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PDGFRB mutation and tyrosine kinase inhibitor resistance in Ph-like acute lymphoblastic leukemia
Y. Zhang, Y. Gao, H. Zhang, J. Zhang, F. He, A. Hnízda, M. Qian, X. Liu, Y. Gocho, CH. Pui, T. Cheng, Q. Wang, JJ. Yang, X. Zhu, X. Liu,
Jazyk angličtina Země Spojené státy americké
Typ dokumentu kazuistiky, časopisecké články, Research Support, N.I.H., Extramural, práce podpořená grantem
Grantová podpora
P30 CA021765
NCI NIH HHS - United States
P50 GM115279
NIGMS NIH HHS - United States
NLK
Free Medical Journals
od 1946 do Před 1 rokem
Freely Accessible Science Journals
od 1946 do Před 1 rokem
Open Access Digital Library
od 1946-01-01
Open Access Digital Library
od 1946-01-01
ROAD: Directory of Open Access Scholarly Resources
- MeSH
- akutní lymfatická leukemie farmakoterapie genetika metabolismus patologie MeSH
- angiogenní proteiny genetika MeSH
- chemorezistence genetika MeSH
- fúzní onkogenní proteiny MeSH
- inhibitory proteinkinas farmakologie terapeutické užití MeSH
- lidé MeSH
- mutace * MeSH
- nádorové buněčné linie MeSH
- předškolní dítě MeSH
- protinádorové látky farmakologie terapeutické užití MeSH
- recidiva MeSH
- růstový faktor odvozený z trombocytů - receptor beta genetika MeSH
- sekvenování celého genomu MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
Philadelphia chromosome (Ph)-like acute lymphoblastic leukemia (ALL) comprises ∼10% to 15% of childhood ALL cases, many of which respond exquisitely to tyrosine kinase inhibitors (TKIs), for example, imatinib in PDGFRB-rearranged ALL. However, some cases developed drug resistance to TKIs and the mechanisms are poorly understood. In this study, we identified a novel PDGFRB fusion gene, namely AGGF1-PDGFRB, and functionally characterized its oncogenic potential in vitro. Further genomic profiling of longitudinally collected samples during treatment revealed the emergence of a mutation, PDGFRBC843G , which directly conferred resistance to all generations of ABL TKIs, including imatinib, dasatinib, nilotinib, and ponatinib. PDGFRB-mutant leukemia cells are highly sensitive to multitarget kinase inhibitor CHZ868, suggesting potential therapeutic options for some patients resistant to ABL TKIs. In summary, we describe a complex clonal evolution pattern in Ph-like ALL and identified a novel PDGFRB point mutation that drives leukemia relapse after ABL TKI treatment.
Department of Oncology St Jude Children's Research Hospital Memphis TN
Department of Pharmaceutical Sciences St Jude Children's Research Hospital Memphis TN
Citace poskytuje Crossref.org
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