Evidence map›Paper›PMID 28077790›Full record

ArticleOncotarget2017

FLT3 activating mutations display differential sensitivity to multiple tyrosine kinase inhibitors.

Bao Nguyen, Allen B Williams, David J Young, Hayley Ma, Li Li, Mark Levis, Patrick Brown, Donald Small

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 40 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Bao NguyenDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Allen B WilliamsDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
David J YoungDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Hayley MaDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Li LiDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Mark LevisDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Patrick BrownDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Donald SmallDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
LAB RESEARCH TRAINING IN PEDIATRIC ONCOLOGY-HEMATOLOGYT32CA060441 · NCI · JOHNS HOPKINS UNIVERSITY · PI ALAN D FRIEDMAN · 1993 to 2026
$14.9M
Training Program in Cellular and Molecular MedicineT32GM008752 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI RAO, RAJINI · 2000 to 2019
$11.7M
FLT3 Tyrosine Kinase Inhibitors As Therapy for LeukemiaR01CA090668 · NCI · JOHNS HOPKINS UNIVERSITY · PI SMALL, DONALD · 2002 to 2018
$5.0M
NCI NIH HHS P30 CA006973NCI NIH HHS R01 CA090668NCI NIH HHS T32 CA060441NIGMS NIH HHS T32 GM008752
6 · The paper itself

Abstract

Fms-like tyrosine kinase-3 (FLT3) is a receptor tyrosine kinase that normally functions in hematopoietic cell survival, proliferation and differentiation. Constitutively activating mutations of FLT3 map predominately to the juxtamembrane domain (internal tandem duplications; ITD) or the activation loop (AL) of the kinase domain and are detected in about 1/3 of de novo acute myeloid leukemia (AML) patients. Small molecule tyrosine kinase inhibitors (TKI) effectively target FLT3/ITD mutations, but some activating mutations, particularly those on the AL, are relatively resistant to many FLT3 TKI. We reproduced many of the AL or other non-ITD activating mutations and tested 13 FLT3 TKI for their activity against these and wild-type FLT3. All 13 TKI tested inhibited BaF3/ITD cell proliferation in a concentration-dependent manner as reported, but most TKI exhibited a wide range of differential activity against AL and other point mutants. Western blotting results examining inhibition of FLT3 autophosphorylation and signaling pathways indicate that many AL mutations reduce TKI binding. Most FLT3 TKI effectively target wild-type FLT3 signaling. As a demonstration of this differential activity, treatment of BaF3 D835Y cells transplanted in BALB/c mice with sorafenib showed no effect in vivo against this mutant whereas lestaurtinib proved effective at reducing disease burden. Thus, while FLT3 TKI have been selected based on their ability to inhibit FLT3/ITD, the selection of appropriate TKI for AML patients with FLT3 AL and other activating point mutations requires personalized consideration.

Indexed as

MutationAnimalsBinding SitesBlotting, WesternCarbazolesCell LineCell ProliferationDose-Response Relationship, DrugDrug Resistance, Neoplasmfms-Like Tyrosine Kinase 3FuransGene DuplicationHumansMice, Inbred BALB CNiacinamidePhenylurea CompoundsCarbazolesfms-Like Tyrosine Kinase 3FuranslestaurtinibNiacinamidePhenylurea CompoundsProtein Kinase InhibitorsSorafenibactivation loopacute myeloid leukemiamutant FLT3tyrosine kinase inhibitors

Identifiers

PMID28077790
PMCPMC5355235
OpenAlexW2568241647

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.