Establishment of a transgenic mouse to model ETV7 expressing human tumors

The ETS transcription factor ETV7 has been characterized as a hematopoietic oncoprotein, which requires cooperating mutations for its leukemogenic activity. Although the ETV7 gene is highly conserved among vertebrates, part of the rodents, including Mus musculus, deleted the Etv7 gene locus. Many human hematopoietic malignancies upregulate ETV7 expression but contrary to ETV7’s role in oncogenesis, its physiological role in normal tissues is unknown. To determine the physiological function of ETV7 in vivo and determine its role in tumorigenesis in a mouse model, we have generated an ETV7 transgenic mouse that carries a single copy of human BAC DNA containing the ETV7 gene locus and its regulatory sequences. ETV7 heterozygous (ETV7Tg+/WT) mice were fertile, normal in size and born at a normal Mendelian frequency. They had a normal blood count, did not display any gross physical or behavioral abnormalities, and were not tumor-prone. The ETV7 expression pattern in hematopoietic cells of ETV7Tg+/WT mice is very similar to that in human hematopoietic cells. To examine the oncogenic potential of ETV7 in vivo, we crossed ETV7Tg+/WT mice with tumor-prone mouse models. ETV7 greatly accelerated loss of Pten (phosphatase and tensin homolog)-evoked leukemogenesis in PtenΔ/ΔETV7Tg+/WT mice after deletion of the conditional Pten allele. Consistent with this observation, ETV7 expression enhanced the colony-forming and self-renewal activities of primary myeloid Pten−/− cells. In this study we established a transgenic mouse in which we can more accurately model ETV7-associated human tumorigenesis in vivo. Electronic supplementary material The online version of this article (10.1007/s11248-018-0104-z) contains supplementary material, which is available to authorized users.


Introduction
E26-transformation specific (ETS) transcription factors are involved in diverse biological processes including cellular proliferation, survival, differentiation, development, and transformation. We and others independently identified the ETS transcription factor ETV7, which is highly homologous to ETV6/TEL, a frequent target of chromosomal translocation in human leukemia (Fenrick et al. 2000;Poirel et al. 2000;Potter et al. 2000). Given that deletion or inactivation of ETV6 has been frequently observed in hematopoietic malignancies, ETV6 is also considered to be a tumor suppressor. In contrast, ETV7 is frequently upregulated in a variety of human cancers, including hematopoietic malignancies, in which ETV7 is overexpressed in 70% of myeloid and lymphoid leukemia. Previously we have shown that ectopic retroviral expression of ETV7 causes hematopoietic malignancies in the mouse (Cardone et al. 2005;Carella et al. 2006). More recently, we have demonstrated that morpholino knockdown of Etv7 in zebrafish leads to loss of hemoglobin-containing red blood cells by repression of the lanosterol synthase (lss) gene, indicating that in fish ETV7 is indispensable for normal red blood cell development (Quintana et al. 2014). However, the physiological and oncogenic roles of ETV7 in mammals in vivo remain to be investigated by using an appropriate mouse model.
Despite its high level of conservation among vertebrates, the Etv7 gene locus has been deleted in part of the rodents, including Mus musculus. To reverse this situation in the mouse, we have generated an ETV7 BAC transgenic mouse that carries a partial single copy of a human ETV7 BAC DNA. Like wildtype (WT) controls ETV7 heterozygous (ETV7Tg ?/WT or ETV7Tg) mice develop normally, are not tumorprone and have a normal lifespan. Importantly, the ETV7 expression pattern in hematopoietic cells of ETV7Tg ?/WT mice was evaluated by qRT-PCR and was very similar to that in human hematopoietic cells, suggesting that our ETV7Tg ?/WT mouse properly reflects the tissue-specific expression of human ETV7. Based on flow cytometric analysis with antibodies specific for lymphoid, myeloid, and erythroid cell types, the cellularity and distribution of hematopoietic cells in ETV7Tg BM, spleen, and thymus are similar to those in WT mice. Nonetheless, ETV7Tg BM cells proliferated faster in long-term culture, in which ETV7 enhanced proliferation of myeloid cells compared with that of control WT myeloid cells. To examine the oncogenic potential of ETV7 in vivo, we crossed ETV7Tg mice with an established leukemic mouse model. We found that ETV7 greatly accelerated Pten D/D leukemogenesis in Pten fl/fl ;Mx1-Cre;ETV7Tg ?/WT mice. Thus, we created a valuable experimental animal model to investigate the mechanism of ETV7-associated human tumorigenesis in vivo. Moreover, our ETV7Tg mouse model, which faithfully recapitulates human tumors, might greatly facilitate the identification of therapeutic targets for ETV7-associated human cancer.

