Published online March 24, 2008
doi:10.1084/jem.20072182
The Journal of Experimental Medicine, Vol. 205, No. 4, 751-758
The Rockefeller University Press, 0022-1007 $30.00
© 2008 Flex et al.
Somatically acquired JAK1 mutations in adult acute lymphoblastic leukemia
Elisabetta Flex1,
Valentina Petrangeli1,
Lorenzo Stella3,
Sabina Chiaretti4,
Tekla Hornakova5,
Laurent Knoops5,
Cristina Ariola4,
Valentina Fodale1,
Emmanuelle Clappier6,
Francesca Paoloni7,
Simone Martinelli1,
Alessandra Fragale2,
Massimo Sanchez1,
Simona Tavolaro4,
Monica Messina4,
Giovanni Cazzaniga8,
Andrea Camera9,
Giovanni Pizzolo10,
Assunta Tornesello11,
Marco Vignetti4,
Angela Battistini2,
Hélène Cavé6,
Bruce D. Gelb12,
Jean-Christophe Renauld5,
Andrea Biondi8,
Stefan N. Constantinescu5,
Robin Foà4, and
Marco Tartaglia1
1 Dipartimento di Biologia Cellulare e Neuroscienze, 2 Dipartimento di Malattie Infettive, Parassitarie e Immunomediate, Istituto Superiore di Sanità, Rome, 00161, Italy
3 Dipartimento di Scienze e Tecnologie Chimiche, Università "Tor Vergata," Rome, 00133, Italy
4 Dipartimento di Biotecnologie Cellulari ed Ematologia, Università "La Sapienza," Rome, 00161, Italy
5 Ludwig Institute for Cancer Research and de Duve Institute, Université Catholique de Louvain, Bruxelles, B1200, Belgium
6 Département de Génétique, Hôpital Robert Debré, Paris, 75019, France
7 Gruppo Italiano Malattie Ematologiche dell'Adulto (GIMEMA) Data Center, GIMEMA Foundation, Rome, 00161, Italy
8 Centro Ricerca M. Tettamanti, Clinica Pediatrica Università di Milano Bicocca, Monza, 20052, Italy
9 Dipartimento di Medicina Clinica e Sperimentale, Università "Federico II," Napoli, 80131, Italy
10 Divisione di Ematologia, Università degli Studi di Verona, Verona, 37100, Italy
11 Divisione di Oncologia Pediatrica, Università Cattolica del Sacro Cuore, Rome, 00100, Italy
12 Departments of Pediatrics and Genetics and Genomic Sciences, Mount Sinai School of Medicine, New York, NY 10029
CORRESPONDENCE Marco Tartaglia: mtartaglia{at}iss.it
Aberrant signal transduction contributes substantially to leukemogenesis. The Janus kinase 1 (JAK1) gene encodes a cytoplasmic tyrosine kinase that noncovalently associates with a variety of cytokine receptors and plays a nonredundant role in lymphoid cell precursor proliferation, survival, and differentiation. We report that somatic mutations in JAK1 occur in individuals with acute lymphoblastic leukemia (ALL). JAK1 mutations were more prevalent among adult subjects with the T cell precursor ALL, where they accounted for 18% of cases, and were associated with advanced age at diagnosis, poor response to therapy, and overall prognosis. All mutations were missense, and some were predicted to destabilize interdomain interactions controlling the activity of the kinase. Three mutations that were studied promoted JAK1 gain of function and conferred interleukin (IL)-3–independent growth in Ba/F3 cells and/or IL-9–independent resistance to dexamethasone-induced apoptosis in T cell lymphoma BW5147 cells. Such effects were associated with variably enhanced activation of multiple downstream signaling pathways. Leukemic cells with mutated JAK1 alleles shared a gene expression signature characterized by transcriptional up-regulation of genes positively controlled by JAK signaling. Our findings implicate dysregulated JAK1 function in ALL, particularly of T cell origin, and point to this kinase as a target for the development of novel antileukemic drugs.
Abbreviations used: ALL, acute lymphoblastic leukemia; B-ALL, B cell precursor ALL; CM, conditional medium; DFS, disease-free survival; DHPLC, denaturing HPLC; ERK, extracellular signal-regulated kinase; OS, overall survival; T-ALL, T cell ALL.
E. Flex and V. Petrangeli contributed equally to this paper.

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