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</script>Acute lymphoblastic leukemia (ALL) is the most common childhood cancer; however, its genetic diversity limits investigation into the molecular pathogenesis of disease and development of therapeutic strategies. Here, we engineered mice that conditionally express the E2A-PBX1 fusion oncogene, which results from chromosomal translocation t(1;19) and is present in 5% to 7% of pediatric ALL cases. The incidence of leukemia in these mice varied from 5% to 50%, dependent on the Cre-driving promoter (Cd19, Mb1, or Mx1) used to induce E2A-PBX1 expression. Two distinct but highly similar subtypes of B cell precursor ALLs that differed by their pre-B cell receptor (pre-BCR) status were induced and displayed maturation arrest at the pro-B/large pre-B II stages of differentiation, similar to human E2A-PBX1 ALL. Somatic activation of E2A-PBX1 in B cell progenitors enhanced self-renewal and led to acquisition of multiple secondary genomic aberrations, including prominent spontaneous loss of Pax5. In preleukemic mice, conditional Pax5 deletion cooperated with E2A-PBX1 to expand progenitor B cell subpopulations, increasing penetrance and shortening leukemia latency. Recurrent secondary activating mutations were detected in key signaling pathways, most notably JAK/STAT, that leukemia cells require for proliferation. These data support conditional E2A-PBX1 mice as a model of human ALL and suggest targeting pre-BCR signaling and JAK kinases as potential therapeutic strategies.
Homeodomain Proteins, B-Lymphocytes, Oncogene Proteins, Fusion, Gene Expression Regulation, Leukemic, PAX5 Transcription Factor, Cell Differentiation, Mice, Transgenic, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Mice, STAT Transcription Factors, Cell Line, Tumor, Mutation, Animals, Humans, Cell Proliferation, Janus Kinases
Homeodomain Proteins, B-Lymphocytes, Oncogene Proteins, Fusion, Gene Expression Regulation, Leukemic, PAX5 Transcription Factor, Cell Differentiation, Mice, Transgenic, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Mice, STAT Transcription Factors, Cell Line, Tumor, Mutation, Animals, Humans, Cell Proliferation, Janus Kinases
| citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 53 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
