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  • Online Resource  (4)
  • American Association for Cancer Research (AACR)  (4)
  • Metzeler, Klaus H.  (4)
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  • Online Resource  (4)
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  • American Association for Cancer Research (AACR)  (4)
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  • 1
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 70, No. 8_Supplement ( 2010-04-15), p. 3558-3558
    Abstract: Despite improvement in our understanding of leukemogenic mechanisms, the majority of AML patients (pts) fail to achieve long-term survival and die of their disease. Therefore, new therapeutic options are needed. Silvestrol, a natural product isolated from Aglaia foveolata, has been shown to have potent antitumor activity, most likely through inhibition of initiation of translation. Promising synergistic effects of silvestrol with chemotherapy were shown in AML, but the exact mechanism mediating the antileukemic activity remains to be fully elucidated. Recently, microRNAs (miRs), short non-coding RNAs, have been recognized to contribute to leukemogenesis by inhibiting expression of targeted tumor suppressor genes. Therefore, we hypothesized that the antileukemic effect of silvestrol may at least be partly mediated by activity on miRs. We investigated the effects of silvestrol on the expression of a panel of miRs previously linked to AML (miR-29a, miR-29b, miR-29c, miR-181a, miR-34a & miR-155) by quantitative RT-PCR in representative AML cell lines (MV4-11, Kasumi-1, K562). Among the miRs measured, miR-155 was the only one found to be altered, with & gt;40% reduction from baseline following 24h silvestrol treatment (50nM). MiR-155 has a known oncogenic effect in leukemia and is up-regulated in FLT3-ITD (internal tandem duplication)-positive blasts. FLT3 encodes a tyrosine kinase membrane receptor, and the FLT3-ITD mutation is carried by ∼30% of all AML pts. FLT3-ITD supports abnormal myeloid blast proliferation and survival, and predicts dismal outcome. Silvestrol treatment of FLT3-ITD-positive MV4-11 cells resulted in a sustained 40% decrease of miR-155 expression observed as early as 6h post-treatment, as well as down-regulation (80%) of FLT3 mRNA and protein expression compared with vehicle-treated controls as measured by quantitative RT-PCR and immunoblotting respectively. We confirmed this finding by demonstrating a significant reduction of FLT3 surface expression by flow cytometry. These effects were associated with a significant antiproliferative and apoptotic activity of silvestrol on MV4-11 cells (IC50 & lt;10nM at 48h) as measured by MTS assays and annexin/PI staining. We conclude that silvestrol has a potent cytotoxic activity on mir-155 and FLT3-ITD expressing AML cells. The finding that FLT3-ITD expression was down-regulated not only at the protein level but also at the RNA level suggests that the effect of silvestrol on FLT3 mutants may be in part mediated by previously unreported mechanisms other than translational inhibition. Our data support further investigation to elucidate these novel aspects of the antileukemic activity of silvestrol in specific subsets of AML and the design of therapeutic studies testing this compound alone and/or in combination with other tyrosine kinase inhibitors in FLT3-ITD-driven AML. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 101st Annual Meeting of the American Association for Cancer Research; 2010 Apr 17-21; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2010;70(8 Suppl):Abstract nr 3558.
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2010
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  • 2
    In: Molecular Cancer Therapeutics, American Association for Cancer Research (AACR), Vol. 19, No. 9 ( 2020-09-01), p. 1875-1888
    Abstract: Despite advances in the treatment of acute myeloid leukemia (AML), novel therapies are needed to induce deeper and more durable clinical response. Bispecific T-cell Engager (BiTE) molecules, which redirect patient T cells to lyse tumor cells, are a clinically validated modality for hematologic malignancies. Due to broad AML expression and limited normal tissue expression, fms-related tyrosine kinase 3 (FLT3) is proposed to be an optimal BiTE molecule target. Expression profiling of FLT3 was performed in primary AML patient samples and normal hematopoietic cells and nonhematopoietic tissues. Two novel FLT3 BiTE molecules, one with a half-life extending (HLE) Fc moiety and one without, were assessed for T-cell–dependent cellular cytotoxicity (TDCC) of FLT3-positive cell lines in vitro, in vivo, and ex vivo. FLT3 protein was detected on the surface of most primary AML bulk and leukemic stem cells but only a fraction of normal hematopoietic stem and progenitor cells. FLT3 protein detected in nonhematopoietic cells was cytoplasmic. FLT3 BiTE molecules induced TDCC of FLT3-positive cells in vitro, reduced tumor growth and increased survival in AML mouse models in vivo. Both molecules exhibited reproducible pharmacokinetic and pharmacodynamic profiles in cynomolgus monkeys in vivo, including elimination of FLT3-positive cells in blood and bone marrow. In ex vivo cultures of primary AML samples, patient T cells induced TDCC of FLT3-positive target cells. Combination with PD-1 blockade increased BiTE activity. These data support the clinical development of an FLT3 targeting BiTE molecule for the treatment of AML.
