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Blood, 1 November 2005, Vol. 106, No. 9, pp. 3206-3213.
Prepublished online as a Blood First Edition Paper on July 19, 2005; DOI 10.1182/blood-2005-05-1932.


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NEOPLASIA

The small molecule tyrosine kinase inhibitor AMN107 inhibits TEL-PDGFR{beta} and FIP1L1-PDGFR{alpha} in vitro and in vivo

Elizabeth H. Stover, Jing Chen, Benjamin H. Lee, Jan Cools, Elizabeth McDowell, Jennifer Adelsperger, Dana Cullen, Allison Coburn, Sandra A. Moore, Rachel Okabe, Doriano Fabbro, Paul W. Manley, James D. Griffin, and D. Gary Gilliland

From the Division of Hematology, Department of Medicine, Brigham and Women's Hospital, Boston, MA; the Department of Genetics, Harvard Medical School, Boston, MA; the Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA; the Department of Pathology, Brigham and Women's Hospital, Boston, MA; the Department of Human Genetics, University of Leuven-Flanders Interuniversity Institute for Biotechnology, Leuven, Belgium; the Novartis Institutes for Biomedical Research, Basel, Switzerland; the Dana-Farber Cancer Institute, Boston, MA; and the Howard Hughes Medical Institute, Harvard Medical School, Boston, MA.

AMN107 is a small molecule tyrosine kinase inhibitor developed, in the first instance, as a potent inhibitor of breakpoint cluster region-abelson (BCR-ABL). We tested its effectiveness against fusion tyrosine kinases TEL–platelet-derived growth factor receptor{beta} (TEL-PDGFR{beta}) and FIP1-like-1 (FIP1L1)–PDGFR{alpha}, which cause chronic myelomonocytic leukemia and hypereosinophilic syndrome, respectively. In vitro, AMN107 inhibited proliferation of Ba/F3 cells transformed by both TEL-PDGFR{beta} and FIP1L1-PDGFR{alpha} with IC50 (inhibitory concentration 50%) values less than 25 nM and inhibited phosphorylation of the fusion kinases and their downstream signaling targets. The imatinib mesylate–resistant mutant TEL-PDGFR{beta} T681I was sensitive to AMN107, whereas the analogous mutation in FIP1L1-PDGFR{alpha}, T674I, was resistant. In an in vivo bone marrow transplantation assay, AMN107 effectively treated myeloproliferative disease induced by TEL-PDGFR{beta} and FIP1L1-PDGFR{alpha}, significantly increasing survival and disease latency and reducing disease severity as assessed by histopathology and flow cytometry. In summary, AMN107 can inhibit myeloid proliferation driven by TEL-PDGFR{beta} and FIP1L1-PDGFR{alpha} and may be a useful drug for treatment of patients with myeloproliferative disease who harbor these kinase fusions.


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