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Blood, 1 January 2002, Vol. 99, No. 1, pp. 319-325
NEOPLASIA
Primitive, quiescent, Philadelphia-positive stem cells from
patients with chronic myeloid leukemia are insensitive to
STI571 in vitro
Susan M. Graham,
Heather G. Jørgensen,
Elaine Allan,
Charlie Pearson,
Michael J. Alcorn,
Linda Richmond, and
Tessa L. Holyoake
From the Departments of Medicine and Haematology, Royal
Infirmary, Glasgow, Scotland.
In clinical trials, the tyrosine kinase inhibitor STI571 has
proven highly effective in reducing leukemic cell burden in chronic myeloid leukemia (CML). The overall sensitivity of CML
CD34+ progenitor cells to STI571 and the degree to which
cell death was dependent on cell cycle status were determined. Stem
cells (Lin CD34+) from the peripheral blood of
patients with CML in chronic phase and from
granulocyte-colony-stimulating factor-mobilized healthy donors were
labeled with carboxy-fluorescein diacetate succinimidyl diester dye to
enable high-resolution tracking of cell division. Then they were
cultured for 3 days with and without growth factors ± STI571.
After culture, the cells were separated by fluorescence-activated cell
sorting into populations of viable quiescent versus cycling cells for
genotyping. For healthy controls, in the presence of growth factors,
STI571 affected neither cell cycle kinetics nor recovery of viable
cells. In the absence of growth factors, normal cells were unable to
divide. For CML samples, in the presence or absence of growth factors,
the response to STI571 was variable. In the most sensitive cases,
STI571 killed almost all dividing cells; however, a significant
population of viable CD34+ cells was recovered in the
undivided peak and confirmed to be part of the leukemic clone. STI571
also appeared to exhibit antiproliferative activity on the quiescent
population. These studies confirm that CML stem cells remain viable in
a quiescent state even in the presence of growth factors and STI571.
Despite dramatic short-term responses in vivo, such in vitro
insensitivity to STI571, in combination with its demonstrated
antiproliferative activity, could translate into disease relapse after
prolonged therapy.

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M. W. N. Deininger and T. L. Holyoake
Can we afford to let sleeping dogs lie?
Blood,
March 1, 2005;
105(5):
1840 - 1841.
[Full Text]
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L. J. Elrick, H. G. Jorgensen, J. C. Mountford, and T. L. Holyoake
Punish the parent not the progeny
Blood,
March 1, 2005;
105(5):
1862 - 1866.
[Abstract]
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S. Chu, H. Xu, N. P. Shah, D. S. Snyder, S. J. Forman, C. L. Sawyers, and R. Bhatia
Detection of BCR-ABL kinase mutations in CD34+ cells from chronic myelogenous leukemia patients in complete cytogenetic remission on imatinib mesylate treatment
Blood,
March 1, 2005;
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2093 - 2098.
[Abstract]
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[PDF]
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D.A. LAWSON, L. XIN, R. LUKACS, Q. XU, D. CHENG, and O.N. WITTE
Prostate Stem Cells and Prostate Cancer
Cold Spring Harb Symp Quant Biol,
January 1, 2005;
70(0):
187 - 196.
[Abstract]
[PDF]
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R. L. Ilaria Jr.
Pathobiology of Lymphoid and Myeloid Blast Crisis and Management Issues
Hematology,
January 1, 2005;
2005(1):
188 - 194.
[Abstract]
[Full Text]
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T. Yin, Y.-L. Wu, H.-P. Sun, G.-L. Sun, Y.-Z. Du, K.-K. Wang, J. Zhang, G.-Q. Chen, S.-J. Chen, and Z. Chen
Combined effects of As4S4 and imatinib on chronic myeloid leukemia cells and BCR-ABL oncoprotein
Blood,
December 15, 2004;
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4219 - 4225.
[Abstract]
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[PDF]
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S. Wong, J. McLaughlin, D. Cheng, C. Zhang, K. M. Shokat, and O. N. Witte
Sole BCR-ABL inhibition is insufficient to eliminate all myeloproliferative disorder cell populations
PNAS,
December 14, 2004;
101(50):
17456 - 17461.
[Abstract]
[Full Text]
[PDF]
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C. H.M. Jamieson, L. E. Ailles, S. J. Dylla, M. Muijtjens, C. Jones, J. L. Zehnder, J. Gotlib, K. Li, M. G. Manz, A. Keating, et al.
Granulocyte-Macrophage Progenitors as Candidate Leukemic Stem Cells in Blast-Crisis CML
N. Engl. J. Med.,
August 12, 2004;
351(7):
657 - 667.
[Abstract]
[Full Text]
[PDF]
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X. Jiang, Y. Zhao, W.-Y. Chan, S. Vercauteren, E. Pang, S. Kennedy, F. Nicolini, A. Eaves, and C. Eaves
Deregulated expression in Ph+ human leukemias of AHI-1, a gene activated by insertional mutagenesis in mouse models of leukemia
Blood,
May 15, 2004;
103(10):
3897 - 3904.
[Abstract]
[Full Text]
[PDF]
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R. J. Jones, W. H. Matsui, and B. D. Smith
Cancer Stem Cells: Are We Missing the Target?
J Natl Cancer Inst,
April 21, 2004;
96(8):
583 - 585.
[Full Text]
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S. Chu, M. Holtz, M. Gupta, and R. Bhatia
BCR/ABL kinase inhibition by imatinib mesylate enhances MAP kinase activity in chronic myelogenous leukemia CD34+ cells
Blood,
April 15, 2004;
103(8):
3167 - 3174.
