JAK2V617F-positive endothelial cells contribute to clotting abnormalities in myeloproliferative neoplasms

SL Etheridge, ME Roh, ME Cosgrove… - Proceedings of the …, 2014 - National Acad Sciences
SL Etheridge, ME Roh, ME Cosgrove, V Sangkhae, NE Fox, J Chen, JA López
Proceedings of the National Academy of Sciences, 2014National Acad Sciences
The Janus kinase 2 (JAK2) V617F mutation is the primary pathogenic mutation in patients
with Philadelphia chromosome-negative myeloproliferative neoplasms (MPNs). Although
thrombohemorrhagic incidents are the most common causes of morbidity and mortality in
patients with MPNs, the events causing these clotting abnormalities remain unclear. To
identify the cells responsible for the dysfunctional hemostasis, we used transgenic mice
expressing JAK2 V617F in specific lineages involved in thrombosis and hemostasis. When …
The Janus kinase 2 (JAK2) V617F mutation is the primary pathogenic mutation in patients with Philadelphia chromosome-negative myeloproliferative neoplasms (MPNs). Although thrombohemorrhagic incidents are the most common causes of morbidity and mortality in patients with MPNs, the events causing these clotting abnormalities remain unclear. To identify the cells responsible for the dysfunctional hemostasis, we used transgenic mice expressing JAK2V617F in specific lineages involved in thrombosis and hemostasis. When JAK2V617F was expressed in both hematopoietic and endothelial cells (ECs), the mice developed a significant MPN, characterized by thrombocytosis, neutrophilia, and splenomegaly. However, despite having significantly higher platelet counts than controls, these mice showed severely attenuated thrombosis following injury. Interestingly, platelet activation and aggregation in response to agonists was unaltered by JAK2V617F expression. Subsequent bone marrow transplants revealed the contribution of both endothelial and hematopoietic compartments to the attenuated thrombosis. Furthermore, we identified a potential mechanism for this phenotype through JAK2V617F-regulated inhibition of von Willebrand factor (VWF) function and/or secretion. JAK2V617F+ mice display a condition similar to acquired von Willebrand syndrome, exhibiting significantly less high molecular weight VWF and reduced agglutination to ristocetin. These findings greatly advance our understanding of thrombohemorrhagic events in MPNs and highlight the critical role of ECs in the pathology of hematopoietic malignancies.
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