From www.bloodjournal.org by guest on February 11, 2015. For personal use only. Constitutively Activating Mutations of c-kit Receptor Tyrosine Kinase Confer Factor-Independent Growth and Tumorigenicity of Factor-Dependent Hematopoietic Cell Lines By Hitoshi Kitayama, Yuzuru Kanakura, Takuma Furitsu, Tohru Tsujimura, Kenji Oritani, Hirokazu Ikeda, Hiroyuki Sugahara, Hideki Mitsui, Yoshio Kanayama, Yukihiko Kitamura, and Yuji Matsuzawa The c-kit receptor tyrosine kinase (KIT) is activated upon ligand binding, therebyleading t o a varietyofsignaling events that play a fundamental role in hematopoiesis. In addition t o ligand-dependent activation, we have previously shown that KIT is constitutively activated in a ligand-independent manner bytwopoint mutations, Val-559 --t Gly (G5591 mutation in the juxtamembrane domain and Asp-814 + Val (V8141 mutation in the phosphotransferase domain. To investigate the biochemical consequence and biologic significance of these mutations, retroviral vectors encoding KIPs9 or KITV8" were introduced into murine proB-type Ba/F3 cells and myeloidFDC-P1 cells, both of which require interleukin-3 (IL-3) for their growth and survival. In the cells, or KITV814werefound t o beconstitutively phophorylated on tyrosinein the absence ofstem cell factor (SCF)that isa ligand forKIT. Chemical cross-linking analysis showed that a substantial fraction of the phosphorylated KITG559 underwent dimerization even in the absence of SCF, whereas the phosphorylated KITV814did not, suggesting the distinct mechanisms underlying constitutive activation of KIT by G559 and V814 mutations. Furthermore, the cells expressing either KIT0559or KITV8" were found t o show a factor-independent growth, whereas the cells expressing wildtype KIT ( K I F ) proliferated in response t o SCF as well as IL-3. Moreover, subcutaneous injection of Ba/F3 cells expressing or KITV8" into nudemiceresulted in production of large tumors at all sites of the injection within 2 weeks, and all nude mice quickly succumbed t o leukemia and died. These results suggest that, although the mechanisms underlying constitutive activation of or KITV814 may be different, both of the activating mutations have a function t o induce a factor-independent and tumorigenic phenotype. Also, the data of this study raise the possibility that the constitutively activating mutations of c-kit may play a causal role in development of hematologic malignancies. 0 1995 by The American Society of Hematology. T tion isknown toplay acrucial rolein proliferation, differentiation, migration, and survival of hematopoietic stem cells, mast cells,neuralcrest-derived melanocytesandgerm For example, dominant-negative or loss-of-function mutations at KITIW locus impair the receptor function and thereby give rise to hypoplastic anemia and a deletion of mast cells in hematopoietic s y ~ t e m . ~ In , ~ addition ~ - * ~ to a fundamental role of KIT in hematopoiesis, KIT may potentially function as an oncogenic protein, because c-kit was originally defined as a cellular homologue of feline sarcoma virus kit).'.'^ Furthermore, activating mutations of other RTKs such as c-fms and c - e r b l 3 2 I n e ~ ~ have . ~ " ~been ~ shown to have transforming activity. To test this possibility, we have previously examined the expression and state of tyrosine phosphorylation of KIT in a series of leukemia cells,'""' and have found that KIT is constitutively activated in a ligand-independent manner in a human mast-cell leukemia cell line, HMC-I." Sequencing analysis of c-kit gene in HMC- 1 cells showed thepreviously unidentified two point mutations, the Val-560 --t Gly ( ( 3 6 0 ) mutation in the juxtamembrane domain and the Asp-816 Val (V816) mutationin the phosphotransferase domain.3' or c-kjtVa-811"(VRi4) muTransfection of murine c-kitG'y~ss9'Gss9' tants, correspondingtohuman c-kitGs'" or c-kit""'" genes, intoa humanembryonic kidney cellline (293T)resulted in aligand-independentactivation of KITGssyor suggesting the presence of two constitutively activating mutations in c-kit gene.j' In addition, we have recently found that both a murine mastocytoma cell line (P-815) and a rat mast cell leukemia cell line (RBL-2H3) carry constitutively activating mutations of c-kit gene in the same Asp codon in the phosphotransferase d ~ m a i n .These ~ ~ . ~results ~ suggested that the activating mutations of c-kit gene could be involved in some aspect of neoplastic transformation of KIT-positive hematopoietic cells, including mast cells. However, the biologic significance and biochemical consequence of these activating mutations have yet to be determined. HE PROTO-ONCOGENEc-kit is allelic with the white spotting (W) locus on mouse chromosome S,'.2 and it encodes a receptor tyrosine kinase (RTK) that is a member of the same RTK subfamily (typeI11 RTK) as the receptors for platelet-derived growthfactorand colony-stimulating factor 1 (CSF-1).3.4This RTK subfamily is characterized by the presence of five Ig-like repeats in the extracellular domain and an insert that splits the cytoplasmic kinase domain into an adenosine triphosphate (ATP)-binding region and the phosphotransferase d ~ m a i n . "The ~ ligand for c-kit product has been genetically mapped at the steel (Sl) locus on mouse chromosome 10, and is variously designated as stem cell factor (SCF),mast cell growth factor, kit ligand, or steel factor.'