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Blood, 15 October 2008, Vol. 112, No. 8, pp. 3373-3382.
Prepublished online as a Blood First Edition Paper on July 28, 2008; DOI 10.1182/blood-2008-03-147587.


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NEOPLASIA

K-RasG12D–induced T-cell lymphoblastic lymphoma/leukemias harbor Notch1 mutations and are sensitive to {gamma}-secretase inhibitors

Thomas Kindler1, Melanie G. Cornejo1, Claudia Scholl1, Jianing Liu1, Dena S. Leeman1, J. Erika Haydu1, Stefan Fröhling1, Benjamin H. Lee1,2, and D. Gary Gilliland1,3,4

1 Division of Hematology, Department of Medicine, and 2 Department of Pathology, Brigham & Women's Hospital; 3 Department of Medical Oncology, Dana-Farber Cancer Institute; and 4 Howard Hughes Medical Institute, Harvard Medical School, Boston, MA

To study the impact of oncogenic K-Ras on T-cell leukemia/lymphoma development and progression, we made use of a conditional K-RasG12D murine knockin model, in which oncogenic K-Ras is expressed from its endogenous promoter. Transplantation of whole bone marrow cells that express oncogenic K-Ras into wild-type recipient mice resulted in a highly penetrant, aggressive T-cell leukemia/lymphoma. The lymphoblasts were composed of a CD4/CD8 double-positive population that aberrantly expressed CD44. Thymi of primary donor mice showed reduced cellularity, and immunophenotypic analysis demonstrated a block in differentiation at the double-negative 1 stage. With progression of disease, approximately 50% of mice acquired Notch1 mutations within the PEST domain. Of note, primary lymphoblasts were hypersensitive to {gamma}-secretase inhibitor treatment, which is known to impair Notch signaling. This inhibition was Notch-specific as assessed by down-regulation of Notch1 target genes and intracellular cleaved Notch. We also observed that the oncogenic K-Ras-induced T-cell disease was responsive to rapamycin and inhibitors of the RAS/MAPK pathway. These data indicate that patients with T-cell leukemia with K-Ras mutations may benefit from therapies that target the NOTCH pathway alone or in combination with inhibition of the PI3K/AKT/MTOR and RAS/MAPK pathways.


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