Generation of ETV7 BAC transgenic mice
Linearized RP11-918H23 BAC DNA (BACPAC Resources Center), containing the human Etv7 gene locus, was microinjected into the pronucleus of fertilized FVB mouse oocytes. Injected zygotes were transplanted into pseudo pregnant CD1 fosters. Tail biopsies of live born offspring were used to isolate genomic DNA for genotyping, using primers specific for exon 1 and 8 of human ETV7. Samples positive for both PCRs were subjected to PCR screening of the upstream and downstream sequences of ETV7 as well as the first and last exons of all open reading frames (ORFs) present within the RP11-918H23 BAC. When ETV7 was detected in tail biopsies, a fresh biopsy was obtained and subjected to fluorescent in situ hybridization (FISH) using a FITC labeled RP11-918H23 probe, to determine copy number and potential mosaicism of the founder mice. The FISH analysis was carried out by the Cytogenetic Core of St. Jude Children's Research Hospital performed.

RNA isolation
Cells (5 9 10 6 ) were taken up in TRIzol Reagent (Invitrogen) and incubated at room temperature for 10 min. Chloroform (Fisher-Scientific) was added to facilitate phase separation during centrifugation. 1 lg glycogen (Invitrogen) was added to the aqueous phase and the DNA was precipitated using 2-propanol (Fisher Scientific). RNA pellets were washed with 75% ethanol and dissolved in nuclease-free water (Ambion). The RNA was quantitated using a Nanodrop spectrophotometer (Thermo Scientific).
Quantitative reverse transcriptase PCR Total RNA (5 lg) was pretreated with DNase (Invitrogen), followed by first strand cDNA synthesis, using Oligo-dT priming and the SuperScript III First Strand Synthesis System (Invitrogen). After first strand synthesis, samples were treated with RNase. Quantitative Real Time PCR amplification was performed with 1 lL cDNA, using TaqMan Gene Expression Master Mix (Applied Biosystems). The library of tissue-specific human cDNAs was purchased from Clontech. The TaqMan probe/primers set for human Etv7 was as described previously (Kawagoe et al. 2004). 20 lL reactions were loaded in a MicroAmp Optical 96-well reaction plate (Applied Biosystems) and amplification was performed and detected using the ABI Prism 7900HT Sequence Detection System (Applied Biosystems). Samples were amplified in parallel using human or murine HPRT as internal control. The sets of TaqMan probes and primers for human HPRT were as suggested by Applied Biosystems (4326321E). The murine HPRT TaqMan probe and primers are as follows: probe (5 0 -CGAG-CAAGTCTTTCAGTCCTGTCCA-3 0 ), forward (5 0 -ATTATGCCGAGGATTTGGAA-3 0 ), and reverse (5 0 -CCCATCTCCTTCATGACATCT-3 0 ). Standard curves were generated using 5 lL of serially diluted standards with a starting concentration of 2.40 9 10 9 copies. Human CD19 ? (B-cells), CD3 ? (T-cells), CD11b ? CD15 ? (Granulocytes), and CD11b ? CD15 ? (Monocytes) were sorted from human cord blood cells (St. Louis Cord Blood Bank) using a FACS Vantage-SE DiVa cell sorter (BD Biosciences), and the individual total RNA was purified as described above.
