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  • 1
    In: Blood, American Society of Hematology, Vol. 101, No. 5 ( 2003-03-01), p. 1941-1949
    Abstract: Chronic myelogenous leukemia (CML) is characterized by the presence of a Bcr-Abl fusion protein with deregulated tyrosine kinase activity that is required for maintaining the malignant phenotype. Imatinib, a selective inhibitor ofBcr-Abl, induces major cytogenetic remission (MCR) or complete cytogenetic remission (CCR) in the majority of patients with CML in first chronic phase. However, thorough re-evaluation of cytogenetics in a cohort of patients in MCR or CCR demonstrated clonal karyotypic abnormalities in more than 10% of cases, some of which were clinically associated with a myelodysplastic syndrome (MDS). Further analysis identified previous exposure to cytarabine and idarubicin as significant risk factors for the subsequent occurrence of abnormalities in Philadelphia chromosome–negative (Ph−) cells. To investigate if cytogenetically normal but clonal hematopoiesis might be present in other patients in cytogenetic remission, we studied X-chromosome inactivation as a marker of clonality by polymerase chain reaction analysis of the human androgen receptor (HUMARA). We find that imatinib restores a polyclonal pattern in most patients in CCR and MCR. Nonetheless, our results are consistent with the notion that targeted therapy of CML with imatinib favors the manifestation of Ph− clonal disorders in some patients. They indicate that patients on imatinib should be followed with conventional cytogenetics, even after induction of CCR.
    Type of Medium: Online Resource
    ISSN: 1528-0020 , 0006-4971
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    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2003
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  • 2
    In: Blood, American Society of Hematology, Vol. 114, No. 22 ( 2009-11-20), p. 2917-2917
    Abstract: Abstract 2917 Poster Board II-893 BACKGROUND: Myeloproliferative neoplasms (MPN) are hematopoietic stem cell diseases encompassing chronic myeloid leukemia (CML), essential thrombocythemia (ET), idiopathic myelofibrosis (IMF), and polycythemia vera (PV). More than 95% of all patients with PV and some 50% of patients with ET and IMF have an activating mutation of JAK2 (JAK2 V617F). Tumor necrosis factor-alpha (TNF) is a pleiotropic cytokine produced by multiple cell types, including macrophages, NK, T and B cells. TNF plays a key regulatory role in immune and inflammatory responses. There is also evidence that TNF is involved in the regulation of erythropoiesis. We have previously reported that TNF levels are elevated in mice with retrovirally induced JAK2 V617F-positive PV-like MPN and that lack of TNF attenuates MPN in this model. APPROACH AND RESULTS: We studied the expression of TNF in white blood cells from PV patients (n=43) and normal controls (n=21), using qPCR. PV patients expressed on average 2.5-fold higher levels of TNF than controls (p 〈 0.0004). Upon examination of a panel of human leukemia lines (n=8) we found the highest TNF expression in HEL cells, which are homozygous for JAK2 V617F, suggesting that JAK2 V617F may upregulate TNF expression. Consistent with this, we found 6.9-fold higher TNF expression in Ba/F3 cells constitutively co-expressing EPOR and JAK2 V617F compared to parental cells. Exposure of HEL cells or Ba/F3 EPOR JAK2 V617F cells to the JAK2 inhibitor CYT387 (2 μM) resulted in a time dependent 3.3 to 7.5-fold decrease of TNF mRNA as assessed by qPCR. By contrast, TNF mRNA expression was not found to be down-regulated by CYT387 in HL60 cells lacking mutated JAK2. CYT387 was also found to down-regulate TNF mRNA expression in MNC derived from MPN patients. To assess differential effects of TNF on normal versus MPN progenitor cells, we performed clonogenic assays of peripheral blood MNC from normal donors (n=4) and MNC from MPN patients (n=9) in the presence of graded concentrations of EPO (0, 0.05, 0.5 and 5 IU/mL) and TNF (1, 10, 100 ng/mL). Intermediate and high TNF (10, 100 ng/mL) caused a dose-dependent reduction of BFU-E and CFU-GM compared to controls. However, in all conditions colony survival in MPN samples