001     142742
005     20240229105151.0
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024 7 _ |a 1476-5551
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037 _ _ |a DKFZ-2019-00459
041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Andersson, E. I.
|b 0
245 _ _ |a Discovery of novel drug sensitivities in T-PLL by high-throughput ex vivo drug testing and mutation profiling.
260 _ _ |a London
|c 2018
|b Springer Nature
336 7 _ |a article
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336 7 _ |a ARTICLE
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336 7 _ |a Journal Article
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520 _ _ |a T-cell prolymphocytic leukemia (T-PLL) is a rare and aggressive neoplasm of mature T-cells with an urgent need for rationally designed therapies to address its notoriously chemo-refractory behavior. The median survival of T-PLL patients is <2 years and clinical trials are difficult to execute. Here we systematically explored the diversity of drug responses in T-PLL patient samples using an ex vivo drug sensitivity and resistance testing platform and correlated the findings with somatic mutations and gene expression profiles. Intriguingly, all T-PLL samples were sensitive to the cyclin-dependent kinase inhibitor SNS-032, which overcame stromal-cell-mediated protection and elicited robust p53-activation and apoptosis. Across all patients, the most effective classes of compounds were histone deacetylase, phosphoinositide-3 kinase/AKT/mammalian target of rapamycin, heat-shock protein 90 and BH3-family protein inhibitors as well as p53 activators, indicating previously unexplored, novel targeted approaches for treating T-PLL. Although Janus-activated kinase-signal transducer and activator of transcription factor (JAK-STAT) pathway mutations were common in T-PLL (71% of patients), JAK-STAT inhibitor responses were not directly linked to those or other T-PLL-specific lesions. Overall, we found that genetic markers do not readily translate into novel effective therapeutic vulnerabilities. In conclusion, novel classes of compounds with high efficacy in T-PLL were discovered with the comprehensive ex vivo drug screening platform warranting further studies of synergisms and clinical testing.
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650 _ 7 |a Antineoplastic Agents
|2 NLM Chemicals
650 _ 7 |a Biomarkers, Tumor
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650 _ 7 |a N-(5-(((5-(1,1-dimethylethyl)-2-oxazolyl)methyl)thio)-2-thiazolyl)-4-piperidinecarboxamide
|2 NLM Chemicals
650 _ 7 |a Oxazoles
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650 _ 7 |a Protein Kinase Inhibitors
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650 _ 7 |a STAT Transcription Factors
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650 _ 7 |a Thiazoles
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650 _ 7 |a Janus Kinases
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700 1 _ |a Pützer, S.
|b 1
700 1 _ |a Yadav, B.
|b 2
700 1 _ |a Dufva, O.
|b 3
700 1 _ |a Khan, S.
|b 4
700 1 _ |a He, L.
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700 1 _ |a Sellner, Leopold
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700 1 _ |a Schrader, A.
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700 1 _ |a Crispatzu, G.
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700 1 _ |a Oleś, M.
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700 1 _ |a Zhang, H.
|b 10
700 1 _ |a Adnan-Awad, S.
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700 1 _ |a Lagström, S.
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700 1 _ |a Bellanger, D.
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700 1 _ |a Mpindi, J. P.
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700 1 _ |a Eldfors, S.
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700 1 _ |a Pemovska, T.
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700 1 _ |a Pietarinen, P.
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700 1 _ |a Lauhio, A.
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700 1 _ |a Tomska, K.
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700 1 _ |a Cuesta-Mateos, C.
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700 1 _ |a Faber, E.
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700 1 _ |a Koschmieder, S.
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700 1 _ |a Brümmendorf, T. H.
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700 1 _ |a Kytölä, S.
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700 1 _ |a Savolainen, E-R
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700 1 _ |a Siitonen, T.
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700 1 _ |a Ellonen, P.
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700 1 _ |a Kallioniemi, O.
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700 1 _ |a Wennerberg, K.
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700 1 _ |a Ding, W.
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700 1 _ |a Stern, M-H
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700 1 _ |a Huber, W.
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700 1 _ |a Anders, S.
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700 1 _ |a Tang, J.
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700 1 _ |a Aittokallio, T.
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700 1 _ |a Zenz, T.
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700 1 _ |a Herling, M.
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700 1 _ |a Mustjoki, S.
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773 _ _ |a 10.1038/leu.2017.252
|g Vol. 32, no. 3, p. 774 - 787
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