Tissue staining with ETV7 antibody Murine normal tissues were obtained from humanely euthanized animals and fixed in 10% neutral buffered formalin. Tissues were paraffinized, embedded, and 5 lm thick sections were cut. For anti-ETV7 antibody staining, the sections were dried overnight, and baked at 65°C for 30 min. The sections on slides were incubated in citrate buffer at pH 6.0 (Invitrogen) for 15 min at 100°C. After antigen retrieval, endogenous peroxidase activity was blocked by incubating the slides in 3% peroxide (Sigma) in methanol for 5 min. All following steps were intermitted by washing in TBS with 0.5% Tween-20. Endogenous biotin was blocked using an avidin/biotin-blocking kit (Vector Labs) followed by a 30-min protein-blocking step with Serum-Free protein block (Invitrogen) at 37°C. Sections were incubated with anti-ETV7 antibody overnight at 4°C. For peptide competition, undiluted antibody was incubated with ETV7 peptide at room temperature (RT) for 30 min prior to its application to the slides. Biotinylated secondary antibody (Vector Labs) was used at 6 lg/mL for 30 min at RT, followed by streptavidin-HRP (DAKO) and DAB chromogen (DAKO), following the manufacturer's protocols. Images were acquired using 200x or 400 9 magnification on a Nikon E800 microscope in the Cell Imaging Core Facility of St. Jude Children's Research Hospital. The ETV7 polyclonal antibody (Cardone et al. 2005) was raised against the ETV7-C-terminal peptide (DRIEFKDKRPEISP) and affinity purified using the same peptide coupled to an agarose column. The antibody was recovered using glycine elution.

ETV7 expression in normal human tissues
Previously we have shown by northern blotting that ETV7 is expressed in human bone marrow (BM) and fetal liver . To screen additional tissues for expression of ETV7, we performed quantitative PCR (q-PCR) using commercially available cDNA libraries from a variety of human tissues (Fig. 1). Although ETV7 is always expressed at low levels, we found the highest amount of ETV7 cDNA in BM and somewhat lower amounts in the colon, small intestine, prostate and spleen, while low levels of ETV7 cDNA were detected in pancreas, heart, brain, and testis libraries. This is largely in agreement with ETV7 RNA-seq data of different human tissues posted in the GTEx portal (https://www.gtexportal.org/home/ gene/ETV7).

Generation of ETV7 BAC transgenic mice
Given that ETV7 is expressed in multiple human tissues, we wished to determine the potential functional consequences of ETV7 expression in M. musculus, which does not have the Etv7 gene. We generated a mouse containing the human ETV7 gene locus as part of a bacterial artificial chromosome (BAC) transgene. The use of BAC DNA to generate a transgenic mouse (BAC transgenic mouse) has been extensively documented and proven to be a useful approach (Moreira et al. 2007;Ristevski 2005). Unlike standard-type transgenes, large genomic transgenes have a much higher chance to include most if not all gene regulatory elements required for cell type specific expression of the transgene. Fertilized mouse oocytes were injected with RP11-918H23 BAC DNA containing the human ETV7 gene locus (Fig. 2a). In total 55 F1 offspring were tested for presence of the transgene. PCR primers specific for sequences located 5 kb upstream and downstream of the ETV7 gene identified three mice containing the whole gene. All three founders were mosaic for the transgene of which one generated ETV7-positive offspring. This mouse carried a single copy of the ETV7 transgene as determined by quantitative PCR and FISH analysis (Fig. 2b). Next, we used additional PCR analysis to determine which portion of the BAC DNA was integrated. Primer pairs were used within the first and last exon of each open reading frame (ORF) contained within the BAC (Fig. 2c). A 70 kb portion containing the complete ETV7 locus was detected (Fig. 2a, c; gels F and G). A second portion of BAC DNA was also detected, containing a roughly 30 kb internal fragment of the human patatin-like phospholipase domain containing 1 (PNPLA1) gene (Fig. 2a, c; gels B and C), but this region does not contain an ORF due to lack of exon 1 ( Fig. 2c; position A). This indicated that ETV7 was the sole intact ORF within the integrated human BAC DNA sequences.