was higher compared to normal controls. Low TNF (1 ng/mL) in cultures supported by EPO (0.5 or 5.0 IU/mL) increased BFU-E formation by MPN cells to 142% of controls, but reduced BFU-E formation by normal MNC to 65%. CONCLUSIONS: Our data indicate that JAK2 V617F upregulates TNF expression in cell lines and primary MPN cells. Compared to normal progenitor cells, MPN progenitor cells are less sensitive to or even stimulated by TNF. These data suggest that JAK2 V617F-induced TNF may contribute to MPN pathogenesis by conferring a growth advantage to MPN over normal cells. Disclosures: Druker: OHSU patent #843 - Mutate ABL Kinase Domains: Patents & Royalties; MolecularMD: Equity Ownership; Roche: Consultancy; Cylene Pharmaceuticals: Consultancy; Calistoga Pharmaceuticals: Consultancy; Avalon Pharmaceuticals: Consultancy; Ambit Biosciences: Consultancy; Millipore via Dana-Farber Cancer Institute: Patents & Royalties; Novartis, ARIAD, Bristol-Myers Squibb: Research Funding. Burns:Cytopia: Employment. Deininger:Genzyme: Research Funding; BMS: Consultancy; Novartis: Consultancy, Honoraria; Ariad : Research Funding.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
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    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2009
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  • 3
    In: Blood, American Society of Hematology, Vol. 118, No. 24 ( 2011-12-08), p. 6392-6398
    Abstract: Proinflammatory cytokines such as TNFα are elevated in patients with myeloproliferative neoplasms (MPN), but their contribution to disease pathogenesis is unknown. Here we reveal a central role for TNFα in promoting clonal dominance of JAK2V617F expressing cells in MPN. We show that JAK2V617F kinase regulates TNFα expression in cell lines and primary MPN cells and TNFα expression is correlated with JAK2V617F allele burden. In clonogenic assays, normal controls show reduced colony formation in the presence of TNFα while colony formation by JAK2V617F-positive progenitor cells is resistant or stimulated by exposure to TNFα. Ectopic JAK2V617F expression confers TNFα resistance to normal murine progenitor cells and overcomes inherent TNFα hypersensitivity of Fanconi anemia complementation group C deficient progenitors. Lastly, absence of TNFα limits clonal expansion and attenuates disease in a murine model of JAK2V617F-positive MPN. Altogether our data are consistent with a model where JAK2V617F promotes clonal selection by conferring TNFα resistance to a preneoplastic TNFα sensitive cell, while simultaneously generating a TNFα-rich environment. Mutations that confer resistance to environmental stem cell stressors are a recognized mechanism of clonal selection and leukemogenesis in bone marrow failure syndromes and our data suggest that this mechanism is also critical to clonal selection in MPN.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
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    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2011
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  • 4
    In: Blood, American Society of Hematology, Vol. 112, No. 5 ( 2008-09-01), p. 1960-1970
    Abstract: BCR-ABL is proposed to impair cell-cycle control by disabling p27, a tumor suppressor that inhibits cyclin-dependent kinases. We show that in cell lines p27 expression is inversely correlated with expression of SKP2, the F-box protein of SCFSKP2 (SKP1/Cul1/F-box), the E3 ubiquitin ligase that promotes proteasomal degradation of p27. Inhibition of BCR-ABL kinase causes G1 arrest, down-regulation of SKP2, and accumulation of p27. Ectopic expression of wild-type SKP2, but not a mutant unable to recognize p27, partially rescues cell-cycle progression. A similar regulation pattern is seen in cell lines transformed by FLT3-ITD, JAK2V617F, and TEL-PDGFRβ, suggesting that the SKP2/p27 conduit may be a universal target for leukemogenic tyrosine kinases. Mice that received transplants of BCR-ABL–infected SKP2−/− marrow developed a myeloproliferative syndrome but survival was significantly prolonged compared with recipients of BCR-ABL-expressing SKP2+/+ marrow. SKP2−/− leukemic cells demonstrated higher levels of nuclear p27 than SKP2+/+ counterparts, suggesting that the attenuation of leukemogenesis depends on increased p27 expression. Our data identify SKP2 as a crucial mediator of BCR-ABL–induced leukemogenesis and provide the first in vivo evidence that SKP2 promotes oncogenesis. Hence, stabilization of p27 by inhibiting its recognition by SCFSKP2 may be therapeutically useful.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