-'' Binding of SCF to c-kitreceptortyrosine kinase (KIT) triggers a series of rapid events, including KIT dimerization and activation, association of KIT with certain cytoplasmic enzymes,and phosphorylation of othercellular proteins, thereby initiating a signaling cascade that leads to various cellular response^.^^^^^^-^' This KIT-mediated signal transduc- + From the Second Department of Internal Medicine and Department of Pathology, Osaka University Medical School, 2-2, Yamadaoka, Suita, Osuka 565, Jupan. Submitted June 20, 1994; accepted October 17, 1994. Supported in part by grunts from the Ministry of Education. Science and Culture, the Inumori Foundation, Senri L$e Science Foundation, and Mochidu Memorial Foundation. Address reprint requests to Yuzuru Kanakura, MD,PhD,The Second Department of Internal Medicine, Osaka University Medical School, 2-2, Yamadaoka, Suita, Osaka 565, Japan. The publication costsof this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement" in accordance with l 8 U.S.C. section 1734 solely to indicate this fact. 0 l995 by The American Society of Hematology. 0006-4971/95/8S03-0024$3.00/0 790 Blood, Vol 85, No 3 (February l), 1995: pp 790-798 From www.bloodjournal.org by guest on February 11, 2015. For personal use only. ROLE OF c-kit MUTATIONS IN TUMORIGENESIS In this study, we introduced wild-type KIT (KITw), KIPSS9and KITV814 into cells of two murine interleukin-3 (IL-3)-dependent cell lines, Ba/F3 (pro-B type)35and FDCP1 (myeloid type).36Expression of or KITVs14with constitutive tyrosine kinase activity was found not only to abrogate IL-3 requirement of the cells, but also to cause them to become tumorigenic in nude mice. Furthermore, chemical cross-linking analysis showed that KITG559 was organized at the plasma membrane in a dimerized form, whereas KITV8l4was not. Thus, the results of these studies provide new insight into potential role of the activating mutations of c-kit proto-oncogene in receptor activation and oncogenesis. MATERIALS AND METHODS Reagents. Recombinant murine (rm) SCF and IL-3 were generous gifts of Kirin Brewery COLtd (Tokyo, Japan). Antiphosphotyrosine a murine monoclonal antibody (MoAb) generated against phosphotyramine, was generously supplied by Dr B. Drucker (Oregon Health Science University, Portland, OR). Rat-antimouse c-kit MoAb (ACK2) and full length of murine c-kit cDNA were kindly donated from Dr S.-I. Nishikawa (Kyoto University, Kyoto, Japan)." Anti-c-kit polyclonal antibody against synthetic peptide of C-terminal of human KIT was purchased from Oncogene Science, Inc (New York, NY); this antibody was found to react with murine KIT as well as human KIT. G418 (geneticin) and Polybrene were purchased from Sigma Chemical CO (St Louis, MO), and chemical cross-linker BS3 from Pierce (Rockford, IL). Cells and mice. Ba/F3,3s a murine IL-3-dependent pro-B lymphoid cell line, was cultured inRPM1 1640 medium (Nakarai tesque, Kyoto, Japan) supplemented with 10%fetal calf serum (FCS; Flow Lab, North Ryde, Australia) and d L - 3 at the concentration of 10 ng/mL. FDC-P1,36a murine IL-3-dependent myeloid cell line, was maintained in the Fischer's medium (GIBCO, Grand Island, NY) supplemented with 20% horse serum (GIBCO) in the presence of rmIL-3 (10 ng/mL). A helper virus-free packaging cell line,"' $2, was maintained in Dulbecco's modified essential medium (Nakarai tesque) supplemented with 10% FCS. SUSl-3T3, a fibroblast cell line derived from SVS1-mutant mice lacking in SCF expression, was BALB/c-nu/ established in our laboratory as described previo~sly.~~ nu (nude) mice were obtained from Nippon SLC (Shizuoka, Japan); all mice were female and were 8 weeks of age at the time of cell injection. Construction and retroviral transfer of mutated c-kit gene. A retroviral vector pM5Gneo;' a derivative of myeloproliferative sarcoma virus (MPSV), was a kind gift from Dr W. Ostertag (Universitat Hamburg, Hamburg, Germany). The mutated murine c-kit genes or 9KITV8I4were constructed by site-directed mutaencoding KIFss genesis as described p r e v i ~ u s l yThe . ~ ~ full length of wild-type (WT) or mutated c-kit cDNAs were inserted into the EcoRI site of pM5Gneo. Retroviral vector (pM5Gneo) alone or retroviral vectors containing c-kitw, c-kitGSs9or c-kitV8I4genes were transfected into packaging cell line ($2) by calcium phosphate method, and