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Blood, 1 July 2005, Vol. 106, No. 1, pp. 265-273.
Prepublished online as a Blood First Edition Paper on March 15, 2005; DOI 10.1182/blood-2004-07-2942.


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Submitted July 30, 2004
Accepted February 27, 2005

AML-associated Flt3 kinase domain mutations show signal transduction differences in comparison to Flt3 ITD mutations

Chunaram Choudhary, Joachim Schwable, Christian Brandts, Lara Tickenbrock, Bulent Sargin, Thomas Kindler, Thomas Fischer, Wolfgang E Berdel, Carsten Muller-Tidow, and Hubert Serve*

Department of Medicine, Hematology/Oncology and the Interdisciplinary Center for Clinical Research, University of Munster, Munster, Germany
3rd Med Department, Johannes-Gutenberg University, Mainz, Germany

* Corresponding author; email: serve{at}uni-muenster.de.

Activating mutations of Flt3 are found in approximately one third of AML patients and are an attractive drug target. Two classes of Flt3 mutations occur: Internal tandem duplications (ITD) in the juxtamembrane and point mutations in the tyrosine kinase domain (TKD). We and others have shown that Flt3-ITD induced aberrant signaling including strong STAT5 activation and repression of c/EBP{alpha} and Pu.1. Here, we compared the signaling properties of Flt3-ITD versus Flt3-TKD in myeloid progenitor cells. We demonstrate that Flt3-TKD mutations induced autonomous growth of 32D cells in suspension cultures. However, in contrast to Flt3-ITD and similar to wild-type Flt3 (Flt3-WT), Flt3-TKD cannot support colony formation in semisolid media. Also in contrast to Flt3-ITD, neither Flt3-WT nor Flt3-TKD induced activation or induction of STAT5 target genes. Flt3-TKD also failed to repress c/EBP{alpha} and Pu.1. No significant differences were observed in receptor autophosphorylation, and the phosphorylation of Erk-1 and 2, Akt and Shc. Importantly, TKD but not ITD mutations were a log power more sensitive towards the tyrosine kinase inhbitor PKC412 than Flt3-WT. In conclusion, Flt3-ITD and Flt3-TKD mutations display profound differences in their signaling properties that could have important implications for their transforming capacity and for the design of mutation-specific therapeutic approaches.


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