001     179057
005     20240229145530.0
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100 1 _ |a He, Lixiazi
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245 _ _ |a CDK7/12/13 inhibition targets an oscillating leukemia stem cell network and synergizes with venetoclax in acute myeloid leukemia.
260 _ _ |a Heidelberg
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|b EMBO Press
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520 _ _ |a The heterogeneous response of acute myeloid leukemia (AML) to current anti-leukemic therapies is only partially explained by mutational heterogeneity. We previously identified GPR56 as a surface marker associated with poor outcome across genetic groups, which characterizes two leukemia stem cell (LSC)-enriched compartments with different self-renewal capacities. How these compartments self-renew remained unclear. Here, we show that GPR56+ LSC compartments are promoted in a complex network involving epithelial-to-mesenchymal transition (EMT) regulators besides Rho, Wnt, and Hedgehog (Hh) signaling. Unexpectedly, Wnt pathway inhibition increased the more immature, slowly cycling GPR56+ CD34+ fraction and Hh/EMT gene expression, while Wnt activation caused opposite effects. Our data suggest that the crucial role of GPR56 lies in its ability to co-activate these opposing signals, thus ensuring the constant supply of both LSC subsets. We show that CDK7 inhibitors suppress both LSC-enriched subsets in vivo and synergize with the Bcl-2 inhibitor venetoclax. Our data establish reciprocal transition between LSC compartments as a novel concept underlying the poor outcome in GPR56high AML and propose combined CDK7 and Bcl-2 inhibition as LSC-directed therapy in this disease.
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650 _ 7 |a CDK7 inhibition
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650 _ 7 |a leukemia stem cell
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650 _ 7 |a self-renewal
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700 1 _ |a Arnold, Christian
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700 1 _ |a Thoma, Judith
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700 1 _ |a Rohde, Christian
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700 1 _ |a Kholmatov, Maksim
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700 1 _ |a Garg, Swati
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700 1 _ |a Hsiao, Cheng-Chih
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700 1 _ |a Viol, Linda
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700 1 _ |a Schmidt, Christina
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700 1 _ |a Janssen, Maike
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700 1 _ |a MacRae, Tara
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700 1 _ |a Huber, Karin
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700 1 _ |a Thiede, Christian
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700 1 _ |a Hébert, Josée
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700 1 _ |a Sauvageau, Guy
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700 1 _ |a Spratte, Julia
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700 1 _ |a Fluhr, Herbert
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700 1 _ |a Aust, Gabriela
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700 1 _ |a Müller-Tidow, Carsten
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700 1 _ |a Hamann, Jörg
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700 1 _ |a Tanaka, Motomu
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700 1 _ |a Zaugg, Judith B
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700 1 _ |a Pabst, Caroline
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