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Cited by 272

The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.

FLT3-ITD up-regulates MCL-1 to promote survival of stem cells in acute myeloid leukemia via FLT3-ITD–specific STAT5 activation

Open access
Yoshimoto, Goichi, Miyamoto, Toshihiro, Jabbarzadeh-Tabrizi, Siamak, Iino, Tadafumi, Rocnik, Jennifer L., Kikushige, Yoshikane, Mori, Yasuo, Shima, Takahiro, Iwasaki, Hiromi, Takenaka, Katsuto, Nagafuji, Koji, Mizuno, Shin-ichi, Niiro, Hiroaki, Gilliland, Gary D., Akashi, Koichi·2009·Blood

Abstract

Myeloid cell leukemia-1 (MCL-1) is an essential survival factor for hematopoiesis. In humans, hematopoietic stem cells (HSCs) express MCL-1 at the highest level in response to FMS-like tyrosine kinase-3 (FLT3) signaling. We here show that this FLT3-dependent stem cell maintenance system also plays a critical role in survival of leukemic stem cells (LSCs) in acute myeloid leukemia (AML). The CD34+CD38− LSC fraction expresses high levels of FLT3 as well as MCL-1, even compared with normal HSCs. Treatment with FLT3 ligand induced further MCL-1 up-regulation in LSCs in all AML cases tested. Interestingly, the group of samples expressing the highest levels of MCL-1 constituted AML with FLT3–internal tandem duplications (ITD). In FLT3-ITD AML cell lines, cells expressed a high level of MCL-1, and an inhibition of MCL-1 induced their apoptotic cell death. A tyrosine kinase inhibitor suppressed MCL-1 expression, and induced apoptosis that was reversed by the enforced MCL-1 expression. Finally, transduction of FLT3-ITD into HSCs strongly activated MCL-1 expression through its signal transducer and activator of transcription 5 (STAT5)–docking domains. This effect was completely abrogated when STAT5 activation was blocked. Thus, the acquisition of FLT3-ITD ensures LSC survival by up-regulating MCL-1 via constitutive STAT5 activation that is independent of wild-type FLT3 signaling.

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Crossref · 10.1182/blood-2008-12-196055

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Metadata

Authors
Yoshimoto, G., Miyamoto, T., Jabbarzadeh-Tabrizi, S., Iino, T., Rocnik, J. L., Kikushige, Y., Mori, Y., Shima, T., Iwasaki, H., Takenaka, K., Nagafuji, K., Mizuno, S.-I., Niiro, H., Gilliland, G. D., & Akashi, K.
Venue
Blood
Published
2009-12-03
Volume
114
Issue
24
Pages
5034-5043
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2030292335
Cited by
272
References
4
FWCI
7.73
Type
journal article
Language
en
Open access
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