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    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2008
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  • 5
    In: HNO, Springer Science and Business Media LLC, Vol. 71, No. 1 ( 2023-01), p. 1-7
    Abstract: This cross-sectional study aimed to assess the frequency and type of firework-associated acoustic trauma occurring in Germany on New Year’s Eve 2021, despite the ban on firework sales due to the COVID-19 pandemic. Materials and methods The survey period lasted 7 days, from 28 December 2021 to 03 January 2022. A questionnaire inquired date, type and treatment of trauma, sex, and age of the patient, and whether the trauma occurred when lighting or watching fireworks. Hearing impairment was classified according to the World Health Organization (WHO grades 0 to 4), and concomitant tinnitus, vertigo, or other injuries were recorded. The questionnaire was sent to the otorhinolaryngology departments of 171 hospitals in Germany. Results Of 37 otorhinolaryngology departments, 16 reported no and 21 reported 50 patients with firework-associated acoustic trauma. Mean age was 29 ± 16 years and 41 of 50 patients were males. Of these 50 patients, 22 presented without and 28 with hearing loss, 32 reported tinnitus and 3 vertigo; 20 patients were injured when lighting fireworks and 30 when watching. Hearing impairment was classified as 14 × WHO grade 0, 5 × WHO grade 1, 4 × WHO grade 2, 2 × WHO grade 3, and 3 × WHO grade 4. Inpatient treatment was received by 8 patients and 11 suffered from concomitant burn injuries. Conclusion Despite the sales ban, some firework-associated acoustic traumas occurred at New Year 2021/2022 in Germany. Some instances led to hospitalization, but an even higher number of unreported cases can be assumed. This study can serve as a baseline for further annual surveys to raise the awareness of the danger of seemingly harmless fireworks for the individual.
    Type of Medium: Online Resource
    ISSN: 0017-6192 , 1433-0458
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    Language: German
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
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  • 6
    In: Blood, American Society of Hematology, Vol. 120, No. 21 ( 2012-11-16), p. 4351-4351
    Abstract: Abstract 4351 Wilms‘ tumor protein-1 (WT1) is one of the most investigated tumor-associated antigens (TAA) in hematological malignancies. CD8 T-cell responses against several WT1-derived peptides have been characterized and are known to contribute to disease control after allogeneic hematopoietic stem cell transplantation (HSCT). Also the identification of human leukocyte antigen (HLA) class II-restricted CD4 T-cell epitopes from WT1 is a challenging task of T-cell-based cancer immunotherapy to improve the effectiveness of WT1 peptide vaccination. We found a highly immunogenic WT1 peptide composed of only 9 amino acids having the ability to induce IFN-γ secretion in CD4 T-cells in an HLA DR-restricted manner. This finding is of great interest as it was generally accepted that HLA class II binding peptides are composed of at least 12 amino acids being recognized by CD4 T-cells, whereas HLA class I binding peptides are composed of 8–11 amino acids being recognized by CD8 T-cells (Wang et al Mol. Immunol. 