ETV7Tg mice have a normal phenotype and lifespan In this study, we used only hemizygous ETV7Tg ?/WT (ETV7Tg) transgenic mice. ETV7Tg mice were viable, produced normal sized litters, and had no discernable c Human gene specific primer locations (A-H) that were used to genotype ETV7Tg ?/WT (ETV7Tg) mice. PCR primers located in the first and last exons of all ORFs present in RP11-918H23 were used to map which sequences of the ETV7 BAC DNA had integrated in the host genome. Besides the ETV7 gene, no productive human ORFs were present in the genomic DNA of the ETV7Tg mouse phenotype. FVB ETV7Tg mice were maintained by breeding ETV7Tg ?/WT with wild-type (WT) FVB mice, which produced a Mendelian distribution of the ETV7 transgene in the offspring. This genetically confirmed the presence of a single integration site of the ETV7 transgene. There was no male to female bias in the offspring in any of the litters (Fig. 3a). Also, there was no difference in body weight of transgenic mice compared with gender matched littermate controls both at 4 and 10 weeks of age (Fig. 3b). Animals were followed for 400 days to enable detection of long-term effects of ETV7 expression (Fig. 3c), but there was no difference in survival rate between transgenic and normal FVB mice. Therefore, we concluded that the ETV7Tg mice are not tumor-prone, despite the observation that a high percentage of human tumors overexpress ETV7, including 70% of childhood acute lymphoid and myeloid leukemia (Ross et al. 2003(Ross et al. , 2004. To examine the expression pattern of ETV7 in the hematopoietic system, we compared the expression level of ETV7 in hematopoietic tissues of ETV7Tg mice and humans. Murine or human B-cells, T-cells, and myeloid cells were isolated by fluorescenceactivated cell sorting (FACS) from ETV7Tg splenocytes or human cord blood, respectively, and RNA of these cells was subjected to qRT-PCR analysis. As in humans, ETV7 expression was low in both B-and T-cells compared with that in myeloid cells of ETV7Tg mice (Fig. 3d). This result indicated that the ETV7 expression pattern in hematopoietic cells of ETV7Tg mimics that in humans.

ETV7Tg mice express ETV7 in hematopoietic tissues
To characterize the potential effect of ETV7 expression on the development of hematopoietic tissues, we determined the expression level of ETV7 in BM, spleen, and thymus of ETV7Tg mice (Fig. 4). 8-12-Week-old ETV7Tg mice and age matched littermate controls were sacrificed and tissue was harvested for qRT-PCR analysis and staining with anti-ETV7 antibody (Cardone et al. 2005) (Fig. 4). The expression of ETV7 was detected in all tissues with spleen showing the highest expression (Fig. 4a). Consistent with absence of the Etv7 gene in mice, ETV7-positive cells were not detected in control BM cells (Fig. 4b,  left). In contrast and compared with control BM, most of the ETV7Tg BM cells stained with the ETV7 antibody (Fig. 4b, middle) although mostly at low levels, indicating that the ETV7 protein is expressed at variable amounts. The ETV7 signal in ETV7Tg BM was absent after pre-incubation of the antibody with the ETV7-peptide against which the antibody had been raised (Fig. 4b, right), showing that our immunohistochemical staining is specific for ETV7 protein. In addition to hematopoietic tissues, pancreas, colon and stomach of age-matched littermate WT and ETV7Tg mice were stained with the ETV7 antibody. Human pancreas, colon and stomach were stained simultaneously. ETV7 was detected in pancreatic islets of Langerhans but not in exocrine tissues of ETV7Tg mouse or human pancreas (Fig. 4c, left), indicating that ETV7 expression is strictly cell-type specific. In agreement with this, the expression level of ETV7 mRNA in whole human pancreas was relatively low. Transitional cells in the colon displayed ETV7positive staining as well as the cells within crypts of the stomach in both ETV7Tg mice and human (Fig. 4c, middle and right). The ETV7 staining of these tissues in WT littermates was always absent. Taken together, these data showed that the integrated ETV7 gene locus in ETV7Tg mice is expressed at both the mRNA and protein level and is regulated in a tissue-specific fashion, reflecting the expression observed in normal human tissues.