G418resistant clones of each packaging cell line were isolated. The virus titer was determined by infecting SVSZ-3T3 fibroblasts with serial dilutions of retrovirus-containing supernatant from each clone and by counting the numbers of G418-resistant colonies. The resultant viruses were termed pM5Gne0, pM5Gneo-KITWT, pM5GneoKIFss9, and ~ M ~ G ~ ~ O - Kand I Thad ~ " approximately ~, comparable viral titers ranging from 2 to 5 X 10' colony-forming units/mL of supernatant. For gene transfer, BaF3 and FDC-P1 cells (2 x 10' celldeach cell line) were cocultured with the virus-producing packaging cells for 48 hours in the presence of rmIL-3 (10 ng/mL) and 791 Polybrene (8 pg/mL). After infection, the cells expressing neomycinresistant gene were selected by cultivation in a medium containing G418 (0.6 mg/mL) and rmIL-3 (10 ng/mL). Flow cytometry. The cells ( 5 X 10') were washedwithphosphate-buffered saline (PBS) and resuspended inPBS containing 0.5% bovine serum albumin (BSA; Sigma Chemical CO, St Louis, MO) and 0.1% NaN3. Cells were incubated with rat antimurine c-kit MoAb (ACK2) or rat monoclonal IgGl control (Becton Dickinson, Mountain View, CA) at 4°C for 30 minutes, and then washed three times with the buffer. Cells were subsequently incubated with fluorescein-conjugated goat-antirat IgG antibody at 4°C for 30 minutes, and washed two times before analysis using a FACScan flow cytometer (Becton Dickinson). Stimulation with factors and cell lysis. Exponentially growing cells were washed free of serum and growth factors and incubated in serum-free medium (Cosmedium 003; Cosmobio, Tokyo, Japan) for 12 hours at 37°C to factor-deprive the cells. The cells (lo7cells suspended in 1 mL of Cosmedium 003) were exposed to SCF (100 ng/mL) at 37°C for 15 minutes. After stimulation with factors, cells were washed with cold PBS and lysed in lysis buffer (20 mmom Tris-HC1,pH 8.0, 137 mmom NaC1, 10% glycerol, 1% Nonidet P-40) containing protease and phosphatase inhibitors as described p r e v i o ~ s l y . ~In~soluble ~ ~ ~ material . ~ ~ . ~ was ~ removed by centrifugation at 10,000g for 15 minutes at 4°C. Immunoprecipitation and immunoblotting. The procedures of immunoprecipitation, gel electrophoresis, and immunoblotting were performed according to the methods described p r e v i o u ~ l y . ~ ~ ~ ~ ~ ~ Briefly, the lysates were precleared with protein-G Sepharose beads (Pharmacia AB, Uppsala, Sweden) for 2 hours at 4°C.The precleared lysates were incubated with ACK2 and protein-G Sepharose beads to collect antigen-antibody complexes. The immunoprecipitates were washed fivetimes with lysis buffer containing protease and phosphatase inhibitors, and subjected to sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE). Proteins were electrophoretically transferred from the gel onto a polyvinylidene difluoride membrane (Immobilon, Millipore Corp, Bedford, MA). After blocking residual binding sites onthe filter by incubation in TBS (10 mmollL Tris-HCI pH 8.0, 150 mmom NaCl) containing 1% gelatin (Bio-Rad Laboratories, Richmond, CA), immunoblotting was performed with an antiphosphotyrosine MoAb or anti-c-kit polyclonal antibody. Chemical cross-linking experiments. Dimerization of KITwas analyzed by chemical cro~s-linking."~ Ba/F3 cells expressing KITWT, KITGss9or KITV*l4were washed twice and suspended in PBS containing 1 mg/mL BSA. The cells were stimulated with or without rmSCF (300 ng/mL) for 90 minutes at 4"C, and were washed five times in ice-cold PBS. The cells were then incubated in PBS containing 1 mmollL BS3 for 30 minutes at 22"C, and the reaction was terminated by washing in ice-cold PBS, followed by the incubation in 150 mmollL glycine-HC1 (pH 7.5) for 5 minutes at 4°C. In these buffers used after stimulation with or without rmSCF, sodium orthovanadate (Na3V04, 100 pmoVL) was included to prevent dephosphorylation of KIT. The cells were lysed in lysis buffer, and immunoprecipitations were performed with anti-c-kit polyclonal antibody as described above. For the detection of KIT that wasphosphorylated on tyrosine, KIT-containing immunoprecipitates were subjected to SDS-PAGE (4% acrylamide) and immunoblotting with an antiphosphotyrosine MoAb and developed with horseradish-peroxidase-conjugated antimouse IgG (Promega, Madison, WI) and chemiluminescence reagent (Renaissance; DuPont, Boston, MA). Cellproliferation assay. To quantitate cell proliferation, we used tetrazolium broan M T I [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl mide, Sigma] rapid colorimetric assay as previously de~cribed.~'.