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Blood, 15 April 2005, Vol. 105, No. 8, pp. 3319-3321.
Prepublished online as a Blood First Edition Paper on December 23, 2004; DOI 10.1182/blood-2004-06-2068.
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NEOPLASIA Brief report
KIT exon 8 mutations associated with core-binding factor (CBF)acute myeloid leukemia (AML) cause hyperactivation of the receptor in response to stem cell factor
Tobias M. Kohl,
Susanne Schnittger,
Joachim W. Ellwart,
Wolfgang Hiddemann, and
Karsten Spiekermann
From the Department of Medicine III, University Hospital Grosshadern, Ludwig-Maximilians University, Clinical Cooperative Group "Leukemia" and the Laboratory for Leukemia Diagnostics, GSF-National Research Center for Environment and Health, Munich, Germany.
KIT exon 8 mutations are located in the extracellular portion of the receptor and are strongly associated with core-binding factor (CBF)-acute myeloid leukemia (AML). To characterize the functional role of these mutants, we analyzed the proproliferative and antiapoptotic potential of 3 KIT exon 8 mutations in interleukin 3 (IL-3)-dependent Ba/F3 cells. All KIT exon 8 mutants induced receptor hyperactivation in response to stem cell factor (SCF) stimulation in terms of proliferation and resistance toward apoptotic cell death. A representative KIT exon 8 mutant showed spontaneous receptor dimerization, phosphorylation of mitogen-activated protein kinase (MAPK), and conferred IL-3-independent growth to Ba/F3 cells. MAPK and phosphatidylinositol 3-kinase (PI3-kinase) activation was essential for the phenotype of this mutant. Additionally, imatinib inhibited proliferation of KIT exon 8 mutant-expressing Ba/F3 cells. Our data show that KIT exon 8 mutations represent gain-of-function mutations and might represent a new molecular target for treatment of CBF leukemias. (Blood. 2005;105:3319-3321)

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