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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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Submitted June 9, 2004
Accepted December 14, 2004

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*

Department of Medicine III, University Hospital Grosshadern, Ludwig-Maximilians University, Clinical Cooperative Group 'Leukemia', Munich, Germany; GSF-National Research Center for Environment and Health, Munich, Germany; Institute of Molecular Immunology, Munich, Germany
Department of Medicine III, University Hospital Grosshadern, Ludwig-Maximilians University, Clinical Cooperative Group 'Leukemia', Munich, Germany
GSF-National Research Center for Environment and Health, Munich, Germany; Institute of Molecular Immunology, Munich, Germany

* Corresponding author; email: k.spiekermann{at}gmx.de.

KIT exon 8 mutations are located in the extracellular portion of the receptor and strongly associated with core binding factor (CBF) - acute myeloid leukemia (AML). To characterize the functional role of these mutants, we analyzed the pro-proliferative and antiapoptotic potential of three KIT exon 8 mutations in 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 towards 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 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.


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