Neurotrophins and their receptors play a key role in neurogenesis and survival. However, we and others have recently obtained evidence for a potential involvement of this receptor system in leukemia. To investigate mechanisms underlying the leukemogenic potential of activated neurotrophin receptor signaling, we analyzed in vivo leukemogenesis mediated by DTrkA, a mutant of TRKA (tropomyosin-related kinase A) isolated from a patient with acute myeloid leukemia (AML). Retroviral expression of DTrkA in myeloid 32D cells induced AML in syngeneic C3H/Hej mice (n ÂŒ 11/11, latency B4 weeks). C57Bl/6J mice transplanted with DTrkA-transduced primary lineage negative (Lin Ă ) bone marrow cells died of a transient polyclonal AML (n ÂŒ 7/15, latency of o12 days). Serial transplantation of AML cells did not re-induce this disease but rather acute lymphoblastic leukemia (ALL, latency 478 days). All primary recipients surviving the early AML developed clonal ALL or myeloid leukemia (latency 472 days) that required additional genetic lesions. PI3K and mTOR-raptor were identified as the crucial mediators of leukemic transformation, whereas STAT and MAP kinase signaling pathways were not activated. Thus, our findings reveal potent and unique transforming properties of altered neurotrophin receptor signaling in leukemogenesis, and encourage further analyses of neurotrophin receptors and downstream signaling events in hematological malignancies.