ETV7 expression does not discernably alter hematopoietic tissues in ETV7Tg mice
Despite expression of the ETV7 transgene, no abnormalities were observed in any of the hematopoietic tissues by routine histological analysis (data not shown). To investigate hematopoietic homeostasis in more detail, we quantitatively examined the distribution of hematopoietic cell types in peripheral blood, BM, thymus, and spleen of ETV7Tg mice (Fig. 5). The relative proportion of leukocytes, erythrocytes, and thrombocytes in the peripheral blood of 9-week-old WT (n = 5) and ETV7Tg (n = 4) littermates was determined by complete blood count (CBC) (Fig. 5a). WT and ETV7Tg mice showed mostly similar CBC values although the average number of white blood cells (WBC) and lymphocytes was slightly lower in ETV7Tg mice. To further characterize the variety of lymphocytes and myeloid cells undergoing differentiation in vivo, BM cells, thymocytes, and splenocytes were freshly isolated from 12-week-old WT (n = 3) and ETV7Tg (n = 3) male mice, incubated with cellsurface specific antibodies, and analyzed by flow cytometry (FCM) (Fig. 5b-d). By counting the total number of mononuclear cells in hematopoietic tissues, we found the cellularity of BM, thymus, and spleen of ETV7Tg mice to be equivalent to that in control mice. In BM, a differential subset of B lymphocytes (B220 ? IgM -CD43 ? : progenitor (pro-) B, B220 ? IgM -CD43 -: precursor (pre-) B, B220 ? IgM ?-IgD -: immature B, and B220 ? IgM ? IgD ? : Recirculating B) could be distinguished, while there was no difference in the relative proportion of each B cell type (Fig. 5b). In thymus, all subsets of T lymphocytes were similarly distributed in ETV7Tg and control mice (Fig. 5c). Also, ETV7Tg splenocytes showed a similar frequency of B220 ? B-cells, CD3 ? T-cells, and Mac1 ? Gr1 ? or Mac1 ? Gr1myeloid cells as splenocytes of WT mice (Fig. 5d). Collectively, these results

ETV7 enhanced cell proliferation of myeloid cells in vitro
Given that ETV7 can function as a hematopoietic oncogene, we next determined whether ETV7 changed the proliferation characteristics of myeloid cells in vitro. Total BM cells were freshly isolated from WT (n = 3) and ETV7Tg (n = 3) mice, pooled, and plated in methylcellulose medium at a density of 1 9 10 4 cells/dish. The number of colonies consisting of CFU-E, CFU-GEMM, and CFU-GM were counted at Day 10-12 after seeding. The primary colony-forming units (CFUs) were counted (MC1), harvested and replated into new methylcellulose medium at the same density (MC2), and again scored after 10-12 days. This procedure was repeated four consecutive rounds (MC4). In the MC1 and MC2, we observed no difference in size, type, and number of WT and ETV7Tg CFUs (Fig. 6a). However, compared with WT control, ETV7Tg BM showed significantly decreased colony numbers in the MC3 and MC4, suggesting that there was reduced self-renewal activity of hematopoietic stem cells (HSCs) during the in vitro colony-forming assay. To test the proliferation of BM cells in vitro, lineage-depleted (Lin -) BM cells were cultured in liquid media supplemented with cytokines promoting myeloid cell growth (mSCF, mIL3, and hIL6). The culture was maintained for 30 days, by replacing the medium every 3 days. After 4 days of culture, ETV7Tg Lin -BM cells grew significantly faster than control BM (Fig. 6b). At Day 6 of culture the cell type was determined by FCM analysis showing that almost half were Mac1 -Gr1 ? myeloid cells (Fig. 6c). Notably, the composition of the WT and ETV7Tg BM cultures was the same, suggesting that ETV7 did not alter myeloid-lineage differentiation in vitro. Because ETV7Tg myeloid cells exhibited a growth advantage, we compared their cell cycle status by flow analysis and their apoptotic index by Annexin V staining with that of WT myeloid cells after 19 days of liquid culture. In agreement with the enhanced cell proliferation, the percentage of cells in G 1 /G 0 phase in ETV7Tg (63.62 ± 0.55%) was lower than that in control cultures (80.17 ± 1.75%), while the fraction of S phase ETV7Tg cells (31.34 ± 0.17%) was much higher (15.14 ± 0.74%) (Fig. 6d). On the other hand, there was no difference in the number of apoptotic cells between the two cultures (Fig. 6e).
