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CGP 57148, a Tyrosine Kinase Inhibitor, Inhibits the Growth of Cells Expressing BCR-ABL, TEL-ABL, and TEL-PDGFR Fusion Proteins

Martin Carroll, Sayuri Ohno-Jones, Shu Tamura, Elisabeth Buchdunger, Jürg Zimmermann, Nicholas B. Lydon, D. Gary Gilliland, and Brian J. Druker

From the Division of Hematology and Medical Oncology, Oregon Health Sciences University, Portland, Oregon; Oncology Research Department, Novartis, CH-4002, Basel, Switzerland; and Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

CGP 57148 is a compound of the 2-phenylaminopyrimidine class that selectively inhibits the tyrosine kinase activity of the ABL and the platelet-derived growth factor receptor (PDGFR) protein tyrosine kinases. We previously showed that CGP 57148 selectively kills p210BCR-ABL-expressing cells. To extend these observations, we evaluated the ability of CGP 57148 to inhibit other activated ABL tyrosine kinases, including p185BCR-ABL and TEL-ABL. In cell-based assays of ABL tyrosine phosphorylation, inhibition of ABL kinase activity was observed at concentrations similar to that reported for p210BCR-ABL. Consistent with the in vitro profile of this compound, the growth of cells expressing activated ABL protein tyrosine kinases was inhibited in the absence of exogenous growth factor. Growth inhibition was also observed with a p185BCR-ABL-positive acute lymphocytic leukemia (ALL) cell line generated from a Philadelphia chromosome-positive ALL patient. As CGP 57148 inhibits the PDGFR kinase, we also showed that cells expressing an activated PDGFR tyrosine kinase, TEL-PDGFR, are sensitive to this compound. Thus, this compound may be useful for the treatment of a variety of BCR-ABL-positive leukemias and for treatment of the subset of chronic myelomonocytic leukemia patients with a TEL-PDGFR fusion protein.

Blood, Vol. 90 No. 12 (December 15), 1997: pp. 4947-4952
© 1997 by The American Society of Hematology.


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NEJMHome page
D. G. Savage and K. H. Antman
Imatinib Mesylate -- A New Oral Targeted Therapy
N. Engl. J. Med., February 28, 2002; 346(9): 683 - 693.
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JCOHome page
M. J. Mauro, M. O'Dwyer, M. C. Heinrich, and B. J. Druker
STI571: A Paradigm of New Agents for Cancer Therapeutics
J. Clin. Oncol., January 1, 2002; 20(1): 325 - 334.
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L. M. Kelly, Q. Liu, J. L. Kutok, I. R. Williams, C. L. Boulton, and D. G. Gilliland
FLT3 internal tandem duplication mutations associated with human acute myeloid leukemias induce myeloproliferative disease in a murine bone marrow transplant model
Blood, January 1, 2002; 99(1): 310 - 318.
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BloodHome page
D. W. Sternberg, M. H. Tomasson, M. Carroll, D. P. Curley, G. Barker, M. Caprio, A. Wilbanks, A. Kazlauskas, and D. G. Gilliland
The TEL/PDGFbeta R fusion in chronic myelomonocytic leukemia signals through STAT5-dependent and STAT5-independent pathways
Blood, December 1, 2001; 98(12): 3390 - 3397.
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BloodHome page
N. C. Wolff and R. L. Ilaria Jr
Establishment of a murine model for therapy-treated chronic myelogenous leukemia using the tyrosine kinase inhibitor STI571
Blood, November 1, 2001; 98(9): 2808 - 2816.
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J. Pharmacol. Exp. Ther.Home page
J.-C. Yu, N. A. Lokker, S. Hollenbach, M. Apatira, J. Li, A. Betz, D. Sedlock, S. Oda, Y. Nomoto, K. Matsuno, et al.
Efficacy of the Novel Selective Platelet-Derived Growth Factor Receptor Antagonist CT52923 on Cellular Proliferation, Migration, and Suppression of Neointima following Vascular Injury
J. Pharmacol. Exp. Ther., September 1, 2001; 298(3): 1172 - 1178.
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T. Sjoblom, A. Shimizu, K. P. O'Brien, K. Pietras, P. Dal Cin, E. Buchdunger, J. P. Dumanski, A. Ostman, and C.-H. Heldin
Growth Inhibition of Dermatofibrosarcoma Protuberans Tumors by the Platelet-derived Growth Factor Receptor Antagonist STI571 through Induction of Apoptosis
Cancer Res., August 1, 2001; 61(15): 5778 - 5783.
[Abstract] [Full Text] [PDF]


