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Prepublished online as a Blood First Edition Paper on June 7, 2002; DOI 10.1182/blood-2002-05-1361.
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Blood, 15 October 2002, Vol. 100, No. 8, pp. 3041-3044
BRIEF REPORT
BCR-ABL point mutants isolated from patients with imatinib
mesylate-resistant chronic myeloid leukemia remain sensitive to
inhibitors of the BCR-ABL chaperone heat shock protein 90
Mercedes E. Gorre,
Katharine Ellwood-Yen,
Gabriela Chiosis,
Neal Rosen, and
Charles L. Sawyers
From the Department of Medicine and Molecular Biology
Institute, David Geffen School of Medicine at University of California,
Los Angeles, CA; the Department of Medicine and Program in Cell
Biology, Memorial Sloan-Kettering Cancer Center, New York, NY.
Clinical resistance to imatinib mesylate is
commonly observed in patients with advanced Philadelphia
chromosome- positive (Ph+) leukemias. Acquired
resistance is typically associated with reactivation of BCR-ABL due to
kinase domain mutations or gene amplification, indicating that BCR-ABL
remains a viable target for inhibition in these patients. Strategies
for overcoming resistance can be envisioned through exploitation of
other molecular features of the BCR-ABL protein, such as its dependence
on the molecular chaperone heat shock protein 90 (Hsp90). To determine
whether inhibition of Hsp90 could induce degradation of imatinib
mesylate-resistant, mutant BCR-ABL proteins, hematopoietic cells
expressing 2 mutant BCR-ABL proteins found in imatinib
mesylate-resistant patients (T315I and E255K) were examined for
sensitivity to geldanamycin and 17-allylaminogeldanamycin (17-AAG).
Both compounds induced the degradation of wild-type and mutant BCR-ABL
and inhibited cell growth, with a trend indicating more potent activity
against mutant BCR-ABL proteins. These data support clinical
investigations of 17-AAG in imatinib mesylate-resistant
Ph+ leukemias.

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