2002). However, both HLA class I and class II molecules bind to primary and secondary peptide anchor motifs covering the central 9–10 amino acids. Thus, considering this common structural basis for peptide binding there is a possibility that the WT1 9-mer peptide binds to HLA class II molecules, and induces CD4 T-cell responses. IFN-γ induction in response to several WT1 9-mer peptides was screened in 24 HLA-A*02:01 positive patients with acute myeloid leukemia or myelodysplastic syndrome after allogeneic HSCT. Responses to one WT1 9-mer peptide were exclusively detected in CD3+CD4+ T-cells of 2 patients after allogeneic HSCT, but not in CD3+CD4+ T-cells of their corresponding HSC donors. CD4+ T-cell responses to this WT1 9-mer peptide exhibited high levels of functional avidity, as IFN-γ induction was detected after stimulation with 100 ng peptide per mL. Peptide-induced IFN-γ production was confirmed with IFN-γ ELISPOT assays and the HLA restriction of the T-cell response was determined by HLA blocking antibodies. The reaction was significantly blocked by anti-pan HLA class II antibody (85 % reduction), but neither by pan-HLA class I nor by anti-HLA A2 antibody. To identify the subtype of HLA class II molecule, blocking assays with antibodies against HLA-DP, HLA-DR and HLA-DQ were performed. IFN-γ induction was completely abrogated by anti-HLA-DR antibody (99 % reduction) (fig 1, p value of unpaired student‘s t-test 〈 0.0001 for the medium control vs anti-pan HLA class II antibody or anti-HLA-DR antibody, respectively). To test whether IFN-γ was exclusively induced in CD4 T cells, CD4 or CD8 T-cells were depleted from PBMC. Whereas CD8 T-cell depletion did not affect IFN-γ induction, CD4 T-cell depletion completely abrogated the WT1 9-mer peptide induced response (fig 2). CD4 T-cells responding to the WT1 9-mer peptide were indicated to be functional cytotoxic T-cells with an effector CD4 T-cell phenotype. Longitudinal analyses demonstrated the persistence and functionality of WT1 9-mer specific CD4 T-cells in PBMC of patients even at day 1368 after allogeneic HSCT. These data indicate for the first time that a TAA-derived 9-mer peptide can induce HLA class II-restricted CD4 T-cell responses. Vaccination with the characterized WT1 9-mer peptide can enhance the induction and maintenance of not only CD4 but also indirect CD8 T-cell responses. Considering that CD4 T-cells play an important role in tumor rejection, the possibility that other TAA-derived 9-mer peptides having the potential to induce CD4 T-cell responses should be explored in other settings of tumor immunology as well to improve vaccination strategies. Disclosures: No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
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    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2012
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  • 7
    Online Resource
    Online Resource
    American Society of Hematology ; 2004
    In:  Blood Vol. 104, No. 11 ( 2004-11-16), p. 555-555
    In: Blood, American Society of Hematology, Vol. 104, No. 11 ( 2004-11-16), p. 555-555
    Abstract: Background: Bcr-Abl kinase domain (KD) mutations are a major cause of acquired resistance to imatinib. In some patients KD mutations have been detected prior to therapy, and P-loop mutations confer a particularly poor prognosis, suggesting an association with disease progression independent of imatinib therapy. We therefore compared the transforming potential of several frequent KD mutants with wild type (WT) Bcr-Abl in a variety of in vivo and in vitro assays. Experimental: We compared the growth rate of BaF3 cells expressing WT or KD mutants of Bcr-Abl (Q252H, Y253F, E255K, T315I, M351T, F359V, H396P, H396R) under optimal (10% FBS) and low serum conditions (1% FBS) over an 18-day period. In 10% FBS, all mutants except Y253F, showed a decreased growth rate relative to WT. However in low serum all mutants except Q252H, M351T and F359V and H396P had an increased growth rate relative to WT. To further validate the differences in growth rates direct competition assays were done. Equal cell numbers of WT and mutant were plated in the same flask in media containing either 10% or 1% FBS. The proportion of mutant clone was monitored by PCR amplification of Bcr-Abl and direct sequencing. In 10% FBS only Y253F dominated WT. In contrast all mutants except M351T were able to outgrow WT in 1% FBS. To compare the transformation potency of mutant vs. WT Bcr-Abl in primary cells, WT and several mutants were introduced in the MIG1 retroviral vector. Bone marrow cells from Balb/c mice were infected with retroviral supernatant containing comparable numbers of infectious particles. For assessment of B