Inhibition of FLT3 in MLL. Validation of a therapeutic target identified by gene expression based classification: Validation of a therapeutic target identified by gene expression based classification

Scott A Armstrong, Andrew L Kung, Meghann E Mabon, Lewis B Silverman, Ronald W Stam, Monique L Den Boer, Rob Pieters, John H Kersey, Stephen E Sallan, Jonathan A Fletcher, Todd R Golub, James D Griffin, Stanley J Korsmeyer

Research output: Contribution to journalArticlepeer-review

358 Citations (Scopus)

Abstract

We recently found that MLL-rearranged acute lymphoblastic leukemias (MLL) have a unique gene expression profile including high level expression of the receptor tyrosine kinase FLT3. We hypothesized that FLT3 might be a therapeutic target in MLL and found that 5 of 30 MLLs contain mutations in the activation loop of FLT3 that result in constitutive activation. Three are a newly described deletion of I836 and the others are D835 mutations. The recently described FLT3 inhibitor PKC412 proved cytotoxic to Ba/F3 cells dependent upon activated FLT3 containing either mutation. PKC412 is also differentially cytotoxic to leukemia cells with MLL translocations and FLT3 that is activated by either overexpression of the wild-type receptor or mutation. Finally, we developed a mouse model of MLL and used bioluminescent imaging to determine that PKC412 is active against MLL in vivo.

Original languageEnglish
Pages (from-to)173-83
Number of pages11
JournalCancer cell
Volume3
Issue number2
DOIs
Publication statusPublished - Feb 2003
Externally publishedYes

Keywords

  • Animals
  • Annexin A5/metabolism
  • Antineoplastic Agents/pharmacology
  • Child, Preschool
  • DNA-Binding Proteins/genetics
  • Female
  • Gene Expression
  • Histone-Lysine N-Methyltransferase
  • Humans
  • In Situ Hybridization, Fluorescence
  • Interleukin-3/metabolism
  • Mice
  • Myeloid-Lymphoid Leukemia Protein
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma/enzymology
  • Protein Kinase C/antagonists & inhibitors
  • Proto-Oncogene Proteins/antagonists & inhibitors
  • Proto-Oncogenes
  • Receptor Protein-Tyrosine Kinases/antagonists & inhibitors
  • Reverse Transcriptase Polymerase Chain Reaction
  • Staurosporine/analogs & derivatives
  • Transcription Factors
  • Transfection
  • Tumor Cells, Cultured
  • fms-Like Tyrosine Kinase 3

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