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Blood, 15 August 2006, Vol. 108, No. 4, pp. 1374-1376.
Prepublished online as a Blood First Edition Paper on April 27, 2006; DOI 10.1182/blood-2006-02-004457.


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NEOPLASIA
Brief report

Sorafenib is a potent inhibitor of FIP1L1-PDGFR{alpha} and the imatinib-resistant FIP1L1-PDGFR{alpha} T674I mutant

Els Lierman, Cedric Folens, Elizabeth H. Stover, Nicole Mentens, Helen Van Miegroet, Werner Scheers, Marc Boogaerts, Peter Vandenberghe, Peter Marynen, and Jan Cools

From the Department of Human Genetics, Flanders Interuniversity Institute for Biotechnology (VIB), the Department of Hematology, Universitaire Ziekenhuizen (UZ) Leuven, and the Department of Human Genetics, University of Leuven, Belgium; the Division of Hematology, Department of Medicine, Brigham and Women's Hospital, and the Department of Genetics, Harvard Medical School, Boston, MA.

The FIP1L1-PDGFRA oncogene is a common cause of chronic eosinophilic leukemia (CEL), and encodes an activated tyrosine kinase that is inhibited by imatinib. FIP1L1-PDGFRA–positive patients with CEL respond to low-dose imatinib therapy, but resistance due to acquired T674I mutation has been observed. We report here the identification of sorafenib as a potent inhibitor of the FIP1 like 1–platelet-derived growth factor receptor alpha (FIP1L1-PDGFR{alpha}) (T674I) mutant. Sorafenib inhibited the proliferation of FIP1L1-PDGFR{alpha} and FIP1L1-PDGFR{alpha}(T674I)–transformed Ba/F3 cells and induced apoptosis of the EOL-1 cell line at a low nanomolar concentration. Western blot analysis confirmed that these effects were due to a direct effect on FIP1L1-PDGFR{alpha} and FIP1L1-PDGFR{alpha}(T674I). Sorafenib was recently approved for the treatment of renal cell carcinoma. Our data suggest that low doses of sorafenib could be efficient for the treatment of FIP1L1-PDGFRA–positive CEL and could be used to overcome resistance to imatinib associated with the T674I mutation.


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