Evidence map›Paper›PMID 34111291›Full record

ArticleBlood2021

Depalmitoylation rewires FLT3-ITD signaling and exacerbates leukemia progression.

Kaosheng Lv, Jian-Gang Ren, Xu Han, Jun Gui, Chujie Gong, Wei Tong

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  11. Targeting p16Leukemia · 2025
    Article
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  16. Article
  17. Article
  18. Palmitoylation in cardiovascular diseases: Molecular mechanism and therapeutic potential.International journal of cardiology. Heart & vasculature · 2025
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Kaosheng LvDivision of Hematology, Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0001-7998-2753
Jian-Gang RenDivision of Hematology, Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0002-1882-1865
Xu HanDivision of Hematology, Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0001-5663-2435
Jun GuiDepartment of Biomedical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA.
Chujie GongDivision of Hematology, Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0003-3110-9220
Wei TongDivision of Hematology, Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0001-9951-2273
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

Lnk Regulatory Functions in Hematopoietic Stem CellsR01HL095675 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI TONG, WEI · 2009 to 2021
$5.6M
Regulation of Ribosome Biogenesis in Hematopoietic Stem CellsR01DK127738 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI TONG, WEI · 2020 to 2024
$3.0M
Novel Regulation of Oncogenic NRAS Signaling in Myeloid MalignanciesR01CA271523 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI Wei Tong · 2022 to 2026
$2.7M
Regulation of FLT3 Signaling in LeukemiaR01CA282668 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI Wei Tong · 2023 to 2026
$2.5M
Regulation of protein ubiquitination in hematopoietic cytokine signalingR01HL133828 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI TONG, WEI · 2017 to 2020
$2.2M
NCI NIH HHS R01 CA271523NCI NIH HHS R01 CA282668NHLBI NIH HHS R01 HL095675NHLBI NIH HHS R01 HL133828NIDDK NIH HHS R01 DK127738
6 · The paper itself

Abstract

Internal tandem duplication within FLT3 (FLT3-ITD) is one of the most frequent mutations in acute myeloid leukemia (AML) and correlates with a poor prognosis. Whereas the FLT3 receptor tyrosine kinase is activated at the plasma membrane to transduce PI3K/AKT and RAS/MAPK signaling, FLT3-ITD resides in the endoplasmic reticulum and triggers constitutive STAT5 phosphorylation. Mechanisms underlying this aberrant FLT3-ITD subcellular localization or its impact on leukemogenesis remain poorly established. In this study, we discovered that FLT3-ITD is S-palmitoylated by the palmitoyl acyltransferase ZDHHC6. Disruption of palmitoylation redirected FLT3-ITD to the plasma membrane and rewired its downstream signaling by activating AKT and extracellular signal-regulated kinase pathways in addition to STAT5. Consequently, abrogation of palmitoylation increased FLT3-ITD-mediated progression of leukemia in xenotransplant-recipient mouse models. We further demonstrate that FLT3 proteins were palmitoylated in primary human AML cells. ZDHHC6-mediated palmitoylation restrained FLT3-ITD surface expression, signaling, and colonogenic growth of primary FLT3-ITD+ AML. More important, pharmacological inhibition of FLT3-ITD depalmitoylation synergized with the US Food and Drug Administration-approved FLT3 kinase inhibitor gilteritinib in abrogating the growth of primary FLT3-ITD+ AML cells. These findings provide novel insights into lipid-dependent compartmentalization of FLT3-ITD signaling in AML and suggest targeting depalmitoylation as a new therapeutic strategy to treat FLT3-ITD+ leukemias.

Indexed as

LipoylationSignal TransductionAnimalsCell Line, TumorCell ProliferationDisease Progressionfms-Like Tyrosine Kinase 3Gene DuplicationHumansLeukemiaMiceMice, SCIDFLT3 protein, humanfms-Like Tyrosine Kinase 3

Identifiers

PMID34111291
PMCPMC8832469
OpenAlexW3168707602

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.