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M. Gianni', Y. Kalac, I. Ponzanelli, A. Rambaldi, M. Terao, and E. Garattini
Tyrosine kinase inhibitor STI571 potentiates the pharmacologic activity of retinoic acid in acute promyelocytic leukemia cells: effects on the degradation of RAR{alpha} and PML-RAR{alpha}
Blood, May 15, 2001; 97(10): 3234 - 3243.
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N. J. Donato, J. Y. Wu, L. Zhang, H. Kantarjian, and M. Talpaz
Down-regulation of interleukin-3/granulocyte-macrophage colony-stimulating factor receptor {beta}-chain in BCR-ABL+ human leukemic cells: association with loss of cytokine-mediated Stat-5 activation and protection from apoptosis after BCR-ABL inhibition
Blood, May 1, 2001; 97(9): 2846 - 2853.
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K. Okuda, E. Weisberg, D. G. Gilliland, and J. D. Griffin
ARG tyrosine kinase activity is inhibited by STI571
Blood, April 15, 2001; 97(8): 2440 - 2448.
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X. Sun, J. E. Layton, A. Elefanty, and G. J. Lieschke
Comparison of effects of the tyrosine kinase inhibitors AG957, AG490, and STI571 on BCR-ABL-expressing cells, demonstrating synergy between AG490 and STI571
Blood, April 1, 2001; 97(7): 2008 - 2015.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
S. L. Matheson, J. McNamee, and B. J. Jean-Claude
Design of a Chimeric 3-Methyl-1,2,3-triazene with Mixed Receptor Tyrosine Kinase and DNA Damaging Properties: A Novel Tumor Targeting Strategy
J. Pharmacol. Exp. Ther., March 1, 2001; 296(3): 832 - 840.
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Cancer Res.Home page
P. A. Tilbrook, G. A. Palmer, T. Bittorf, D. J. McCarthy, M. J. Wright, M. K. Sarna, D. Linnekin, V. S. Cull, J. H. Williams, E. Ingley, et al.
Maturation of Erythroid Cells and Erythroleukemia Development Are Affected by the Kinase Activity of Lyn
Cancer Res., March 1, 2001; 61(6): 2453 - 2458.
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N. Uemura and J. D. Griffin
The ABL kinase inhibitor STI571 does not affect survival of hematopoietic cells after ionizing radiation
Blood, November 1, 2000; 96(9): 3294 - 3295.
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E. Buchdunger, C. L. Cioffi, N. Law, D. Stover, S. Ohno-Jones, B. J. Druker, and N. B. Lydon
Abl Protein-Tyrosine Kinase Inhibitor STI571 Inhibits In Vitro Signal Transduction Mediated by c-Kit and Platelet-Derived Growth Factor Receptors
J. Pharmacol. Exp. Ther., October 1, 2000; 295(1): 139 - 145.
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F. Gesbert and J. D. Griffin
Bcr/Abl activates transcription of the Bcl-X gene through STAT5
Blood, September 15, 2000; 96(6): 2269 - 2276.
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Clin. Cancer Res.Home page
G. W. Krystal, S. Honsawek, J. Litz, and E. Buchdunger
The Selective Tyrosine Kinase Inhibitor STI571 Inhibits Small Cell Lung Cancer Growth
Clin. Cancer Res., August 1, 2000; 6(8): 3319 - 3326.
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M. C. Heinrich, D. J. Griffith, B. J. Druker, C. L. Wait, K. A. Ott, and A. J. Zigler
Inhibition of c-kit receptor tyrosine kinase activity by STI 571, a selective tyrosine kinase inhibitor
Blood, August 1, 2000; 96(3): 925 - 932.
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F. X. Mahon, M. W. N. Deininger, B. Schultheis, J. Chabrol, J. Reiffers, J. M. Goldman, and J. V. Melo
Selection and characterization of BCR-ABL positive cell lines with differential sensitivity to the tyrosine kinase inhibitor STI571: diverse mechanisms of resistance
Blood, August 1, 2000; 96(3): 1070 - 1079.
