Evidence map›Paper›PMID 23012328›Full record

ArticleBlood2012

Terminal myeloid differentiation in vivo is induced by FLT3 inhibition in FLT3/ITD AML.

Amy Sexauer, Alexander Perl, Xiaochuan Yang, Michael Borowitz, Christopher Gocke, Trivikram Rajkhowa, Christian Thiede, Mark Frattini, Grant E Nybakken, Keith Pratz and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 170 citations in OpenAlex.

  1. FDA Approval Summary: Gilteritinib for Relapsed or Refractory Acute Myeloid Leukemia with aClinical cancer research : an official journal of the American Association for Cancer Research · 2021
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  17. Targeting WNK1 Releases Differentiation Block in Acute Myeloid Leukemia.bioRxiv : the preprint server for biology · 2026
    Article
  18. Review
  19. Review
  20. Post-HCT maintenance therapy for AML: who, when, why, how long?Hematology. American Society of Hematology. Education Program · 2025
    Review

42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Amy SexauerSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD 21231, USA.
Alexander Perl
Xiaochuan Yang
Michael Borowitz
Christopher Gocke
Trivikram Rajkhowa
Christian Thiede
Mark Frattini
Grant E Nybakken
Keith Pratz
Judith Karp
B Douglas Smith
Mark Levis
Johns Hopkins University · USSidney Kimmel Comprehensive Cancer Center · USUniversity of Pennsylvania · USMemorial Sloan Kettering Cancer Center · USUniversity Hospital Carl Gustav Carus · DE

Funding

University of Texas M.D. Anderson Cancer SPORE-LeukemiaP50CA100632 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KONOPLEVA, MARINA Y · 2003 to 2023
$43.7M
Incorporating FLT3 inhibitors into AML treatment regimensR01CA128864 · NCI · JOHNS HOPKINS UNIVERSITY · PI LEVIS, MARK J · 2008 to 2012
$1.7M
NCI NIH HHS P50 CA100632NCI NIH HHS P50 CA100632-06NCI NIH HHS R01 CA128864
6 · The paper itself

Abstract

A hallmark of cancer is the disruption of differentiation within tumor cells. Internal tandem duplication mutations of the FLT3 kinase (FLT3/ITD) occur commonly in acute myeloid leukemia (AML) and are associated with poor survival, leading to efforts to develop FLT3 kinase inhibitors. However, FLT3 inhibitors have thus far met with limited success, inducing only a clearance of peripheral blasts with minimal BM responses. Quizartinib is a novel potent and selective FLT3 inhibitor currently being studied in clinical trials. In 13 of 14 FLT3/ITD AML patients with normal karyotype treated with quizartinib, we observed terminal myeloid differentiation of BM blasts in association with a clinical differentiation syndrome. The single patient whose blasts failed to differentiate had a preexisting C/EBPα mutation and another developed a C/EBPα mutation at disease progression, suggesting a mechanism of resistance to FLT3 inhibition. In vitro, in primary blasts cocultured with human BM stroma, FLT3 inhibition with quizartinib induced cell-cycle arrest and differentiation rather than apoptosis. The present study is the first description of terminal differentiation of cancer cells in patients treated with a tyrosine kinase inhibitor. These data highlight the importance of the differentiation block in the patho-genesis of AML.

Indexed as

Antineoplastic AgentsBenzothiazolesBone Marrow CellsCCAAT-Enhancer-Binding Protein-alphaCell CycleClinical Trials, Phase II as TopicCoculture Techniquesfms-Like Tyrosine Kinase 3Gene DuplicationHumansLeukemia, Myeloid, AcuteMulticenter Studies as TopicMyelopoiesisNeoplasm ProteinsNeoplastic Stem CellsNeutrophilsAntineoplastic AgentsBenzothiazolesCCAAT-Enhancer-Binding Protein-alphaFLT3 protein, humanfms-Like Tyrosine Kinase 3Neoplasm ProteinsPhenylurea CompoundsProtein Kinase Inhibitorsquizartinib

Identifiers

PMID23012328
PMCPMC3501718
OpenAlexW2053937610

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.