Mutant Calreticulin Requires Both Its Mutant C-terminus and the Thrombopoietin Receptor for Oncogenic Transformation
Open accessPublished version of a preprint
Abstract
Somatic mutations in calreticulin (CALR) are present in approximately 40% of patients with myeloproliferative neoplasms (MPN), but the mechanism by which mutant CALR is oncogenic remains unclear. Here, we demonstrate that expression of mutant CALR alone is sufficient to engender MPN in mice and recapitulates the disease phenotype of patients with CALR-mutant MPN. We further show that the thrombopoietin receptor MPL is required for mutant CALR-driven transformation through JAK–STAT pathway activation, thus rendering mutant CALR-transformed hematopoietic cells sensitive to JAK2 inhibition. Finally, we demonstrate that the oncogenicity of mutant CALR is dependent on the positive electrostatic charge of the C-terminus of the mutant protein, which is necessary for physical interaction between mutant CALR and MPL. Together, our findings elucidate a novel paradigm of cancer pathogenesis and reveal how CALR mutations induce MPN. Significance: The mechanism by which CALR mutations induce MPN remains unknown. In this report, we show that the positive charge of the CALR mutant C-terminus is necessary to transform hematopoietic cells by enabling binding between mutant CALR and the thrombopoietin receptor MPL. Cancer Discov; 6(4); 368–81. ©2016 AACR. See related commentary by Stanley and Steidl, p. 344. This article is highlighted in the In This Issue feature, p. 331
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Nuclear hashing data was used in combination with cell clustering data because nuclear hashing is known to be noisy.
“As nuclear hashing is known to be noisy 89 the nuclear hashing data was used in combination with cell clustering data, as the cells cluster based on treatment status.”
From Type 1 interferon perturbates clonal competition by reshaping human blood development (2026) · cites this paper as [89]
The Methods passages describe cell lines, flow cytometry, and statistical analysis, but do not address nuclear hashing or its reliability. Further searches for “nuclear hashing” and its use with cell clustering found no passage on that point; page numbers were not available in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Somatic Mutations of Calreticulin in Myeloproliferative Neoplasms
Klampfl, T., Gisslinger, H., Harutyunyan, A. S., Nivarthi, H., Rumi, E., Milosevic, J. D., Them, N. C. C., Berg, T., Gisslinger, B., Pietra, D., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1311347 · Cited by 2,003 · see citing works
Somatic <i>CALR</i> Mutations in Myeloproliferative Neoplasms with Nonmutated <i>JAK2</i>
Nangalia, J., Massie, C. E., Baxter, E. J., Nice, F. L., Gundem, G., Wedge, D. C., Avezov, E., Li, J., Kollmann, K., Kent, D. G., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1312542 · Cited by 1,756 · see citing works
Flagged first, then by citations
Research works printed but not linked: 42
- [1]Campbell PJ Green AR The myeloproliferative disorders N Engl J Med 2006 355 2452 2466 17151367
- [2]Levine RL Gilliland DG Myeloproliferative disorders Blood 2008 112 2190 2198 18779404 PMC2962533
- [3]Baxter EJ Scott LM Campbell PJ East C Fourouclas N Swanton S Acquired mutation of the tyrosine kinase JAK2 in human myeloproliferative disorders Lancet 2005 365 1054 1061 15781101
- [4]James C Ugo V Le Couedic JP Staerk J Delhommeau F Lacout C A unique clonal JAK2 mutation leading to constitutive signalling causes polycythaemia vera Nature 2005 434 1144 1148 15793561
