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Blood, 15 June 2004, Vol. 103, No. 12, pp. 4650-4658. Prepublished online as a Blood First Edition Paper on February 24, 2004; DOI 10.1182/blood-2003-08-2759.
Submitted August 13, 2003
Division of Hematology/Oncology, Department of Medicine, Mount Sinai School of Medicine, New York, NY, USA; Department of Molecular Diagnostics, Tohoku University School of Medicine, Sendai, Miyagi, Japan * Corresponding author; email: jonathan.licht{at}mssm.edu.
Flt3 is a type III receptor tyrosine kinase (RTK). Between 20 and 30% of acute myeloid leukemia (AML) patients have either an internal tandem duplication (ITD) of the juxtamembrane region or a point mutation of the Flt3 receptor leading to the constitutive activation of downstream signaling pathways and aberrant cell growth. The SMRT co-repressor mediates transcriptional repression by interacting with transcription factors such as the PLZF protein. Previous reports indicate that SMRT interaction with transcription factors can be disrupted by phosphorylation through activation of RTK pathways. We report here that the Flt3-ITD interferes with the transcriptional and biological action of the PLZF transcriptional repressor. In the presence of Flt3-ITD, PLZF-SMRT interaction was reduced, transcriptional repression by PLZF was inhibited and PLZF mediated growth suppression of leukemia cells was partially blocked. Furthermore, over-expression of Flt3-ITD led to a partial relocalization of SMRT protein from the nucleus to the cytoplasm. Nuclear export was dependent on the SMRT receptor interaction domain (RID) and Flt3-ITD enhances the binding of nuclear-cytoplasm shuttling protein NF
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