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Blood, 1 April 2007, Vol. 109, No. 7, pp. 3031-3041.
Prepublished online as a Blood First Edition Paper on November 16, 2006; DOI 10.1182/blood-2006-07-032714.


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NEOPLASIA

Identification of MCL1 as a novel target in neoplastic mast cells in systemic mastocytosis: inhibition of mast cell survival by MCL1 antisense oligonucleotides and synergism with PKC412

Karl J. Aichberger1, Matthias Mayerhofer1, Karoline V. Gleixner1, Maria-Theresa Krauth1, Alexander Gruze2, Winfried F. Pickl2, Volker Wacheck3, Edgar Selzer4, Leonhard Müllauer5, Hermine Agis1, Christian Sillaber1, and Peter Valent1

1 Department of Internal Medicine I, Division of Hematology and Hemostaseology, 2 Institute of Immunology, 3 Department of Clinical Pharmacology, 4 Department of Radiation Therapy, 5 Department of Clinical Pathology, Medical University of Vienna, Austria

MCL-1 is a Bcl-2 family member that has been described as antiapoptotic in various myeloid neoplasms. Therefore, MCL-1 has been suggested as a potential new therapeutic target. Systemic mastocytosis (SM) is a myeloid neoplasm involving mast cells (MCs) and their progenitors. In the present study, we examined the expression and functional role of MCL-1 in neoplastic MCs and sought to determine whether MCL-1 could serve as a target in SM. As assessed by RT-PCR and immunohistochemical examination, primary neoplastic MCs expressed MCL-1 mRNA and the MCL-1 protein in all SM patients examined. Moreover, MCL-1 was detectable in both subclones of the MC line HMC-1—HMC-1.1 cells, which lack the SM-related KIT mutation D816V, and HMC-1.2 cells, which carry KIT D816V. Exposure of HMC-1.1 cells or HMC-1.2 cells to MCL-1–specific antisense oligonucleotides (ASOs) or MCL-1–specific siRNA resulted in reduced survival and increased apoptosis compared with untreated cells. Moreover, MCL-1 ASOs were found to cooperate with various tyrosine kinase inhibitors in producing growth inhibition in neoplastic MCs, with synergistic effects observed with PKC412, AMN107, and imatinib in HMC-1.1 cells and with PKC412 in HMC-1.2 cells. Together, these data show that MCL-1 is a novel survival factor and an attractive target in neoplastic MCs.


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