- [5]Kralovics R Passamonti F Buser AS Teo SS Tiedt R Passweg JR A gain-of-function mutation of JAK2 in myeloproliferative disorders N Engl J Med 2005 352 1779 1790 15858187
- [6]Levine RL Wadleigh M Cools J Ebert BL Wernig G Huntly BJ Activating mutation in the tyrosine kinase JAK2 in polycythemia vera, essential thrombocythemia, and myeloid metaplasia with myelofibrosis Cancer Cell 2005 7 387 397 15837627
- [7]Pikman Y Lee BH Mercher T McDowell E Ebert BL Gozo M MPLW515L is a novel somatic activating mutation in myelofibrosis with myeloid metaplasia PLoS medicine 2006 3 e270 16834459 PMC1502153
- [8]Pardanani AD Levine RL Lasho T Pikman Y Mesa RA Wadleigh M MPL515 mutations in myeloproliferative and other myeloid disorders: a study of 1182 patients Blood 2006 108 3472 3476 16868251
- [9]Oh ST Simonds EF Jones C Hale MB Goltsev Y Gibbs KD Jr Novel mutations in the inhibitory adaptor protein LNK drive JAK-STAT signaling in patients with myeloproliferative neoplasms Blood 2010 116 988 992 20404132 PMC2924231
- [10]Grand FH Hidalgo-Curtis CE Ernst T Zoi K Zoi C McGuire C Frequent CBL mutations associated with 11q acquired uniparental disomy in myeloproliferative neoplasms Blood 2009 113 6182 6192 19387008
- [11]Sanada M Suzuki T Shih LY Otsu M Kato M Yamazaki S Gain-of-function of mutated C-CBL tumour suppressor in myeloid neoplasms Nature 2009 460 904 908 19620960
- [12]Vainchenker W Delhommeau F Constantinescu SN Bernard OA New mutations and pathogenesis of myeloproliferative neoplasms Blood 2011 118 1723 1735 21653328
- [15]Tannous A Pisoni GB Hebert DN Molinari M N-linked sugar-regulated protein folding and quality control in the ER Semin Cell Dev Biol 2015 41 79 89 25534658 PMC4474783
- [16]Michalak M Corbett EF Mesaeli N Nakamura K Opas M Calreticulin: one protein, one gene, many functions Biochem J 1999 344 Pt 2 281 292 10567207 PMC1220642
- [17]Daley GQ Van Etten RA Baltimore D Induction of chronic myelogenous leukemia in mice by the P210bcr/abl gene of the Philadelphia chromosome Science 1990 247 824 830 2406902
- [18]Kelliher MA McLaughlin J Witte ON Rosenberg N Induction of a chronic myelogenous leukemia-like syndrome in mice with v-abl and BCR/ABL Proc Natl Acad Sci U S A 1990 87 6649 6653 2204061 PMC54594
- [19]Bumm TG Elsea C Corbin AS Loriaux M Sherbenou D Wood L Characterization of murine JAK2V617F–positive myeloproliferative disease Cancer research 2006 66 11156 11165 17145859
- [20]Lacout C Pisani DF Tulliez M Gachelin FM Vainchenker W Villeval JL JAK2V617F expression in murine hematopoietic cells leads to MPD mimicking human PV with secondary myelofibrosis Blood 2006 108 1652 1660 16670266
- [21]Wernig G Mercher T Okabe R Levine RL Lee BH Gilliland DG Expression of Jak2V617F causes a polycythemia vera-like disease with associated myelofibrosis in a murine bone marrow transplant model Blood 2006 107 4274 4281 16478879 PMC1895786
- [22]Zaleskas VM Krause DS Lazarides K Patel N Hu Y Li S Molecular pathogenesis and therapy of polycythemia induced in mice by JAK2 V617F PloS one 2006 1 e18 17183644 PMC1762384
- [23]Mullally A Lane SW Brumme K Ebert BL Myeloproliferative neoplasm animal models Hematology/oncology clinics of North America 2012 26 1065 1081 23009938 PMC3459181
- [24]Vannucchi AM Rotunno G Bartalucci N Raugei G Carrai V Balliu M Calreticulin mutation-specific immunostaining in myeloproliferative neoplasms: pathogenetic insight and diagnostic value Leukemia 2014 28 1811 1818 24618731 PMC4158831
