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Blood, 1 August 2006, Vol. 108, No. 3, pp. 1065-1072.
Prepublished online as a Blood First Edition Paper on April 4, 2006; DOI 10.1182/blood-2005-06-2433.
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Submitted June 20, 2005
Accepted March 23, 2006
Rapamycin inhibits growth and survival of D-816-V-mutated c-kit mast cells
Marion Gabillot-Carre, Yves Lepelletier, Martine Humbert, Paulo de Sepuvelda, Nadine Ben Hamouda, Jean-Pierre Zappulla, Roland Liblau, Antoine Ribadeau-Dumas, Francois Machavoine, Sebastien Letard, Cedric Baude, Aurelie Hermant, Ying Yang, Jacques Vargaftig, Christine Bodemer, Emmanuel Morelon, Olivier Lortholary, Christian Recher, Guy Laurent, Michel Dy, Michel Arock, Patrice Dubreuil, and Olivier Hermine*
Centre National de Recherche Scientifique (CNRS) UMR 8147, Hopital Necker; Universite Paris V, Assistance Publique-Hopitaux de Paris, Paris, France
Laboratoire AB Science - Institut National de la Sante et de la Recherche Medicale INSERM U604, Marseille, France
INSERM UMR599, Centre de Recherche en Cancerologie de Marseille, Laboratoire d'Hematopoiese Moleculaire et Fonctionnelle, Marseille, France
Laboratoire d'Immunologie, CHU Purpan, Institut National de la Sante et de la Recherche Medicale (INSERM) U563, Toulouse, France
Centre National de Recherche Scientifique (CNRS) UMR 8147, Hopital Necker; Universite Paris V, Assistance Publique-Hopitaux de Paris, Paris, France; Laboratoire AB Science - Institut National de la Sante et de la Recherche Medicale INSERM U604, Marseille, France
Service d'Hematologie Adulte, Hopital Necker, Paris, France
Service de Dermatologie, Hopital Necker, Paris, France
Service de Transplantion Renale et Institut National de la Sante et de la Recherche Medicale (INSERM) U580, Hopital Necker; Universite Paris V, Paris, France
Service des Maladies Infectieuses, Hopital Necker, Paris, France
Service d'Hemathologie, CHU Purpan, Toulouse, France
Centre National de Recherche Scientifique (CNRS) UMR 8147, Hopital Necker; Universite Paris V, Assistance Publique-Hopitaux de Paris, Paris, France; Service d'Hematologie Adulte, Hopital Necker, Paris, France
* Corresponding author; email: hermine{at}necker.fr.
Two classes of oncogenic mutations of the c-kit tyrosine kinase have been described: the juxtamembrane domain V-560-G-mutation that is preferentially found in gastrointestinal stromal tumors (GISTs), and the kinase domain D-816-V-mutation that is highly representative of systemic mastocytosis (SM). Here, we show that both mutations constitutively activate the mTOR signaling pathway. Surprisingly, the mTOR inhibitor Rapamycin induces only apoptosis in HMC1 cells bearing the D-816-V but not the V-560-G mutation. In support of this unexpected selectivity, Rapamycin inhibits the phosphorylation of 4E-BP1, a downstream substrate of the mTOR pathway, but only in D-816-V HMC1 cells. Importantly, D-816-V mast cells isolated from SM patients or from transgenic mice are sensitive to Rapamycin whereas normal human or mouse mast cells are not. Thus, Rapamycin inhibition appears specific to the D-816-V mutation. At present there is no effective cure for SM patients with the D-816-V mutation. The data presented here provide a rationale to test whether Rapamycin could be a possible treatment for SM and other hematological malignancies with the D-816-V mutation.

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