~' Briefly, quadruplicate aliquots of cells (1 X IO4 Ba/F3 cells or 2 x lo4 FDC-PI cells suspended in 100 pL of the medium supplemented From www.bloodjournal.org by guest on February 11, 2015. For personal use only. 792 KITAYAMA ET AL with 10% FCS) were cultured in 96-well microtiter plates for 72 hours at 37°C in the presence or absence of various concentrations of mSCF or rmLL-3. M l T (10 pL of 5 mg/mL solution of M'IT in PBS) was added to all wells for the final 4 hours of culture. Acid isopropanol (100 pL of 0.04 N HCl in isopropanol) was added to all wells, and mixed thoroughly to dissolve the dark blue crystals. The optical density (OD) was then measured on a Microelisa plate reader (Corona Electric CO, Ibaragi, Japan) with a test wavelength of 540 nm and a reference wavelength of 620 m. This assay was found to give equivalent results obtained by 3H-thymidineincorporation or cell enumeration as described p r e v i o ~ s l y . ~ ~ * ~ ' ~ ~ ~ Tumorigenicity assay. BaR3 cells expressing KITw, or K I T V s l 4 were washed and resuspended in serum-free RPMI-1640 media. In addition, Ba/F3 cells transfected with pM5Gneo were used as a negative control. Cells (3 X lo6 injected site; two sites per mouse) were subcutaneously injected into the posterior flank ofnude mice that had received 2.5 Gy (250 rads) of x-ray irradiation 1 day before the injection. Mice were carefully monitored for their signs of palpable or visible tumors at the sites of injection. The tumor tissues were fixed by 10% formamide overnight and embedded in paraffin. The sections (4-pm thick) were histopathologically analyzed after staining with hematoxylin and eosin. A V&l4 B BdF3 FDC-P1 I RESULTS Retroviral transfer of wild-type and mutant KIT into murine IL-3-dependent cell lines. To investigate the role of constitutively activating mutations of c-kit proto-oncogene in factor-independent growth and tumorigenicity, we infected two murine IL-3-dependent cell lines, B e 3 (pro-B type) and FDC-P1 (myeloid type), with replication-defective retroviruses containing c-kitw,c-kitGSs9 or c-kitV8l4genes, which were termed pM5Gneo-KITw, pM5Gneo-KI'F9 or pM5Gneo-KITVSL4, respectively (Fig 1A). As a control, viLogFluorescence ruses carrying pM5Gneo retroviral vector alone (pM5Gneo) were infected into the cells. After selection in a G418-conFig l. (AI Schematic representationof murine K I F , K I P w , and Locations of transmembrana (TMI,kinase insert (Kt) and tyrotaining medium for 2 weeks, surface expression of KIT on sine kinase (W)domains are indicated. KIPssscarries a point mutathe infected cells was examined with a rat antimouse c-kit tion in codon 559 (Val Gly), whereas KITV8" has a point mutation MoAb ACK2, which recognizes the extracellular domain of in codon 814 (Asp -Val). (B) Flow cytometric analysis of the surface murine KIT.Flow cytometric analysis showed that, although binding of a monoclonal anti-c-kit antibody (ACK2) to Balm and infection of B e 3 cells with pM5Gneo vector alone (BaF43FDC-P1 cells infected with raplicntion-defective retroviruses encodor KIT"'. Cells were incuing vector alone (Vector), K F , KIVector) resulted in no expression of KIT, BalF3 cells inbated in either negative control antibody l- - -1 orACK2 I-), fected with pM5Gneo-KITw (BaF3-KITw) or pM5Gneowashed, incubatedwith fluorescein-conjugated goat-antirat IgG antiKIFs (BaF3-KIFss9) 59 showed abundant surface expression body, and analyzed on a FACScan. of KITw or on their surface, respectively (Fig 1B). In the cells infected with ~ M S G ~ ~ O - K(BaF3-KITV8l4), IT~"~ surface expression of KITV814was also detectable, albeit to KIT was then immunoprecipitated and assayed by immua lesser degree (Fig 1B). Similar results were obtained noblotting with either antiphosphotyrosine MoAb or antifrom flow cytometric analyses of FDC-P1 cells infected with pM5Gne0, pM5Gneo-KITw, ~ M ~ G ~ ~ Oor- K c-kit I ~ polyclonal ~ ~ ~ , antibody. As shown in Fig 2 (lower panel), all of KITw, and KITV8I4were found to be com~ M S G ~ ~ O - (Fig K I T1B): ~ ~ FDC-P1 ~~ cells infected with pM5Gneo-KITw (FDCP1-KITWT) or pM5Gneo-KITGSs9 posed of 145-kD (mature) and 125-kD (immature) forms of (FDCP1-KITG559)exhibited high levels of KITw or KIPss9 KIT protein in the infected BalF3 cells. Immunoblotting with expression; the cells infected with pM5Gneo-KITV8I4 an antiphosphotyrosine MoAb showed that increased phosphotyrosine was observed in WWT, particularly in the 145(FDCPi-KITv8") did moderate KITV8I4expression; and little kD form of KITw, after treatment with rmSCF (Fig 2, upper expression of KIT was observed on the cells infected with panel). By contrast, both 145-kD and 125-kD forms of pM5Gneo (FDCP1-Vector). KIFss9 or KITV8I4were strikingly phosphorylated on tyroConstitutive tyrosine phosphorylation of mutant KIT in sine regardless of m S C F stimulation (Fig 2, upper panel), factor-dependent cell lines. To examine the state of KITsuggesting constitutive activation of KIFss9 and K I T V 8 l 4 In ' tyrosyl phosphorylation in the infected cells, the cells were BaF3-KIPSS9and BaF3-KITVSL4 cells, respectively. Also in deprived of serum and growth factors for 12 hours and stimuFDC-P1 cells, KITw was found to be phosphorylated on lated with or without rmSCF (100 ng/mL) for 15 minutes. + mss9 From www.bloodjournal.org by guest on February 11, 2015. For personal use only. ROLEOF c-kit MUTATIONS IN TUMORIGENESIS Fig 2. Tyrosine phosphorylation of KIT in BalF3 cells stably expressing KITm, KITG5", and KIT."