[Abstract]
[Full Text]
[PDF]
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K. Bartolovic, S. Balabanov, U. Hartmann, M. Komor, A. M. Boehmler, H.-J. Buhring, R. Mohle, D. Hoelzer, L. Kanz, W.-K. Hofmann, et al.
Inhibitory effect of imatinib on normal progenitor cells in vitro
Blood,
January 15, 2004;
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523 - 529.
[Abstract]
[Full Text]
[PDF]
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S. Appel, A. M. Boehmler, F. Grunebach, M. R. Muller, A. Rupf, M. M. Weck, U. Hartmann, V. L. Reichardt, L. Kanz, T. H. Brummendorf, et al.
Imatinib mesylate affects the development and function of dendritic cells generated from CD34+ peripheral blood progenitor cells
Blood,
January 15, 2004;
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[Abstract]
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D. G. Gilliland, C. T. Jordan, and C. A. Felix
The Molecular Basis of Leukemia
Hematology,
January 1, 2004;
2004(1):
80 - 97.
[Abstract]
[Full Text]
[PDF]
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P. La Rosee, K. Johnson, A. S. Corbin, E. P. Stoffregen, E. M. Moseson, S. Willis, M. M. Mauro, J. V. Melo, M. W. Deininger, and B. J. Druker
In vitro efficacy of combined treatment depends on the underlying mechanism of resistance in imatinib-resistant Bcr-Abl-positive cell lines
Blood,
January 1, 2004;
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208 - 215.
[Abstract]
[Full Text]
[PDF]
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M. Gardembas, P. Rousselot, M. Tulliez, M. Vigier, A. Buzyn, F. Rigal-Huguet, L. Legros, M. Michallet, C. Berthou, N. Cheron, et al.
Results of a prospective phase 2 study combining imatinib mesylate and cytarabine for the treatment of Philadelphia-positive patients with chronic myelogenous leukemia in chronic phase
Blood,
December 15, 2003;
102(13):
4298 - 4305.
[Abstract]
[Full Text]
[PDF]
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K. M. Kirschner and K. Baltensperger
Erythropoietin Promotes Resistance Against the Abl Tyrosine Kinase Inhibitor Imatinib (STI571) in K562 Human Leukemia Cells
Mol. Cancer Res.,
November 1, 2003;
1(13):
970 - 980.
[Abstract]
[Full Text]
[PDF]
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J. M. Goldman and J. V. Melo
Chronic Myeloid Leukemia -- Advances in Biology and New Approaches to Treatment
N. Engl. J. Med.,
October 9, 2003;
349(15):
1451 - 1464.
[Full Text]
[PDF]
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M. W. N. Deininger and B. J. Druker
Specific Targeted Therapy of Chronic Myelogenous Leukemia with Imatinib
Pharmacol. Rev.,
September 1, 2003;
55(3):
401 - 423.
[Abstract]
[Full Text]
[PDF]
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C. Gambacorti-Passerini, R. Piazza, M. D'Incalci, A. Corbin, P. La Rosee, E. Stoffregen, B. Druker, and M. Deininger
Bcr-Abl mutations, resistance to imatinib, and imatinib plasma levels
Blood,
September 1, 2003;
102(5):
1933 - 1935.
[Full Text]
[PDF]
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J. H. Antin
A 41-Year-Old Woman With Chronic Myelogenous Leukemia
JAMA,
August 27, 2003;
290(8):
1083 - 1090.
[Full Text]
[PDF]
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R. Bhatia, M. Holtz, N. Niu, R. Gray, D. S. Snyder, C. L. Sawyers, D. A. Arber, M. L. Slovak, and S. J. Forman
Persistence of malignant hematopoietic progenitors in chronic myelogenous leukemia patients in complete cytogenetic remission following imatinib mesylate treatment
Blood,
June 15, 2003;
101(12):
4701 - 4707.
[Abstract]
[Full Text]
[PDF]
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F.-X. Mahon, F. Belloc, V. Lagarde, C. Chollet, F. Moreau-Gaudry, J. Reiffers, J. M. Goldman, and J. V. Melo
MDR1 gene overexpression confers resistance to imatinib mesylate in leukemia cell line models
Blood,
March 15, 2003;
101(6):
2368 - 2373.
[Abstract]
[Full Text]
[PDF]
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B. J. Druker
Overcoming Resistance to Imatinib by Combining Targeted Agents
Mol. Cancer Ther.,
March 1, 2003;
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[Full Text]
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C. Gambacorti-Passerini, M. Zucchetti, D. Russo, R. Frapolli, M. Verga, S. Bungaro, L. Tornaghi, F. Rossi, P. Pioltelli, E. Pogliani, et al.
{alpha}1 Acid Glycoprotein Binds to Imatinib (STI571) and Substantially Alters Its Pharmacokinetics in Chronic Myeloid Leukemia Patients
Clin. Cancer Res.,
February 1, 2003;
9(2):
625 - 632.
[Abstract]
[Full Text]
[PDF]
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A. Burchert, S. Wolfl, M. Schmidt, C. Brendel, B. Denecke, D. Cai, L. Odyvanova, T. Lahaye, M. C. Muller, T. Berg, et al.
Interferon-alpha , but not the ABL-kinase inhibitor imatinib (STI571), induces expression of myeloblastin and a specific T-cell response in chronic myeloid leukemia
Blood,
January 1, 2003;
101(1):
259 - 264.
[Abstract]
[Full Text]
[PDF]
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B. J. Druker, S. G. O'Brien, J. Cortes, and J. Radich
Chronic Myelogenous Leukemia
Hematology,
January 1, 2002;
2002(1):
111 - 135.
[Abstract]
[Full Text]
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