeodomain Proteins/genetics/*physiology MH - LIM-Homeodomain Proteins MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/genetics/pathology MH - Leukemia, Myeloid/genetics/pathology MH - Leukocyte Count MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Myeloid Cells/pathology MH - Myeloproliferative Disorders/*genetics/pathology MH - Proto-Oncogene Proteins c-kit/genetics MH - Proviruses/genetics MH - Radiation Chimera MH - Spleen/pathology MH - Splenomegaly/etiology MH - Transcription Factors/genetics/*physiology MH - Transduction, Genetic EDAT- 2003/12/23 05:00 MHDA- 2006/04/07 09:00 CRDT- 2003/12/23 05:00 PHST- 2003/12/23 05:00 [pubmed] PHST- 2006/04/07 09:00 [medline] PHST- 2003/12/23 05:00 [entrez] PST - ppublish SO - Haematologica. 2003 Dec;88(12):1336-47.