*" KIT was immunoprecipitated withanti-c-kitMoAb (ACK2) from lysates of the indicatedcells before and after stimulation with rmSCF (100 nglmL). The immunoprecipitates were divided into t w o aliquots, separated by SDS-PAGE, and subjected t o immunoblottingwithantiphosphotyrosine(anti-P-Tyr) MoAb (upperpanel) or with anti-c-kitpolyclonal antibody (lower panel). The cells infected with pM5Gneo vector alone (Vector) were used as a negative control. The mobilities of the mature (145 kD) and immature(125 kD) forms ofKIT are indicated at right. 793 n n n n mSCF - + - + - + - + anti-P-Tyr - 145kD anti-c-kit tyrosine in a ligand-dependent manner, whereas KIFss9and KIT'"' showed ligand-independent, constitutive tyrosine phosphorylation (data not shown). Dimerization of KIT. All of RTKs have been shown to undergo ligand-dependent dimerization that plays animportant role in activation of the intrinsic protein kinase activit^.'.^ To determine if the activating mutations of c-kit led to receptor dimerization regardless of stimulation with SCF, we performed cross-linking analysis of wild-type and mutant KIT (Fig 3). BalF3 cells expressing KITw, KIF"' , or KITV81'4 were stimulated with or without rmSCF (300 ng/ mL) and treated with the water-soluble cross-linker BS' that hardly enters the cytosol. Lysates for the cells were then immunoprecipitated with anti-c-kit polyclonal antibody and were subjected to immunoblotting with antiphosphotyrosine MoAb. As expected, rmSCF induced tyrosine phosphorylation of KITw in BaF3-KITw cells, and the phosphorylated form of KITw was detected in proteins at an approximate molecular mass of 330 kD that represented a cross-linked dimer of KITw and rmSCF ( K I T w / ~ S C F )(Fig 3, left panel). By contrast, a substantial fraction of tyrosine-phosphorylated KIF5s9was detectable in an -290-kD homodimeric form even in the absence of rmSCF, although tyrosine phosphorylation of dimerized K I F ' " / I ~ S C F (-330 kD) was slightly intensified by the treatment with rmSCF (Fig 3, middle panel). Notably, KITVX1'was barely detectable in a -290-kD dimeric form without the addition of rmSCF, whereas an -330-kD cross-linked form of KITV*"/rmSCF was observed after stimulation with rmSCF (Fig 3, right panel). These results suggest that G559 mutation may result in dimerization of K P s s 9 ,whereas V814 mutation may not induce receptor association at least in the extracellular domain. Role of constitutively activating mutations in factor-independent growth. To determine if KIFss9and KITVRi4 could induce factor-independent growth, BalF3 and FDC-P1 cells expressing KITw, KIFss9,or KITVR1'were cultured in the presence of 0 to 10 ng/mL rmIL-3 or 0 to 500 ng/mL rmSCF for 72 hours, followed by measurement of cell proliferation using an M7T colorimetric assay (Fig 4). As was the case for each parental cell line,gs.gh rmIL-3 induced a dose-dependent - 125kD proliferation of pM5Gneo-infected BalF3 and FDC-P1 cells; and rmSCF did not have any effects on proliferation of the cells. In addition to the expected proliferative response to rmIL-3, BaE3 or FDC-P1 cells expressing KITWTshowed a dose-dependent proliferation in response to rmSCF over the range of 0.1 to 100 ng/mL, indicating functional expression of KITw. By contrast, BaF3 or FDC-P1 cells express- n mSCF BS3 n n + - + + - -k - ++ -++ t - + - ++ c c c 210- 105Fig 3. Chemical cross-linking analysis of K I F , K I P 9and , KIT"' phosphoproteins expressed on Ba/F3cells. The cells expressing K I F (left panel), (middle panel) and KITM" (rightpanellwere incubated in the presence or absence of rmSCF (300 nglmL) at 4°C for 90 minutes, and were treated with the water-soluble cross-linker BS3 ( l mmollL) for30 minutes at 22°C. The reaction was stopped by the incubation in 150 mmollL glycine-HCI (pH 7.5) for 5 minutes at 4°C. and the cells were washed and lysed. Lysates of the cells were then immunoprecipitated with anti-c-kit polyclonal antibody and were subjected t o immunoblotting with antiphosphotyrosine MoAb. The mobilities of KIT-monomer (-145 kDI, KIT-homodimer (-290 kD) and dimerized KlTlrmSCF (-330 kDI are indicated at right of each panel. From www.bloodjournal.org by guest on February 11, 2015. For personal use only. 794 KITAYAMA ET AL A. Ba/F3 0.5, 0.51 0.0 0 ,001 .01 .l 1 10 0 mlL-3 ( n g h l ) .l 1 10 100 1000 infiltration of BaF3-KITGss9and BaF3-KITV8'4cells into bone marrow, spleen, and liver (Fig 5). The tumor cells isolated from bone marrow and spleen were similar to the injected cells in the expression patterns of KIT and B-220 antigen, suggesting