Mutant calreticulin knockin mice develop thrombocytosis and myelofibrosis without a stem cell self-renewal advantage

J Li, D Prins, HJ Park, J Grinfeld… - Blood, The Journal …, 2018 - ashpublications.org
J Li, D Prins, HJ Park, J Grinfeld, C Gonzalez-Arias, S Loughran, OM Dovey, T Klampfl…
Blood, The Journal of the American Society of Hematology, 2018ashpublications.org
Somatic mutations in the endoplasmic reticulum chaperone calreticulin (CALR) are detected
in approximately 40% of patients with essential thrombocythemia (ET) and primary
myelofibrosis (PMF). Multiple different mutations have been reported, but all result in a+ 1-bp
frameshift and generate a novel protein C terminus. In this study, we generated a conditional
mouse knockin model of the most common CALR mutation, a 52-bp deletion. The mutant
novel human C-terminal sequence is integrated into the otherwise intact mouse CALR gene …
Abstract
Somatic mutations in the endoplasmic reticulum chaperone calreticulin (CALR) are detected in approximately 40% of patients with essential thrombocythemia (ET) and primary myelofibrosis (PMF). Multiple different mutations have been reported, but all result in a +1-bp frameshift and generate a novel protein C terminus. In this study, we generated a conditional mouse knockin model of the most common CALR mutation, a 52-bp deletion. The mutant novel human C-terminal sequence is integrated into the otherwise intact mouse CALR gene and results in mutant CALR expression under the control of the endogenous mouse locus. CALRdel/+ mice develop a transplantable ET-like disease with marked thrombocytosis, which is associated with increased and morphologically abnormal megakaryocytes and increased numbers of phenotypically defined hematopoietic stem cells (HSCs). Homozygous CALRdel/del mice developed extreme thrombocytosis accompanied by features of MF, including leukocytosis, reduced hematocrit, splenomegaly, and increased bone marrow reticulin. CALRdel/+ HSCs were more proliferative in vitro, but neither CALRdel/+ nor CALRdel/del displayed a competitive transplantation advantage in primary or secondary recipient mice. These results demonstrate the consequences of heterozygous and homozygous CALR mutations and provide a powerful model for dissecting the pathogenesis of CALR-mutant ET and PMF.
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