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Blood, 15 March 2005, Vol. 105, No. 6, pp. 2527-2534.
Prepublished online as a Blood First Edition Paper on November 18, 2004; DOI 10.1182/blood-2004-06-2494.
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NEOPLASIA
Antileukemic activity of rapamycin in acute myeloid leukemia
Christian Récher,
Odile Beyne-Rauzy,
Cécile Demur,
Gaëtan Chicanne,
Cédric Dos Santos,
Véronique Mansat-De Mas,
David Benzaquen,
Guy Laurent,
Françoise Huguet, and
Bernard Payrastre
From Institut National de la Santé et de la Recherche Médicale (Inserm) U563, CPTP, Département d'Oncogenèse et signalisation dans les cellules hématopoïétiques, IFR30, Toulouse, France; the Service d'Hématologie, Centre Hospitalier Universitaire Purpan, Toulouse, France; the Laboratoire d'Hématologie, Centre Hospitalier Universitaire Purpan, Toulouse, France; and the Service d'Orthopédie, Centre Hospitalier Universitaire Purpan, Toulouse, France.
The mammalian target of rapamycin (mTOR) is a key regulator of growth and survival in many cell types. Its constitutive activation has been involved in the pathogenesis of various cancers. In this study, we show that mTOR inhibition by rapamycin strongly inhibits the growth of the most immature acute myeloid leukemia (AML) cell lines through blockade in G0/G1 phase of the cell cycle. Accordingly, 2 downstream effectors of mTOR, 4E-BP1 and p70S6K, are phosphorylated in a rapamycin-sensitive manner in a series of 23 AML cases. Interestingly, the mTOR inhibitor markedly impairs the clonogenic properties of fresh AML cells while sparing normal hematopoietic progenitors. Moreover, rapamycin induces significant clinical responses in 4 of 9 patients with either refractory/relapsed de novo AML or secondary AML. Overall, our data strongly suggest that mTOR is aberrantly regulated in most AML cells and that rapamycin and analogs, by targeting the clonogenic compartment of the leukemic clone, may be used as new compounds in AML therapy.

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