that the tumors were originated from the injected cells (data not shown). In the mice injected with BaF3-KITWTcells, no detectable tumors were noted within 2 weeks, but small nodules developed at 3 of 8 injection sites atday 21 (Table 1). Tumors developed at onlytwo thirds of the BaF3-KITWT-injectedsites after an extended latency (3 to 6 weeks), and the mice were all alive within the 6-week observation period. mSCF ( ng/ml ) DISCUSSION B. FDC-P1 0.4, 0.4, ' l J 0.2 0 .l 1 mlL-3 ( ng / ml ) 10 0 .l 1 10 100 1000 mSCF ( ng/ml ) Fig 4. Proliferationof BalF3 (A) and FDC-P1(B) cells in responseto various concentrationsof rmlL-3 (left panel) and rmSCF (right panel). Quadruplicatealiquots of the cells expressing vector alone (01,KITw (B), (0). and KIT"*" ( 0 )were cultured with each factor and cell proliferationwas measured using an MTT colorimetricassay. The results are shown as mean 2 SEM for one of three similar experiments. ing either KITGss' or KITV8I4proliferated in the absence of exogenous rmIL-3 or rmSCF; and rmIL-3 or rmSCF had a minimal effect on proliferation of the cells. To exclude the possibility that factor-independence could be caused by autocrine stimulation by IL-3 or SCF synthesized by the KITGss9, KITV*'4-expressingcells th'emselves, we assayed conditioned media from these cells for growth supporting activity. The conditioned media could not induce proliferation or survival of parental IL-3-dependent cell lines or SCF-responsive KITwT-positivelines (data not shown), suggesting ligandindependent growth of Ba/F3 and FDC-P1 cells by KITGss9 and KIT""'. Effects of wild-type and mutant KIT on tumorigenicity. To further analyze the malignant potential of the KIT-infected cell lines, each was inoculated subcutaneously into five nude mice (3 X lo6cells/injected site; two sites/mouse). BaF3-vector cells that were used as a control did not yield any detectable tumors within the 6-week observation period (Table 1, Fig 5). By contrast, both BaF3-KITGS5'and BaF3KITV814 cells produced large tumors at all sites of inoculation within 10 days; andall nude mice quickly succumbed to leukemia and died within 2 to 3 weeks (Table 1). Furthermore, pathologic analysis of these mice showed massive It is well established that a large number of structural alterations of KIT identified so far in mice, rats, and humans cause either the diminished levels of KIT expression or the qualitative defects inKIT tyrosine kinase activity, thereby leading to a decrease in tyrosine kinase activity ofIn addition to the loss-of-function mutations, we have recently provided evidence thatKITcanbe activated in a ligandindependent manner by two activating mutations resulting in intracellular amino acid substitutions of Gly-559 for Val and Val-814 for Asp." However, the importance of these activating mutations in cell transformation has not beenclarified. In this study, wehave investigated the effects of these mutations on the state of KIT expression and also on the cell growth and tumorigenesis. The results show that G559 and V814 mutations of the c-kit proto-oncogene result not only in constitutive tyrosine phosphorylation of KIT proteins without the addition of exogenous ligand, but also in ligandindependent growth of IL-3-dependent murine hematopoietic cell lines, B e 3 and FDC-PI, at an almost similar level. In addition, both of these mutations were found to render Ba/F3 cells tumorigenic innude mice. This almost equal ability of KITGss9and KITVX14 to induce a factor-independent and tumorigenic phenotype waspartially unexpected, be- Table l . Tumorigenicity of BalF3 Cells Expressing Wild-Type and Mutant KIT No. of TumorsINo. of Injection Sites Type of Cells Day 14 Day 21 BaF3-Vector BaF3-KlfNT BaF3-KITG559 BaF3-KITvs'4 0110 0/10 10/10 10/10 0/8* 318, NDt NDt Each type of cells (3 x lo6 cellslinjection site) was inoculated subcutaneously into the posterior flank of five nude mice (two sitednude mouse). Abbreviation: ND, not determined. * A t days 14 and 21,mouse was killed and pathologically analyzed. Pathological analysis performed at day 21 showed that BaF3-KITWT cells were observed in tumors at the site of injection, but not in bone marrow or spleen, whereas BaF3-Vector cells were not detected at any sections. t All mice died within 2 to 3 weeks. From www.bloodjournal.org by guest on February 11, 2015. For personal use only. ROLE OF c-kit MUTATIONS IN TUMORIGENESIS 795 Fig 5. Hrtopathologic anah/sis ofnude mice injected with Bal F3 transfectants. The skin (A and B),spleen (C and D),andbone marrow (E and F ) of the mice injected with BaF3-Vector (A, C, E1 andBaF3-KITV8"(B, D, F) were fixed by 10% formamide and embedded in paraffin. The histologic sections were stained with hematoxylin and eosin. BaF3-KIT"8'4-injectedmiceshowedmassiveinfiltration ofBaF3-KIT"""cellsin the skin (B), spleen(D), and bone marrow IF), whereas the