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Blood, 15 July 2004, Vol. 104, No. 2, pp. 558-560.
Prepublished online as a Blood First Edition Paper on March 25, 2004; DOI 10.1182/blood-2004-01-0168.
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Submitted January 14, 2004
Accepted March 1, 2004
Activating FLT3 Mutations in CD117/KIT PositiveT-Cell Acute Lymphoblastic Leukemias
Elisabeth Paietta*, Adolfo A Ferrando, Donna Neuberg, John M Bennett, Janis Racevskis, Hillard Lazarus, Gordon Dewald, Jacob M Rowe, Peter H Wiernik, Martin S Tallman, and A T Look
Cancer Center, Our Lady of Mercy Medical Center, Bronx, NY, USA
Pediatric Oncology, Dana Farber Cancer Institute, Boston, MA, USA
Biostatistics, Dana Farber Cancer Institute, Boston, MA, USA
Medical Oncology, University of Rochester, Rochester, NY, USA
Ireland Cancer Center, Case Western Reserve University, Cleveland, OH, USA
Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA
Hematology, Rambam Medical Center, Haifa, Israel
Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
* Corresponding author; email: epaietta{at}earthlink.net.
Activating FLT3 mutations are the most common genetic aberrations in acute myeloid leukemia (AML), resulting in the constitutive activation of this receptor tyrosine kinase (RTK), but such mutations are rarely found in acute lymphoblastic leukemia (ALL). Here we describe a unique subset of de novo adult T-cell ALL cases that coexpress CD117/KIT and cytoplasmic CD3 (CD117/KITpos ALL). Activating mutations in the FLT3 RTK gene were found in each of three CD117/KITpos cases that were analyzed, but not in 52 other adult T-ALL samples from the same series that lacked CD117/KIT expression. Our results indicate the need for clinical trials to test the efficacy of drugs that inhibit the FLT3 RTK in this subset of T-ALL patients.

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