These results indicate that ETV7 accelerates cell cycle traverse of myeloid cells in vitro.
ETV7 accelerates development of PTEN D/D T-cell lymphoblastic leukemia in mice PTEN, a negative regulator of the oncogenic phosphoinositol-3-OH kinase (PI3K)-Akt pathway, is involved in cell proliferation, differentiation, survival, mobilization, and hematopoietic stem/progenitor cell function (Cully et al. 2006). Deletion of or inactivating mutations in the PTEN tumor suppressor gene have been found in childhood T-cell acute lymphoblastic leukemia (T-ALL) (Gutierrez et al. 2009). Within a few weeks conditional deletion of Pten in mice causes a myeloproliferative disease (MPD), which 4-6 months later develops into ALL or acute myeloid leukemia (AML) (Yilmaz et al. 2006;Zhang et al. 2006). To test the contribution of ETV7 to leukemogenesis in a Pten fl/fl acute myeloid/lymphoid mouse model, we crossed ETV7Tg ?/WT mice with polyinosine-polycytidine (pIpC)-inducible conditional Pten fl/fl ;Mx1-Cre mice. Within a few months after pIpC injection most Pten-deleted (PTEN D/D ) and ETV7-positive/Pten-deleted (PTEN D/D ETV7Tg) mice succumbed to T-ALL and some to AML (Fig. 7a). ALL or AML was characterized as described previously (Yilmaz et al. 2006). Based on the pathological and histological analysis, there was no difference in tumor type and frequency of AML and ALL between the two genotypes. However, ETV7 greatly reduced the tumor-free lifespan of mice, indicating that ETV7 cooperatively accelerated the onset of Pten D/D leukemogenesis. To investigate the oncogenic role of ETV7 on a hyperactivated PI3K/Akt background, colonyforming assays were performed using normal total BM cells of PTEN D/D and PTEN D/D ETV7Tg mice 5 days post pIpC treatment (Fig. 7b). Contrary to the presence of ETV7 alone in Fig. 5a, PTEN D/D ETV7Tg BM cells produced a greater number of colonies in MC3 and MC4 as did PTEN D/D BM cells, suggesting that ETV7 enhanced the colony-forming activity of Pten D/ D hematopoietic stem/progenitor cells. These results indicated that moderate expression of ETV7 collaborates with the PTEN/PI3K/Akt pathway to develop leukemia in Pten D/D mice.