cell transformation, transduced cells from non 5-FU treated mice were plated in Whitlock-Witte cultures under limiting dilution conditions. The trend for B-cell transformation potential was Y253F 〉 E255K 〉 WT 〉 T315I 〉 H396P 〉 M351T. To compare the potency of the mutants for induction of myeloproliferative disease, lethally irradiated recipients were transplanted with transduced cells from 5-FU treated animals. The mice were sacrificed when the white blood cell count exceeded 200/nl or the animals appeared moribund. In WT animals disease latency was approximately 19 days with median survival 23 days. No significant differences between the mutants and WT were observed, although there was a trend toward longer survival in mice with the M351T and H396P mutations. To screen for biochemical differences between the mutants, we compared the activation of signaling pathways in BaF3 cells expressing mutant and WT Bcr-Abl, including Akt, Erk, Jnk, CrkL, Cbl, Stat3 and Stat5, but failed to detect differences. However, significant differences in the banding patterns were observed on phosphotyrosine blots from cellular lysates. Conclusion: Our data suggest that the P-loop mutants Y253F and E255K have greater transforming potential than WT, whereas M351T and H396P are less potent. Our inability to detect significant differences in the murine leukemia disease model may be due to the rapid course of disease that precludes the detection of more subtle differences. Our data are consistent with the clinical observation of the poor prognosis of patients with P-loop mutations and the reversal to WT Bcr-Abl on imatinib withdrawal that has been observed in some patients with non P-loop mutations. In addition, the ability of certain mutants to outcompete WT under suboptimal conditions may allow cells harboring these mutations to populate less hospitable niches in the bone marrow, until selected by imatinib.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
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    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2004
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  • 8
    In: Molecular and Cellular Biology, Informa UK Limited, Vol. 26, No. 16 ( 2006-08-01), p. 6082-6093
    Type of Medium: Online Resource
    ISSN: 1098-5549
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2006
    detail.hit.zdb_id: 1474919-1
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  • 9
    In: HNO, Springer Science and Business Media LLC, Vol. 71, No. S1 ( 2023-08), p. 44-49
    Abstract: This cross-sectional study aimed to assess the frequency and type of firework-associated acoustic trauma occurring in Germany on New Year’s Eve 2021, despite the ban on firework sales due to the COVID-19 pandemic. Materials and methods The survey period lasted 7 days, from 28 December 2021 to 03 January 2022. A questionnaire inquired date, type and treatment of trauma, sex, and age of the patient, and whether the trauma occurred when lighting or watching fireworks. Hearing impairment was classified according to the World Health Organization (WHO grades 0 to 4), and concomitant tinnitus, vertigo, or other injuries were recorded. The questionnaire was sent to the otorhinolaryngology departments of 171 hospitals in Germany. Results Of 37 otorhinolaryngology departments, 16 reported no and 21 reported 50 patients with firework-associated acoustic trauma. Mean age was 29 ± 16 years and 41 of 50 patients were males. Of these 50 patients, 22 presented without and 28 with hearing loss, 32 reported tinnitus and 3 vertigo; 20 patients were injured when lighting fireworks and 30 when watching. Hearing impairment was classified as 14 × WHO grade 0, 5 × WHO grade 1, 4 × WHO grade 2, 2 × WHO grade 3, and 3 × WHO grade 4. Inpatient treatment was received by 8 patients and 11 suffered from concomitant burn injuries. Conclusion Despite the sales ban, some firework-associated acoustic traumas occurred at New Year 2021/2022 in Germany. Some instances led to hospitalization, but an even higher number of unreported cases can be assumed. This study can serve as a baseline for further annual surveys to raise the awareness of the danger of seemingly harmless fireworks for the individual.
