A Novel Mutation in the Juxtamembrane Intracellular Sequence of the Granulocyte Colony-Stimulating Factor (G-CSF) Receptor Gene in a Patient with Severe Congenital Neutropenia Augments G-CSF Proliferation Activity but Not through the MAP Kinase Cascade

We analyzed the structure of the granulocyte colony-stimulating factor (G-CSF) receptor gene in a 6-year-old female patient with severe congenital neutropenia (SCN) who experienced severe recurrent infections since 1 month of age. There is no family history of any similar disease. When the patient was 4 months old, she began receiving treatment with recombinant human G-CSF that resulted in a small increase in the neutrophil count sufficient for the prevention and treatment of bacterial infection. An analysis of complementary DNA for the patient's G-CSF receptor revealed a 3-base pair deletion in the juxtamembrane intracellular sequence. This deletion at the beginning of exon 16 was thought to be caused by alternative splicing; analysis of the DNA revealed a G-to-A point mutation of the final nucleotide of intron 15. To evaluate the functional activity of the G-CSF receptor with this 3-base pair deletion of the juxtamembrane region, we transfected this G-CSF receptor mutant into an interleukin 3-dependent cell line, BAF/3. BAF/3 cells expressing the mutant G-CSF receptor showed augmented proliferation activity in response to G-CSF compared with cells having the wild-type G-CSF receptor. Although the proliferation signal of G-CSF in normal hematopoiesis is transduced through the activation of MAP kinases, this G-CSF receptor mutant showed decreased activation of ERKI/2 in response to G-CSF compared with the wild type, but the transduced sig-nal for Stat3 activation by G-CSF was of the same magnitude as that of the wild-type G-CSF receptor. This result means that the augmented proliferation activity in response to G-CSF that we observed in cells having the G-CSF receptor gene with the 3-base pair deletion is transduced through an intracellular signaling pathway other than MAP kinase. Because SCN patients with a mutation in the G-CSF receptor frequently develop leukemia, this 3-base pair deletion in the juxtamembrane sequence of the G-CSF receptor gene in this patient may be one step in the course of leukemic transformation.     

Esophageal Small Cell Carcinoma with Ectopic Production of Parathyroid Hormone-Related Protein (PTHrp), Secretin, and Granulocyte Colony-Stimulating Factor (G-CSF)

A patient with primary small cell carcinoma of the esophagus is reported, in whom we have studied the secretion of a variety of hormones and cytokines. The tumor was an intermediate cell type of small cell carcinoma and had either epithelial and neuroendocrinological characteristics. Furthermore, hypercalcemia and neutrophilia were present, and the tumor was shown to produce PTHrp, secretin, and G-CSF. The present case is the first report of primary small cell carcinoma of the esophagus with ectopic production of PTHrp, secretin, and G-CSF.     

Fetal Alcohol Exposure Augments the Blunting of Tumor Necrosis Factor Production In Vitro Resulting from In Vivo Priming with Lipopolysaccharide in Young Adult Male But Not Female Rats

We previously reported altered responses of thymocytes and splenocytes to mitogen stimulation in fetal alcohol-exposed (FAE) male Sprague-Dawley rats. We also reported enhanced neuroendocrine responses to stressful stimuli in these animals. The experiments we describe herein aimed at testing whether young adult FAE rats manifest a notable deregulation in the neuroendocrine-immune response to pathogen administration. We tested the effect of in vivo priming of the animal with a low dose of endotoxin [lipopolysaccharide (LPS), 5 μg/kg], considered to be suboptimal from the perspective of mounting detectable levels of circulating monokines several hours after administration, upon the production of immunoreactive tumor necrosis factor (TNF-α) in response to a further in vitro challenge of peripheral blood mononuclear cells with 2.5 μg/ml of LPS 90 min after priming. We show that the response to the LPS pathogen in vitro after priming is significantly blunted ( p < 0.01) in male rats exposed prenatally to alcohol, compared with control male animals. FAE female rats and FAE ovariectomized female rats do not show significant differences in the priming response, compared with control animals. We also show that there is no correspondence between plasma corticosterone levels and TNF-α production after priming in any of the groups tested.     

Cloning and Characterization of the Human Interleukin-3 (IL-3)/IL-5/ Granulocyte-Macrophage Colony-Stimulating Factor Receptor beta c Gene: Regulation by Ets Family Members

High-affinity receptors for interleukin-3 (IL-3), IL-5, andgranulocyte-macrophage colony-stimulating factor (GM-CSF) are composedof two distinct subunits, a ligand-specific chain and a common  chain (c). Whereas the mouse has two homologous subunits (cand IL-3), in humans, only a single  chain is identified. Wedescribe here the isolation and characterization of the gene encodingthe human IL-3/IL-5/GM-CSF receptor  subunit. The gene spans about25 kb and is divided into 14 exons, a structure very similar to that ofthe murine c/IL-3 genes. Surprisingly, we also found the remnantsof a second c chain gene directly downstream of c. We identifieda functional promoter that is active in the myeloid cell lines U937 andHL-60, but not in HeLa cells. The proximal promoter region, locatedfrom 103 to +33 bp, contains two GGAA consensus binding sites formembers of the Ets family. Single mutation of those sites reducespromoter activity by 70% to 90%. The 5 element specificallybinds PU.1, whereas the 3 element binds a yet-unidentifiedprotein. These findings, together with the observation thatcotransfection of PU.1 and other Ets family members enhances cpromoter activity in fibroblasts, reinforce the notion that GGAAelements play an important role in myeloid-specific gene regulation.