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Blood, 15 July 2005, Vol. 106, No. 2, pp. 721-724.
Prepublished online as a Blood First Edition Paper on March 24, 2005; DOI 10.1182/blood-2004-12-4617.
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Submitted December 14, 2004
Accepted March 14, 2005
Activation mutations of human c-KIT resistant to imatinib are sensitive to the tyrosine kinase inhibitor PKC412
Joseph D Growney, Jennifer J Clark, Jennifer Adelsperger, Richard Stone, Doriano Fabbro, James D Griffin, and D G Gilliland*
Division of Hematology, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA
Dana-Farber Cancer Institute, Boston, MA, USA
Novartis Pharma AG, Basel, Switzerland
Division of Hematology, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA; Howard Hughes Medical Institute, Harvard Medical School, Boston, MA, USA
* Corresponding author; email: ggilliland{at}rics.bwh.harvard.edu.
Constitutively activated forms of the trans-membrane receptor tyrosine kinase c-KIT have been associated with systemic mast cell disease, acute myeloid leukemia and gastrointestinal stromal tumors. Reports of the resistance of the kinase domain mutation D816V to the ATP-competitive kinase inhibitor imatinib prompted us to characterize fourteen c-KIT mutations reported in association with human hematologic malignancies for transforming activity in the murine hematopoietic cell line Ba/F3, and for sensitivity to the tyrosine kinase inhibitor PKC412. Ten of fourteen c-KIT mutations conferred IL-3 independent growth. c-KIT D816Y and D816V transformed cells were sensitive to PKC412 despite resistance to imatinib. In these cells, PKC412, but not imatinib, inhibited autophosphorylation of c-KIT and activation of downstream effectors Stat5 and Stat3. Variable sensitivities to PKC412 or imatinib were observed among other mutants. These findings suggest that PKC412 may be a useful therapeutic agent for c-KIT positive malignancies harboring the imatinib-resistant D816V or D816Y activation mutations.

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