    Type of Medium: Online Resource
    ISSN: 1535-7163 , 1538-8514
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2020
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  • 3
    In: Clinical Cancer Research, American Association for Cancer Research (AACR), Vol. 27, No. 1 ( 2021-01-01), p. 255-266
    Abstract: Prediction models for acute myeloid leukemia (AML) are useful, but have considerable inaccuracy and imprecision. No current model includes covariates related to immune cells in the AML microenvironment. Here, an immune risk score was explored to predict the survival of patients with AML. Experimental Design: We evaluated the predictive accuracy of several in silico algorithms for immune composition in AML based on a reference of multi-parameter flow cytometry. CIBERSORTx was chosen to enumerate immune cells from public datasets and develop an immune risk score for survival in a training cohort using least absolute shrinkage and selection operator Cox regression model. Results: Six flow cytometry–validated immune cell features were informative. The model had high predictive accuracy in the training and four external validation cohorts. Subjects in the training cohort with low scores had prolonged survival compared with subjects with high scores, with 5-year survival rates of 46% versus 19% (P & lt; 0.001). Parallel survival rates in validation cohorts-1, -2, -3, and -4 were 46% versus 6% (P & lt; 0.001), 44% versus 18% (P = 0.041), 44% versus 24% (P = 0.004), and 62% versus 32% (P & lt; 0.001). Gene set enrichment analysis indicated significant enrichment of immune relation pathways in the low-score cohort. In multivariable analyses, high-risk score independently predicted shorter survival with HRs of 1.45 (P = 0.005), 2.12 (P = 0.004), 2.02 (P = 0.034), 1.66 (P = 0.019), and 1.59 (P = 0.001) in the training and validation cohorts, respectively. Conclusions: Our immune risk score complements current AML prediction models.
    Type of Medium: Online Resource
    ISSN: 1078-0432 , 1557-3265
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2021
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  • 4
    In: Clinical Cancer Research, American Association for Cancer Research (AACR), Vol. 24, No. 7 ( 2018-04-01), p. 1716-1726
    Abstract: Purpose: To study mechanisms of therapy resistance and disease progression, we analyzed the evolution of cytogenetically normal acute myeloid leukemia (CN-AML) based on somatic alterations. Experimental Design: We performed exome sequencing of matched diagnosis, remission, and relapse samples from 50 CN-AML patients treated with intensive chemotherapy. Mutation patterns were correlated with clinical parameters. Results: Evolutionary patterns correlated with clinical outcome. Gain of mutations was associated with late relapse. Alterations of epigenetic regulators were frequently gained at relapse with recurring alterations of KDM6A constituting a mechanism of cytarabine resistance. Low KDM6A expression correlated with adverse clinical outcome, particularly in male patients. At complete remission, persistent mutations representing preleukemic lesions were observed in 48% of patients. The persistence of DNMT3A mutations correlated with shorter time to relapse. Conclusions: Chemotherapy resistance might be acquired through gain of mutations. Insights into the evolution during therapy and disease progression lay the foundation for tailored approaches to treat or prevent relapse of CN-AML. Clin Cancer Res; 24(7); 1716–26. ©2018 AACR.
    Type of Medium: Online Resource
    ISSN: 1078-0432 , 1557-3265
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2018
    detail.hit.zdb_id: 1225457-5
    detail.hit.zdb_id: 2036787-9
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