Targeted correction of RUNX1 mutation in FPD patient-specific induced pluripotent stem cells rescues megakaryopoietic defects

JP Connelly, EM Kwon, Y Gao… - Blood, The Journal …, 2014 - ashpublications.org
JP Connelly, EM Kwon, Y Gao, NS Trivedi, AG Elkahloun, MS Horwitz, L Cheng, PP Liu
Blood, The Journal of the American Society of Hematology, 2014ashpublications.org
Familial platelet disorder with predisposition to acute myeloid leukemia (FPD/AML) is an
autosomal dominant disease of the hematopoietic system that is caused by heterozygous
mutations in RUNX1. FPD/AML patients have a bleeding disorder characterized by
thrombocytopenia with reduced platelet numbers and functions, and a tendency to develop
AML. No suitable animal models exist for FPD/AML, as Runx1+/− mice and zebra fish do not
develop bleeding disorders or leukemia. Here we derived induced pluripotent stem cells …
Abstract
Familial platelet disorder with predisposition to acute myeloid leukemia (FPD/AML) is an autosomal dominant disease of the hematopoietic system that is caused by heterozygous mutations in RUNX1. FPD/AML patients have a bleeding disorder characterized by thrombocytopenia with reduced platelet numbers and functions, and a tendency to develop AML. No suitable animal models exist for FPD/AML, as Runx1+/− mice and zebra fish do not develop bleeding disorders or leukemia. Here we derived induced pluripotent stem cells (iPSCs) from 2 patients in a family with FPD/AML, and found that the FPD iPSCs display defects in megakaryocytic differentiation in vitro. We corrected the RUNX1 mutation in 1 FPD iPSC line through gene targeting, which led to normalization of megakaryopoiesis of the iPSCs in culture. Our results demonstrate successful in vitro modeling of FPD with patient-specific iPSCs and confirm that RUNX1 mutations are responsible for megakaryopoietic defects in FPD patients.
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