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Prepublished online as a Blood First Edition Paper on June 14, 2002; DOI 10.1182/blood-2002-02-0531.
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Blood, 15 October 2002, Vol. 100, No. 8, pp. 2941-2949
NEOPLASIA
SU5416 and SU5614 inhibit kinase activity of wild-type and mutant
FLT3 receptor tyrosine kinase
Kevin W. H. Yee,
Anne Marie O'Farrell,
Beverly D. Smolich,
Julie M. Cherrington,
Gerald McMahon,
Cecily L. Wait,
Laura S. McGreevey,
Diana J. Griffith, and
Michael C. Heinrich
From the Department of Medicine, Division of
Hematology and Medical Oncology, Oregon Health and Science University,
and Portland Veterans Affairs Medical Center, Portland; and
SUGEN, South San Francisco, CA
Internal tandem duplication (ITD) in the juxtamembrane portion of
Fms-like tyrosine kinase 3 (FLT3), a type III receptor tyrosine kinase
(RTK), is the most common molecular defect associated with acute
myeloid leukemia (AML). The high prevalence of this activating mutation
makes it a potential target for molecularly based therapy. Indolinone tyrosine kinase inhibitors have known activity against KIT,
another member of the type III RTK family. Given the conserved homology
between members of this family, we postulated that the activity of some
KIT inhibitors would extend to FLT3. We used various leukemic cell
lines (BaF3, MV 4-11, RS 4;11) to test the activity of indolinone
compounds against the FLT3 kinase activity of both wild-type
(WT) and ITD isoforms. Both SU5416 and SU5614 were capable of
inhibiting autophosphorylation of ITD and WT FLT3 (SU5416
concentration that inhibits 50% [IC50], 100 nM;
and SU5614 IC50 10 nM). FLT3-dependent activation of the
downstream signaling proteins mitogen-activated protein kinase
(MAPK) and signal transducer and activator of transcription 5 (STAT5) was also inhibited by treatment in the same
concentration ranges. FLT3 inhibition by SU5416 and SU5614 resulted in
reduced proliferation (IC50, 250 nM and 100 nM,
respectively) and induction of apoptosis of FLT3 ITD-positive leukemic
cell lines. Treatment of these cells with an alternative growth factor
(granulocyte-macrophage colony-stimulating factor
[GM-CSF]) restored MAPK signaling and cellular
proliferation, demonstrating specificity of the observed inhibitory
effects. We conclude that SU5416 and SU5614 are potent inhibitors of
FLT3. Our finding that inhibition of FLT3 induces apoptosis of leukemic cells supports the feasibility of targeting FLT3 as a novel treatment strategy for AML.

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