- [25]Stein H Bob R Durkop H Erck C Kampfe D Kvasnicka HM A new monoclonal antibody (CAL2) detects CALRETICULIN mutations in formalin-fixed and paraffin-embedded bone marrow biopsies Leukemia 2016 30 131 135 26202929 PMC4705422
- [26]Daley GQ Baltimore D Transformation of an interleukin 3-dependent hematopoietic cell line by the chronic myelogenous leukemia-specific P210bcr/abl protein Proc Natl Acad Sci U S A 1988 85 9312 9316 3143116 PMC282729
- [27]Lu X Levine R Tong W Wernig G Pikman Y Zarnegar S Expression of a homodimeric type I cytokine receptor is required for JAK2V617F–mediated transformation Proc Natl Acad Sci U S A 2005 102 18962 18967 16365288 PMC1323216
- [28]Komatsu N Nakauchi H Miwa A Ishihara T Eguchi M Moroi M Establishment and characterization of a human leukemic cell line with megakaryocytic features: dependency on granulocyte-macrophage colony-stimulating factor, interleukin 3, or erythropoietin for growth and survival Cancer research 1991 51 341 348 1824823
- [29]Doench JG Hartenian E Graham DB Tothova Z Hegde M Smith I Rational design of highly active sgRNAs for CRISPR-Cas9-mediated gene inactivation Nature biotechnology 2014 32 1262 1267 PMC4262738 25184501
- [30]Basham B Sathe M Grein J McClanahan T D’Andrea A Lees E In vivo identification of novel STAT5 target genes Nucleic Acids Res 2008 36 3802 3818 18492722 PMC2441806
- [31]Baker SJ Rane SG Reddy EP Hematopoietic cytokine receptor signaling Oncogene 2007 26 6724 6737 17934481
- [32]Azare J Leslie K Al-Ahmadie H Gerald W Weinreb PH Violette SM Constitutively activated Stat3 induces tumorigenesis and enhances cell motility of prostate epithelial cells through integrin beta 6 Molecular and cellular biology 2007 27 4444 4453 17438134 PMC1900039
- [33]Verstovsek S Kantarjian H Mesa RA Pardanani AD Cortes-Franco J Thomas DA Safety and efficacy of INCB018424, a JAK1 and JAK2 inhibitor, in myelofibrosis N Engl J Med 2010 363 1117 1127 20843246 PMC5187954
- [34]Moremen KW Molinari M N-linked glycan recognition and processing: the molecular basis of endoplasmic reticulum quality control Current opinion in structural biology 2006 16 592 599 16938451 PMC3976202
- [35]Marty C Pecquet C Nivarthi H Elkhoury M Chachoua I Tulliez M Calreticulin mutants in mice induce an MPL-dependent thrombocytosis with frequent progression to myelofibrosis Blood 2015 26608331
- [36]Chachoua I Pecquet C El-Khoury M Nivarthi H Albu RI Marty C Thrombopoietin receptor activation by myeloproliferative neoplasm associated calreticulin mutants Blood 2015 26668133
- [37]Wernig G Gonneville JR Crowley BJ Rodrigues MS Reddy MM Hudon HE The Jak2V617F oncogene associated with myeloproliferative diseases requires a functional FERM domain for transformation and for expression of the Myc and Pim proto-oncogenes Blood 2008 111 3751 3759 18216297 PMC2275031
- [38]Rumi E Pietra D Ferretti V Klampfl T Harutyunyan AS Milosevic JD JAK2 or CALR mutation status defines subtypes of essential thrombocythemia with substantially different clinical course and outcomes Blood 2014 123 1544 1551 24366362 PMC3945864
- [39]Rumi E Pietra D Pascutto C Guglielmelli P Martinez-Trillos A Casetti I Clinical effect of driver mutations of JAK2, CALR, or MPL in primary myelofibrosis Blood 2014 124 1062 1069 24986690 PMC4133481
- [40]Rampal R Al-Shahrour F Abdel-Wahab O Patel JP Brunel JP Mermel CH Integrated genomic analysis illustrates the central role of JAK-STAT pathway activation in myeloproliferative neoplasm pathogenesis Blood 2014 123 e123 e133 24740812 PMC4041169
- [41]Passamonti F Caramazza D Maffioli M JAK inhibitor in CALR-mutant myelofibrosis N Engl J Med 2014 370 1168 1169 24645956