tissues of BaF3-Vector-injected mice had normalmorphologicappearance (A, C, E). (Original magnification: A and B, x 100; C and D, x 40; E and F, x 400.) cause our previous study showed that KITVXl4 exhibited a significantly higher level of tyrosine phosphorylation and activation than in a transient expression system using 293T cells.32However, the results of this study using a stable expression system suggest thatboth KITC'"' and KITV8" have potential to function as oncogenic proteins. We also provide the data suggest that high or stable expression of KIT^^ may play a role in excessive proliferation or transformation of hematopoietic cells. Although proliferation of BaF3-KITW cells was not supported in vitro in the absence of IL-3 or SCF, the subcutaneous inoculation of BaF3-KITWTcells into nude micewas found to result in development of skin tumors, albeit to a much lesser degree than that of BaF3-KIPS5' or BaF3-KITVX" cells. Nude mice are known to lack T cells that are a major source of IL-3. but to exhibit normal number of mast cells in the connective tissue^^^^^' indicating the absence of IL-3, but the presence of SCF in nude mice. Therefore, it is suggested that the slow but detectable growth of BaF3-KITWT cells may be generated by their interaction with SCF that is presumably producedby certain mesenchymal cells as a membrane-bound or soluble form." Also, it is suggested that the enhanced expression of KITWTby itself is not sufficient to cause cell transformation, and the continuous stimulation of KITWTby ligand is necessary for exhibiting the transformed phenotype. Despite the dramatic effects of G559 and V814 mutations on the factor-independent and tumorigenic phenotypes, the precise mechanisms by whichthec-kit mutations activate KIT tyrosine kinase and transmit oncogenic signals into cells are not completely understood. Although some evidence has been presented that epidermal growth factor receptor can be activated through an intramolecular mechanism anddoes not necessarily require receptor dimerization,"',s" a large number of studies have suggested that receptor dimerization plays an essential role in the activation of intrinsic protein kinase activity and also in signal Furthermore, there is increasing evidence that the transphosphorylation between the dimerized receptor kinase domains can occur after ligand binding and the receptor cross-phosphorylation may underlie the natural mechanism of receptor activation.u.s'.s2In this From www.bloodjournal.org by guest on February 11, 2015. For personal use only. 796 KITAYAMA ET AL study, we have found that a substantial fraction of results in production of a factor-independent and tumorigenic exists as a dimerized form even in the absence of rmSCF. phenotype and suggest that the constitutively activating muThis result suggests that G559 mutation may yield receptor tations of c-kit gene may be involved in some aspect of dimerization resulting in enzymatic activation that leads to neoplastic transformation of hematopoietic cells. Identificacell transformation. This finding is comparable with the pretion of molecular mechanisms responsible for the receptor vious results showing that a point mutation of c-erbBlneu, activation and signaling events of the KIT mutants will be in which glutamic acid substitute for valine at codon 664 in important in understanding the role of KIT in normal and the transmembrane domain, leads to constitutive dimerizaabnormal growth of hematopoietic cells. tion and activation of the tyrosine kinase recept0r.2~In conREFERENCES trast to cross-linking analysis using BS3 showed that a dimeric form of KITV814was scarcely detectable in 1. Chabot B, Stephenson DA, Chapman VM, Besmer P, Berntein A: The proto-oncogene c-kit encoding a transmembrane tyrosine the absence of rmSCF, whereas a 3 3 0 - 0 cross-linked form kinase receptor maps to the mouse W locus. Nature 33538, 1988 of the KITV8'4/rmSCFwas observed after stimulation with 2. Geissler EN, RyanMA, Housman DE: The dominant-white rmSCF. Therefore, it is possible that V814 mutation may be spotting (W) locus of the mouse encodes the c-kit proto-oncogene. a unique activating mutation that induces factor-independent Cell 55:185, 1988 growth and tumorigenesis independently of receptor dimer3. Yarden Y,Ullrich A: Growth factor receptor tyrosine kinases. ization. Also, despite little evidence for dimerization of RTK Annu Rev Biochem 57:443, 1988 in the cytoplasmic domain, it is possible that association of 4. Ullrich A, Schlessinger J: Signal transduction by receptors with KITV814 receptor may be mediated by the cytoplasmic dotyrosine kinase activity. Cell 61:203, 1990 main, thereby leading to receptor activation and cell transfor5. Yarden Y, Kuang WJ, Yang-Feng T, Coussens L, Munemitsu mation. The experiments to test these possibilities are curS, Dull TJ, Chen E, Schlessinger J, Francke