    Type of Medium: Online Resource
    ISSN: 0017-6192 , 1433-0458
    RVK:
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 1459183-2
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  • 10
    In: Blood, American Society of Hematology, Vol. 108, No. 11 ( 2006-11-16), p. 742-742
    Abstract: Background:The cyclin-dependent kinase inhibitor p27 is a central regulator of cell cycle progression, whose function is perturbed in many human cancers, either due to decreased expression or abnormal localization. p27 levels are negatively correlated with Skp2, the F-box protein of SCFSKP2, a E3 ubiquitin ligase targeting nuclear p27 for degradation. Skp2 has been shown to cooperate with mutant Ras in in vitro transformation assays, implicating Skp2 as a bona fide oncogene. In chronic myeloid leukemia cell lines, p27 is down-regulated in a Bcr-Abl dependent fashion, while cytoplasmic accumulation has been described in primary CML cells. We herefore hypothesized that Bcr-Abl may regulate p27 via Skp2. Experimental approach and results:Mo7e-p210BCR-ABL treated with 2.5 μM imatinib arrested in G0/G1 in a time-dependent manner (53.6±2, 58.3±2, 71.9±1% at 4, 8 and 16h), correlated with reduced in vitro kinase activity of Cdk2 (32% of controls at 16h). Western blot analysis showed a marginal increase of cytoplasmic p27 and 2.5-fold accumulation of nuclear p27 that preceded G0/1 arrest. Despite the reduced Cdk2 activity, most p27 was phosphorylated on T187, a target of cdk2/cyclinE, suggesting reduced degradation of phospo-p27 (T187). Degradation of nuclear p27 is mediated by SCFSKP2 and degradation of cytoplasmic p27 by the recently discovered KPC complex. We therefore assayed expression SCFSKP2 components and KPC1/2 by immunoblot analysis of imatinib-treated cells. Skp2 expression was greatly reduced compared to controls while expression of other SCFSKP2 components and KPC1/2 was unchanged, consistent with up-regulation of nuclear but not cytoplasmic p27 and suggesting a central role of Skp2 in mediating p27 degradation in Bcr-Abl positive cells. To test whether Skp2 is crucial for Bcr-Abl-driven leukemogenesis, we infected bone marrow of Skp2+/+ and Skp2−/− mice with BCR-ABL retrovirus. No consistent difference was observed in B-cell transformation assay (Whitlock-Witte cultures). However, formation of myeloid colonies in semisolid media was reduced in Skp2−/− compared to Skp2+/+ marrow [46.4±10% of controls (p=0.002) without and 76.6±9% of controls (p=0.008) with cytokines, n=6]. Skp2+/+ mice transplanted with BCR-ABL infected Skp2−/− marrow had significantly longer median survival (19days, range 12–60days, n=8) compared to recipients of Skp2+/+ marrow (13days, range 12–22days, n=10) (p=0.0034) with significant reduction of spleen weight (0.42±0.07g vs. 0.28±0.09g, p=0.004) and white blood cell counts (median 59x103/μl, range 9.6–142x103/μl, vs. 7.9x103/μl, range 0.8–87x103/μl, p=0.02). Histology and immunophenotyping of tissues (blood, marrow, spleen) revealed no signinificant differences between Skp2+/+ and Skp2−/− mice. Conclusions: Our data suggest that the primary cell cycle effect of Bcr-Abl kinase is up-regulation of Skp2. This leads to increased activity of SCFSKP2, inducing degradation of T187 phosphorylated p27 which in turn promotes cell cycle progression by relieving suppression of Cdk2. Skp2 is required for Bcr-Abl to fully realize its potential to induce myeloproliferative disease, providing the first in vivo evidence that SKP2 is an oncogene. Targeting Skp2-p27 interactions to prevent p27 degradation may be therapeutically useful in malignancies with a high Skp2/p27 ratio.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
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    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2006
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
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