Discussion
ETV7 has been implicated in both human and mouse hematopoietic malignancy. Elevated ETV7 expression was observed in 70% of pediatric ALL/AML patients and overexpression of ETV7 inhibited monocytic differentiation in human cell lines (Kawagoe et al. 2004). In the mouse, retroviral transduction of ETV7 in BM caused myeloproliferative disease and in combination with Myc over expression accelerated B-cell lymphoma development (Cardone et al. 2005;Carella et al. 2006). However, these studies were not intended to identify the role of endogenous ETV7 in normal development and tumorigenesis because the oncogenic capabilities of ETV7 became apparent upon forced overexpression of ETV7 in murine BM and transformed human cell lines. Indeed, qRT-PCR showed that the expression level of ETV7 driven by the MSCV promoter in BM was over 1,000,000-fold higher than that in ETV7Tg BM (data not shown). It is curious that in spite of its high level of conservation among vertebrates the Etv7 gene locus was lost in part of the rodents including the mouse. This has limited the study of both its physiological and tumorigenic function in a mammalian model in vivo. In this study, we first established a unique transgenic mouse model, which carries a single copy of the human ETV7 gene and its regulatory elements (10 kb upstream sequences, 33.7 kb representing ETV7 and 26 kb of downstream sequences). Unfortunately, we managed to only obtain a single transgenic line as the other two chimeric transgenic founders never gave germline transmission of the transgene. Given that all three founders were chimeric, we suspect that after oocyte injection the BAC might be toxic during the transient phase of gene expression before integration into the genome, resulting in only chimeric offspring. Therefore, a limitation of this study is that our data and conclusions are derived from a single transgenic mouse line. ETV7 expression in hematopoietic tissues in ETV7Tg mice was similar to that in humans, and the hematopoietic system developed normally without any skewing of cell types, or symptoms of disease. However, once our ETV7Tg mice were crossed with oncogenic Pten fl/fl ;Mx1-Cre mice, ETV7 accelerated PTEN D/D leukemia. This result demonstrates the potential of the ETV7Tg mouse to serve as a more appropriate surrogate to study ETV7-positive human malignancies.
Recently we reported a potential in vivo function of ETV7 using zebrafish (Quintana et al. 2014). ETV7 knock-down in these animals disrupted red blood cell development indirectly through inhibition of the cholesterol synthesis pathway. Based on these results we speculated that appropriately regulated but nonetheless ectopically expressed human ETV7 in the mouse might affect red blood cell development or perturb other developmental aspects of hematopoiesis. However, we could not find any alteration in adult hematopoiesis or an altered distribution of hematopoietic cells in ETV7Tg mice. This could be the result of an as yet unidentified compensatory mechanism, or alternatively, low level of strictly regulated ETV7 expression might be insufficient to induce a discernable phenotypic change. Human hematopoietic cells are able to express ETV7 without detrimental effects, in contrast to the increased expression found in a large proportion of their malignant counterpart, further underwriting the potential impact of altered expression levels of ETV7. To establish the biological significance of the ETV7Tg mice for the analysis of ETV7 in normal ontogenesis and tumorigenesis, it is crucial to isolate the ETV7-interacting factors and identify its direct or indirect transcriptional targets. Moreover, besides hematopoietic tissues, it will be interesting to investigate the physiological or tumorigenic role of ETV7 in other tissues such as colon and small intestine that showed relative high expression of ETV7 in both normal human tissues and the ETV7Tg mouse. b Fig. 5 ETV7 does not affect the hematopoietic compartment of ETV7 BAC transgenic mice. a The panel shows the complete blood counts (CBC) of 9-week-old WT (n = 5) and ETV7Tg (n = 4) mice. b The bar graph on the left shows the total number of bone marrow cells in WT and ETV7 Tg mice, while the panel on the right shows the number of B-cells and myeloid cells in BM of 12-week-old WT (n = 3) and ETV7Tg (n = 3) male mice. Each cell subset was identified by its specific cell surface markers using flow cytometry. c The bar graph on the left shows the total number of T-cells in the thymus of 12-week-old WT (n = 3) and ETV7Tg (n = 3) male mice, while the panel on the right shows the numbers of different phenotypes as determined by flow cytometry. d The bar graph on the left shows the total number of splenocytes in 12-week-old WT (n = 3) and ETV7Tg (n = 3) male mice, while the panel on the right shows the number of B-cells, T-cells, and myeloid cells in the spleen of these mice Although ETV7Tg mice showed no obvious phenotype in hematopoietic tissues in vivo, ETV7Tg myeloid cells grew faster than control cells in in vitro culture. This was the result of accelerated cell cycle traverse rather than inhibition of apoptosis (Fig. 6b, d, e). Since ETV7Tg mice need to acquire other genetic and/or epigenetic mutations for transformation, the enhanced cell proliferation is likely to be an essential step in the accumulation of genetic mutations, perhaps as a result of increased replicative stress. ETV7Tg primitive myeloid progenitors showed reduced colony-forming activity during serial methylcellulose assays (Fig. 6a, MC3 and MC4), suggesting that the colony-forming activity of progenitors and/or the selfrenewal activity of hematopoietic stem cells (HSC) is impaired in ETV7Tg BM. The ETS transcription factor TEL/ETV6, a frequent target of chromosomal translocation in human leukemia (Bohlander 2005), is known to be a selective and essential regulator of HSC survival in mice (Hock et al. 2004). Given that ETV6 and ETV7 have opposite biological functions and can physically interact via their PNT domains (Fenrick et al. 2000;Kawagoe et al. 2004;Potter et al. 2000;Rompaey et al. 2000), it is conceivable that ETV7 interferes with ETV6's function in HSC maintenance. However, during constitutively activated PI3K/Akt signaling due to loss of Pten, ETV7 enhanced myeloid colony-formation compared with Pten D/D control cells, suggesting that ETV7 works as a positive regulator in absence of the Pten tumor suppressor.