U, Ullrich A: Human proto-oncogene c-kir: A new cell surface receptor tyrosine kinase rently underway. for an unidentified ligand. EMBO J 6:3341, 1987 In addition to KIT, constitutively activating point muta6. Qiu F H , Ray P, Brown K, Barker PE, Jhanwar S, Ruddle FH, tions have been found in hematopoietic growth factor recepBesmer P Primary structure of c-kit: Relationship with the CSF-I/ tors such as CSF-1 receptor (CSF-1R; the product of c-fis PDGF receptor kinase family-oncogenic activation of v-kif involves p r o t o - o n ~ o g e n e )and ~ ~ ,erythropoietin ~~ receptor ( E ~ o R ) ? ~ , ~ ~ deletion of extracellular domain and C terminus. EMBO J 7:1003, Activating mutations in CSF-1R were shown to induce mor1988 phologic transformation, anchorage-independent growth, 7. Reith AD, Bernstein A: Molecular Biology of the W and Steel and tumorigenicity in mouse NM3T3 activating Loci. Genome Analysis v01 3: Genes and Phenotypes. Cold Spring mutations have been detected in a fraction of myelodysplasHarbor, N Y , Cold Spring Harbor Laboratory, 1991, p 105 8. Zsebo KM, Wypych J, McNiece IK, Lu HS, Smith KA, Kartic syndrome and acute myelocytic leukemia.55Furthermore, kare SB, Sachdev RK, Yuschenkoff VN, Birkett NC, Williams LR, despite no kinase sequences in the cytoplasmic domain, actiSatyagal VN, Tung W, Bosselman RA, Mendiaz EA, Langley KE. vating mutations in EpoR were reported to initiate the develIdentification, purification, and biological characterization of hemaopment of erythroleukemia in murine experimental models.54 topoietic stem cell factor from buffalo rat liver-conditioned medium. However, CSF-1 and Epo, respectively, are thought to act Cell 63:195, 1990 primarily on cells of monocyte/macrophage and erythroid 9. Martin FH, Suggs SV, Langley KE, Lu HS, Ting J, Okino KH, lineages, and neither of them are very potent growth factors Moms CF, McNiece IK, Jacobsen F W , Mendiaz EA, Birkett NC, for hematopoietic stem ~ e l l s .By ~ ~contrast, , ~ ~ KIT is known Smith KA, Johnson MJ, Parker VP, Flores JC, Pate1 AC, Fisher EF, to express on various types of hematopoietic stedprogenitor Erjavec HO, Herrera CJ, Wypych J, Sachdev RK, Pope JA, Leslie cells as well as mast ce11s7.23,3y,58,59 and SCF acts as a potent I, Wen D, Lin C, Cupples RL, Zsebo KM: Primary structure and functional expression of rat and human stem cell factor DNAs. Cell mitogen to stimulate directly the growth of the cells particu63:203, 1990 larly in combination with other growth factors like Epo, 10. Zsebo K M , Williams DA, Geissler EN, Broudy VC, Martin granulocyte-macrophage CSF, granulocyte CSF, IL-3, and FH, Atkins HL, Hsu RY, Birkett NC, Okino KH, Murdock DC, 1~-7.7.Y.I3.l4.60.62Therefore, it is possible that the activating m559, mutations in KIT may contribute to aberrant cell growth and leukemogenesis of mast cells and various types of hematopoietic stemlprogenitor cells. This possibility may be supported, at least in part, by our recent findings that constitutively activating mutations of c-kit gene are detectable in the same Asp codon within the phosphotransferase domain in both a murine mastocytoma cell line (P-815) and a rat mast cell leukemia cell line (RBL-2H3).33*34 Also, the possibility may be additionally supported by our preliminary study showing that retroviral transfer of the c-kif mutant genes into normal hematopoietic stem cells results in formation of various types of colonies in the absence of hematopoietic growth factors. 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Bemstein ID, Andrews RG, Zsebo KM: Recombinant human stem cell factor enhances the formation of colonies by CD34 ' and CD34'lin- cells, and the generation of colony-forming cell progeny from CD34'lin- cells cultured with interleukin-3, granulocyte colony-stimulating factor, or granulocyte-macrophage colony-stimulating factor. Blood 77:2316, 1991 61. McNiece IK, Langley KE, Zsebo KM: Recombinant human stem cell factor synergises with GM-CSF, G-CSF, IL-3, and EPO to stimulate human progenitor cells of the myeloid and erythroid lineages. Exp Hematol 19:226, 1991 62. Billips LG, Petitte D, Dorskind K, Narayanan R, Chiu CP. Landreth KS: Differential roles of stromal cells, interleukin-7, and kif ligand in the regulation of B lymphopoiesis. Blood 79: 1 185, 1992 From www.bloodjournal.org by guest on February 11, 2015. For personal use only. 1995 85: 790-798 Constitutively activating mutations of c-kit receptor tyrosine kinase confer factor-independent growth and tumorigenicity of factor-dependent hematopoietic cell lines H Kitayama, Y Kanakura, T Furitsu, T Tsujimura, K Oritani, H Ikeda, H Sugahara, H Mitsui, Y Kanayama and Y Kitamura Updated information and services can be found at: http://www.bloodjournal.org/content/85/3/790.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. 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