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Blood, 15 December 2001, Vol. 98, No. 13, pp. 3778-3783
NEOPLASIA
The t(8;22) in chronic myeloid leukemia fuses BCR to FGFR1:
transforming activity and specific inhibition of FGFR1 fusion
proteins
Asuman Demiroglu,
E. Joanna Steer,
Carol Heath,
Kerry Taylor,
Mark Bentley,
Steven L. Allen,
Prasad Koduru,
Judith P. Brody,
Geoffrey Hawson,
Robyn Rodwell,
Mary-Lou Doody,
Fernando Carnicero,
Andreas Reiter,
John M. Goldman,
Junia V. Melo, and
Nicholas C. P. Cross
From the Department of Haematology, Imperial College
School of Medicine, Hammersmith Hospital, London, United Kingdom;
Division of Cancer Services, Mater Hospital, South Brisbane, Australia;
Department of Medicine and Department of Laboratories, North Shore
University Hospital and New York University School of Medicine,
Manhasset, New York; Nambour General Hospital, Nambour, Australia; III
Medizinische Universitätsklinik, Klinikum Mannheim, Germany.
This report describes 2 patients with a clinical and
hematologic diagnosis of chronic myeloid leukemia (CML) in chronic
phase who had an acquired t(8;22)(p11;q11). Analysis by fluorescence in
situ hybridization (FISH) and reverse transcription-polymerase chain
reaction (RT-PCR) indicated that both patients were negative for the
BCR-ABL fusion, but suggested that the BCR gene was
disrupted. Further FISH indicated a breakpoint within fibroblast growth
factor receptor 1 (FGFR1), the receptor tyrosine kinase that is known to be disrupted in a distinctive myeloproliferative disorder, most
commonly by fusion to ZNF198. RT-PCR confirmed the presence in both
cases of an in-frame messenger RNA fusion between BCR exon 4 and FGFR1
exon 9. Expression of BCR-FGFR1 in the factor-dependent cell line Ba/F3
resulted in interleukin 3-independent clones that grew at a comparable
rate to cells transformed with ZNF198-FGFR1. The growth of transformed
cells was inhibited by the phosphatidylinositol 3-kinase inhibitor
LY294002, the farnesyltransferase inhibitors L744832 and manumycin A,
the p38 inhibitors SB202190 and SB203580 but not by the MEK inhibitor
PD98059. The growth of BaF3/BCR-FGFR1 and BaF3/ZNF198-FGFR1 was not
significantly inhibited by treatment with STI571, but was inhibited by
SU5402, a compound with inhibitory activity against FGFR1. Inhibition
with this compound was associated with decreased phosphorylation of
ERK1/2 and BCR-FGFR1 or ZNF198-FGFR1, and was dose dependent with an
inhibitory concentration of 50% of approximately 5 µM. As expected,
growth of BaF3/BCR-ABL was inhibited by STI571 but not by SU5402. The
study demonstrates that the BCR-FGFR1 fusion may occur in patients with
apparently typical CML. Patients with constitutively active FGFR1
fusion genes may be amenable to treatment with specific FGFR1 inhibitors.

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