eJHaem
(Nov 2023)
FLT3‐targeted therapy restores GATA1 pathway function in NPM1/FLT3‐ITD mutated acute myeloid leukaemia
D Sorcini,
A Stella,
A Scialdone,
S Sartori,
A Marra,
R Rossi,
F De Falco,
FM Adamo,
E Dorillo,
C Geraci,
R Arcaleni,
C Rompietti,
A Esposito,
L Moretti,
MG Mameli,
MP Martelli,
B Falini,
P Sportoletti
Affiliations
D Sorcini
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
A Stella
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
A Scialdone
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
S Sartori
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
A Marra
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
R Rossi
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
F De Falco
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
FM Adamo
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
E Dorillo
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
C Geraci
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
R Arcaleni
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
C Rompietti
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
A Esposito
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
L Moretti
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
MG Mameli
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
MP Martelli
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
B Falini
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
P Sportoletti
Department of Medicine and Surgery Centro di Ricerca Emato‐Oncologiche University of Perugia PerugiaItaly
DOI
https://doi.org/10.1002/jha2.738
Journal volume & issue
Vol. 4,
no. 4
pp.
1100
– 1104
Abstract
Read online
Abstract One‐third of newly diagnosed adult acute myeloid leukaemia (AML) carry FLT3 mutations, which frequently occur together with nucleophosmin (NPM1) mutations and are associated with worse prognosis. FLT3 inhibitors are widely used in clinics with limitations due to drug resistance. AML cells carrying FLT3 mutations in both mouse models and patients present low expression of GATA1, a gene involved in haematopoietic changes preceding AML. Here, we show that FLT3 inhibition induces cellular responses and restores the GATA1 pathway and functions in NPM1/FLT3‐ITD mutated AML, thus providing a new mechanism of action for this drug.
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