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@ARTICLE{Uras:130701,
author = {I. Z. Uras and G. Walter$^*$ and R. Scheicher and F.
Bellutti and M. Prchal-Murphy and A. S. Tigan and P. Valent
and F. H. Heidel and S. Kubicek and C. Scholl$^*$ and S.
Fröhling$^*$ and V. Sexl},
title = {{P}albociclib treatment of {FLT}3-{ITD}+ {AML} cells
uncovers a kinase-dependent transcriptional regulation of
{FLT}3 and {PIM}1 by {CDK}6.},
journal = {Blood},
volume = {127},
number = {23},
issn = {1528-0020},
address = {Stanford, Calif.},
publisher = {HighWire Press},
reportid = {DKFZ-2017-05779},
pages = {2890 - 2902},
year = {2016},
abstract = {Up to $30\%$ of patients with acute myeloid leukemia have
constitutively activating internal tandem duplications
(ITDs) of the FLT3 receptor tyrosine kinase. Such mutations
are associated with a poor prognosis and a high propensity
to relapse after remission. FLT3 inhibitors are being
developed as targeted therapy for FLT3-ITD(+) acute myeloid
leukemia; however, their use is complicated by rapid
development of resistance, which illustrates the need for
additional therapeutic targets. We show that the US Food and
Drug Administration-approved CDK4/6 kinase inhibitor
palbociclib induces apoptosis of FLT3-ITD leukemic cells.
The effect is specific for FLT3-mutant cells and is ascribed
to the transcriptional activity of CDK6: CDK6 but not its
functional homolog CDK4 is found at the promoters of the
FLT3 and PIM1 genes, another important leukemogenic driver.
There CDK6 regulates transcription in a kinase-dependent
manner. Of potential clinical relevance, combined treatment
with palbociclib and FLT3 inhibitors results in synergistic
cytotoxicity. Simultaneously targeting two critical
signaling nodes in leukemogenesis could represent a
therapeutic breakthrough, leading to complete remission and
overcoming resistance to FLT3 inhibitors.},
keywords = {Mutant Proteins (NLM Chemicals) / Piperazines (NLM
Chemicals) / Protein Kinase Inhibitors (NLM Chemicals) /
Proto-Oncogene Proteins (NLM Chemicals) / Pyridines (NLM
Chemicals) / FLT3 protein, human (NLM Chemicals) / fms-Like
Tyrosine Kinase 3 (NLM Chemicals) / PIM3 protein, human (NLM
Chemicals) / Protein-Serine-Threonine Kinases (NLM
Chemicals) / CDK6 protein, human (NLM Chemicals) /
Cyclin-Dependent Kinase 6 (NLM Chemicals) / palbociclib (NLM
Chemicals)},
cin = {G100 / G102 / L101},
ddc = {610},
cid = {I:(DE-He78)G100-20160331 / I:(DE-He78)G102-20160331 /
I:(DE-He78)L101-20160331},
pnm = {317 - Translational cancer research (POF3-317)},
pid = {G:(DE-HGF)POF3-317},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:27099147},
pmc = {pmc:PMC4920675},
doi = {10.1182/blood-2015-11-683581},
url = {https://inrepo02.dkfz.de/record/130701},
}