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Direct evidence for cooperating genetic events in the leukemic transformation of normal human hematopoietic cells
Author(s): Warner JK, Wang JCY, Takenaka K, Doulatov S, McKenzie JL, Harrington L, Dick JE
Source: LEUKEMIA    Volume: 19    Issue: 10    Pages: 1794-1805    Published: OCT 2005  
Times Cited: 25     References: 49     
Abstract: Although genetic abnormalities associated with hematological malignancies are readily identified, the natural history of human leukemia cannot be observed because initiating and subsequent transforming events occur before clinical presentation. Furthermore, it has not been possible to study leukemogenesis in vitro as normal human cells do not spontaneously transform. Thus, the nature and sequence of genetic changes required to convert human hematopoietic cells into leukemia cells have never been directly examined. We have developed a system where the first step in the leukemogenic process is an engineered disruption of differentiation and self-renewal due to expression of the TLS-ERG oncogene, followed in some cases by overexpression of hTERT. In two of 13 experiments, transduced cells underwent step-wise transformation and immortalization through spontaneous acquisition of additional changes. The acquired karyotypic abnormalities and alterations including upregulation of Bmi-1 and telomerase all occur in acute myeloid leukemia (AML), establishing the relevance of this system. One resultant cell line studied in depth exhibits cellular properties characteristic of AML, notably a hierarchical organization initiated by leukemic stem cells that differentiate abnormally. These findings provide direct evidence for multiple cooperating events in human leukemogenesis, and provide a foundation for studying the genetic changes that occur during leukemic initiation and progression.
Document Type: Article
Language: English
Reprint Address: Dick, JE (reprint author), Univ Hlth Network, Div Cell & Mol Biol, Suite 700,620 Univ Ave, Toronto, ON M5G 2C1 Canada
Addresses:
1. Univ Hlth Network, Div Cell & Mol Biol, Toronto, ON M5G 2C1 Canada
2. Univ Toronto, Dept Mol & Med Genet, Toronto, ON Canada
3. Univ Toronto, Ontario Canc Inst, Dept Med Biophys, Toronto, ON Canada
Publisher: NATURE PUBLISHING GROUP, MACMILLAN BUILDING, 4 CRINAN ST, LONDON N1 9XW, ENGLAND
Subject Category: Oncology; Hematology
IDS Number: 968ZU
ISSN: 0887-6924
DOI: 10.1038/sj.leu.2403917
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