In addition to PTEN fl/fl mice, we also crossed ETV7Tg mice with Arf -/-(Arf -/-) and Ink4aArf -/-(-Ink4aArf -/-) mice to generate Arf -/-ETV7Tg ?/WT (Arf -/-ETV7Tg) and Ink4aArf -/-ETV7Tg ?/WT (Ink4aArf -/-ETV7Tg) double mutant mice, respectively. Intriguingly, ETV7 slightly shortened the tumor onset of Arf -/mice but Ink4aArf -/and Ink4aArf -/-ETV7Tg ?/WT mice showed completely Fig. 6 ETV7 enhances cell proliferation of BM-derived myeloid cells after long-term culture. a MethoCult assays were performed using total BM cells of 8-week-old WT and ETV7Tg mice. Colonies in the first plating (MC1) were counted at 10-12 days post seeding, followed by pooling and replating in new MethoCult medium for an additional 3 rounds (MC2-MC4). *p \ 0.05. b Cell growth was examined of WT and ETV7Tg lineage-depleted (Lin -) BM cells in liquid culture in the presence of myeloid cytokines from Day 4-9 post seeding. *p \ 0.05, **p \ 0.01. c Lin -BM cells cultured for 6 days were stained with the indicated antibodies and subjected to FCM analysis. d Cell cycle status was analyzed by flow cytometry at Day 19 of in vitro culture and the bar graph shows the proportion of cells in G 1 /G 0 , S, and G 2 /M phase of the cell cycle *p \ 0.05. e The percentage of cells undergoing apoptosis at Day 19 of culture was determined by FCM analysis following AnnexinV/ DAPI staining overlapping survival curves (Supplemental Fig. 1). All mice developed a variety of tumors as described previously (Kamijo et al. 1997;Serrano et al. 1996) and ETV7 did not affect the tumor spectrum of Arf -/and Ink4aArf -/mice. Nonetheless, 1 out of 26 Arf -/-ETV7Tg mice succumbed to myeloid leukemia and hemangiosarcoma, which has never been reported in Arf -/control mice. These results suggest that ETV7 expression is functionally comparable with reduced pRb cell cycle control, which agrees with the observation that ETV7 accelerates cell cycle traverse in myeloid cells.
In conclusion, we provide evidence that our ETV7 BAC transgenic mouse model developed normally and did not show any apparent phenotype but showed increased tumor incidence when crossed onto a tumorprone mouse background. The ETV7Tg mouse is therefore a more faithful cancer animal model to investigate ETV7-associated human tumors. We have started crossing the ETV7Tg mice with various other cancer mouse models to determine if ETV7 also accelerates tumorigenesis in those models in vivo. We believe that our ETV7Tg mouse not only enables us to more faithfully model human ETV7-associated tumorigenesis in vivo but also provides a preclinical model with which to test efficacy of future drugs directed against ETV7-positive human cancers.