- [42]Chen E Mullally A How does JAK2V617F contribute to the pathogenesis of myeloproliferative neoplasms? Hematology / the Education Program of the American Society of Hematology American Society of Hematology Education Program 2014 2014 268 276 25696866
- [43]Moraga I Wernig G Wilmes S Gryshkova V Richter CP Hong WJ Tuning cytokine receptor signaling by re-orienting dimer geometry with surrogate ligands Cell 2015 160 1196 1208 25728669 PMC4766813
- [44]Pietra D Rumi E Ferretti VV Di Buduo CA Milanesi C Cavalloni C Differential clinical effects of different mutation subtypes in CALR-mutant myeloproliferative neoplasms Leukemia 2015 PMC4740452 26449662
Cited by
Sorted by citations
Somatic mutations and cell identity linked by Genotyping of Transcriptomes
Nam, A. S., Kim, K.-T., Chaligne, R., Izzo, F., Ang, C., Taylor, J., Myers, R. M., Abu-Zeinah, G., Brand, R., Omans, N. D., et al. (2019) · Nature · doi:10.1038/s41586-019-1367-0 · Cited by 333 · see citing works
Inflammatory Pathophysiology as a Contributor to Myeloproliferative Neoplasms
Fisher, D. A. C., Fowles, J. S., Zhou, A., & Oh, S. T. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.683401 · Cited by 115 · see citing works
Type 1 interferon perturbates clonal competition by reshaping human blood development
Lama, C., Isakov, D., Rosenberg, S., Quijada-Álamo, M., Saurty-Seerunghen, M. S., Moein, S., Nozais, M., Abera, T.-A., Sakaguchi, O., Totwani, M., et al. (2026) · Nature Genetics · doi:10.1038/s41588-026-02751-3 · Cited by 3 · see citing works
- Authors
- Elf, S., Abdelfattah, N. S., Chen, E., Perales-Patón, J., Rosen, E. A., Ko, A., Peisker, F., Florescu, N., Giannini, S., Wolach, O., Morgan, E. A., Tothova, Z., Losman, J.-A., Schneider, R. K., Al-Shahrour, F., & Mullally, A.
- Affiliations
- Brigham and Women's Hospital (US)
- Spanish National Cancer Research Centre (ES)
- 1Division of Hematology, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
- Broad Institute (US)
- 2Translational Bioinformatics Unit, Clinical Research Programme, Spanish National Cancer Research Centre (CNIO), Madrid, Spain.
- Corresponding author
- Mullally, Ann
- ORCID
- Venue
- Cancer Discovery
- Published
- 2016-04-01
- Volume
- 6
- Issue
- 4
- Pages
- 368-381
- ISSN
- 2159-8274 (ISSN-L)
- 2159-8290
- PMC
- PMC4851866
- OpenAlex
- W2306779733
- Cited by
- 293
- References
- 2
- Citations by year
- 2026: 21 · 2025: 17 · 2024: 26 · 2023: 20 · 2022: 24 · 2021: 44 · 2020: 34 · 2019: 33 · 2018: 22 · 2017: 31 · 2016: 21
- FWCI
- 25.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer Discovery (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (K08 HL109734)
- Topics
- Health Sciences › Medicine › Genetics › Myeloproliferative Neoplasms: Diagnosis and Treatment
- Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
- Health Sciences › Medicine › Hematology › Platelet Disorders and Treatments
- Keywords
- calreticulin, CALR mutation, myeloproliferative neoplasms, thrombopoietin receptor, MPL, oncogenic transformation, JAK/STAT signaling, JAK2 inhibition, protein-protein interaction, hematopoietic transformation, mouse model
- MeSH terms
- Animals, Base Sequence, Cell Line, Cell Transformation, Neoplastic, Disease Models, Animal, Female, Hematopoietic Stem Cells, Humans, Mutation, Myeloproliferative Disorders, Phenotype, Protein Binding, Signal Transduction, Bone Marrow Transplantation, Frameshift Mutation, Calreticulin, Protein Kinase Inhibitors, STAT Transcription Factors, Mice, Janus Kinases, Receptors, Thrombopoietin, Protein Interaction Domains and Motifs, Structure Collapse
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review