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E. Weisberg and J. D. Griffin
Mechanism of resistance to the ABL tyrosine kinase inhibitor STI571 in BCR/ABL-transformed hematopoietic cell lines
Blood, June 1, 2000; 95(11): 3498 - 3505.
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JEMHome page
M. Horita, E. J. Andreu, A. Benito, C. Arbona, C. Sanz, I. Benet, F. Prosper, and J. L. Fernandez-Luna
Blockade of the Bcr-Abl Kinase Activity Induces Apoptosis of Chronic Myelogenous Leukemia Cells by Suppressing Signal Transducer and Activator of Transcription 5-Dependent Expression of Bcl-XL
J. Exp. Med., March 20, 2000; 191(6): 977 - 984.
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S. Yano, R. S. Herbst, H. Shinohara, B. Knighton, C. D. Bucana, J. J. Killion, J. Wood, and I. J. Fidler
Treatment for Malignant Pleural Effusion of Human Lung Adenocarcinoma by Inhibition of Vascular Endothelial Growth Factor Receptor Tyrosine Kinase Phosphorylation
Clin. Cancer Res., March 1, 2000; 6(3): 957 - 965.
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ASH Education BookHome page
H. Kantarjian, J. V. Melo, S. Tura, S. Giralt, and M. Talpaz
Chronic Myelogenous Leukemia: Disease Biology and Current and Future Therapeutic Strategies
Hematology, January 1, 2000; 2000(1): 90 - 109.
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R. G. Wickremasinghe and A. V. Hoffbrand
Biochemical and Genetic Control of Apoptosis: Relevance to Normal Hematopoiesis and Hematological Malignancies
Blood, June 1, 1999; 93(11): 3587 - 3600.
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M. Wetzler, R. K. Dodge, K. Mrozek, A. J. Carroll, R. Tantravahi, A. W. Block, M. J. Pettenati, M. M. L. Beau, S. R. Frankel, C. C. Stewart, et al.
Prospective Karyotype Analysis in Adult Acute Lymphoblastic Leukemia: The Cancer and Leukemia Group B Experience
Blood, June 1, 1999; 93(11): 3983 - 3993.
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D. Wisniewski, A. Strife, S. Swendeman, H. Erdjument-Bromage, S. Geromanos, W. M. Kavanaugh, P. Tempst, and B. Clarkson
A Novel SH2-Containing Phosphatidylinositol 3,4,5-Trisphosphate 5-Phosphatase (SHIP2) Is Constitutively Tyrosine Phosphorylated and Associated With src Homologous and Collagen Gene (SHC) in Chronic Myelogenous Leukemia Progenitor Cells
Blood, April 15, 1999; 93(8): 2707 - 2720.
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BloodHome page
M. H. Tomasson, I. R. Williams, R. Hasserjian, C. Udomsakdi, S. M. McGrath, J. Schwaller, B. Druker, and D. G. Gilliland
TEL/PDGFbeta R Induces Hematologic Malignancies in Mice That Respond to a Specific Tyrosine Kinase Inhibitor
Blood, March 1, 1999; 93(5): 1707 - 1714.
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Proc. Natl. Acad. Sci. USAHome page
K. R. LaMontagne Jr., G. Hannon, and N. K. Tonks
Protein tyrosine phosphatase PTP1B suppresses p210 bcr-abl-induced transformation of Rat-1 fibroblasts and promotes differentiation of K562 cells
PNAS, November 24, 1998; 95(24): 14094 - 14099.
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S. Shangary, K. D. Brown, A. W. Adamson, S. Edmonson, B. Ng, T. K. Pandita, J. Yalowich, G. E. Taccioli, and R. Baskaran
Regulation of DNA-dependent Protein Kinase Activity by Ionizing Radiation-activated Abl Kinase Is an ATM-dependent Process
J. Biol. Chem., September 22, 2000; 275(39): 30163 - 30168.
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J. Sun, J. Zhao, M. A. Schwartz, J. Y. J. Wang, T. Wiedmer, and P. J. Sims
c-Abl Tyrosine Kinase Binds and Phosphorylates Phospholipid Scramblase 1
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