Evidence map›Paper›PMID 39300221›Full record

ArticleLeukemia2024

Selective degradation of mutant FMS-like tyrosine kinase-3 requires BIM-dependent depletion of heat shock proteins.

Melisa Halilovic, Mohamed Abdelsalam, Joanna Zabkiewicz, Michelle Lazenby, Caroline Alvares, Matthias Schmidt, Walburgis Brenner, Sara Najafi, Ina Oehme, Christoph Hieber and 4 more

Abstract read
In one paragraph

Article in Leukemia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Review
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  4. Article
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  6. Article
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  8. Article
  9. Review
  10. The deacetylases HDAC1/HDAC2 control JAK2Signal transduction and targeted therapy · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
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

14 authors.

Melisa Halilovic *Department of Toxicology, University Medical Center, 55131, Mainz, Germany.
Mohamed Abdelsalam *Department of Pharmaceutical Chemistry, Faculty of Pharmacy, Alexandria University, Alexandria, Egypt.
Joanna ZabkiewiczAcademic Department of Haematology, University of Cardiff, Heath Park, Cardiff, UK.
Michelle LazenbyAcademic Department of Haematology, University of Cardiff, Heath Park, Cardiff, UK.
Caroline AlvaresAcademic Department of Haematology, University of Cardiff, Heath Park, Cardiff, UK.ORCID 0000-0003-4391-9802
Matthias SchmidtDepartment of Medicinal Chemistry, Institute of Pharmacy, Martin-Luther-University of Halle-Wittenberg, Halle, Saale, Germany.
Walburgis BrennerClinic for Obstetrics and Women's Health, University Medical Center, 55131, Mainz, Germany.ORCID 0000-0002-1511-6212
Sara NajafiHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Ina OehmeHopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Christoph HieberDepartment of Dermatology, University Medical Center Mainz, Mainz, Germany.
Yanira ZeynDepartment of Dermatology, University Medical Center Mainz, Mainz, Germany.ORCID 0000-0002-2501-8149
Matthias BrosDepartment of Dermatology, University Medical Center Mainz, Mainz, Germany.
Wolfgang SipplDepartment of Medicinal Chemistry, Institute of Pharmacy, Martin-Luther-University of Halle-Wittenberg, Halle, Saale, Germany. wolfgang.sippl@pharmazie.uni-halle.de.ORCID 0000-0002-5985-9261
Oliver H KrämerDepartment of Toxicology, University Medical Center, 55131, Mainz, Germany. okraemer@uni-mainz.de.ORCID 0000-0003-3973-045X

Funding

Deutsche Forschungsgemeinschaft (German Research Foundation) KR2291Deutsche Forschungsgemeinschaft (German Research Foundation) SI 868/26-1, DFG-project number 49527183
6 · The paper itself

Abstract

Internal tandem duplications in the FMS-like tyrosine kinase-3 (FLT3-ITD) are common mutations in acute myeloid leukemia (AML). Proteolysis-targeting chimeras (PROTACs) that induce proteasomal degradation of mutated FLT3 emerge as innovative pharmacological approach. Molecular mechanisms that control targeted proteolysis beyond the ubiquitin-proteasome-system are undefined and PROTACs are the only known type of FLT3 degraders. We report that the von-Hippel-Lindau ubiquitin-ligase based FLT3 PROTAC MA49 (melotinib-49) and the FLT3 hydrophobic tagging molecule MA50 (halotinib-50) reduce endoplasmic reticulum-associated, oncogenic FLT3-ITD but spare FLT3. Nanomolar doses of MA49 and MA50 induce apoptosis of human leukemic cell lines and primary AML blasts with FLT3-ITD (p < 0.05-0.0001), but not of primary hematopoietic stem cells and differentiated immune cells, FLT3 wild-type cells, retinal cells, and c-KIT-dependent cells. In vivo activity of MA49 against FLT3-ITD-positive leukemia cells is verified in a Danio rerio model. The degrader-induced loss of FLT3-ITD involves the pro-apoptotic BH3-only protein BIM and a previously unidentified degrader-induced depletion of protein-folding chaperones. The expression levels of HSP90 and HSP110 correlate with reduced AML patient survival (p < 0.1) and HSP90, HSP110, and BIM are linked to the expression of FLT3 in primary AML cells (p < 0.01). HSP90 suppresses degrader-induced FLT3-ITD elimination and thereby establishes a mechanistically defined feed-back circuit.

Indexed as

Bcl-2-Like Protein 11fms-Like Tyrosine Kinase 3Heat-Shock ProteinsLeukemia, Myeloid, AcuteProteolysisZebrafishAnimalsApoptosisCell Line, TumorHumansMutationBcl-2-Like Protein 11FLT3 protein, humanfms-Like Tyrosine Kinase 3Heat-Shock Proteins

Identifiers

PMID39300221
PMCPMC11588663

What OpenQuestion holds

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Registered trials

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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.