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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3958-3961.
Prepublished online as a Blood First Edition Paper on August 4, 2005; DOI 10.1182/blood-2005-02-0583.
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Submitted March 3, 2005
Accepted July 27, 2005
Extracellular KIT receptor mutants, commonly found in core binding factor AML, are constitutively active and respond to imatinib mesylate
Jorg Cammenga, Stefan Horn, Ulla Bergholz, Gunhild Sommer, Peter Besmer, Walter Fiedler, and Carol Stocking*
Molecular Pathology Group, Heinrich-Pette-Institut, Hamburg, Germany
Molecular Pathology Group, Heinrich-Pette-Institut, Hamburg, Germany; Developmental Biology Program, Sloan-Kettering Institute, New York, New York, USA
Developmental Biology Program, Sloan-Kettering Institute, New York, New York, USA
Department of Medicine II, Universitatsklinikum Hamburg-Eppendorf, Hamburg, Germany
* Corresponding author; email: stocking{at}hpi.uni-hamburg.de.
Multiple genetic alterations are required to induce acute myelogenous leukemia (AML). Mutations in the extracellular domain of the KIT receptor are almost exclusively found in AML patients carrying translocations or inversions affecting members of the core binding factor (CBF) gene family and correlate with a high risk of relapse. We demonstrate that these complex insertion and deletion mutations lead to constitutive activation of the KIT receptor, which induces factor-independent growth of IL3-dependent cells. Mutation of the evolutionary conserved amino acid D419 within the extracellular domain was sufficient to constitutively activate the KIT receptor, although high expression levels were required. Dose-dependent growth inhibition and apoptosis were observed using either the protein tyrosine kinase inhibitor imatinib mesylate or by blocking the PI3K-AKT pathway. Our data show that the addition of kinase inhibitors to conventional chemotherapy might be a new therapeutic option for CBF-AML expressing mutant KIT.

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