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CT53518, a novel selective FLT3 antagonist for the treatment of acute myelogenous leukemia (AML).

Abstract
Up to 30% of acute myelogenous leukemia (AML) patients harbor an activating internal tandem duplication (ITD) within the juxtamembrane domain of the FLT3 receptor, suggesting that it may be a target for kinase inhibitor therapy. For this purpose we have developed CT53518, a potent antagonist that inhibits FLT3, platelet-derived growth factor receptor (PDGFR), and c-Kit (IC(50) approximately 200 nM), while other tyrosine or serine/threonine kinases were not significantly inhibited. In Ba/F3 cells expressing different FLT3-ITD mutants, CT53518 inhibited IL-3-independent cell growth and FLT3-ITD autophosphorylation with an IC(50) of 10-100 nM. In human FLT3-ITD-positive AML cell lines, CT53518 induced apoptosis and inhibited FLT3-ITD phosphorylation, cellular proliferation, and signaling through the MAP kinase and PI3 kinase pathways. Therapeutic efficacy of CT53518 was demonstrated both in a nude mouse model and in a murine bone marrow transplant model of FLT3-ITD-induced disease.
AuthorsLouise M Kelly, Jin-Chen Yu, Christina L Boulton, Mutiah Apatira, Jason Li, Carol M Sullivan, Ifor Williams, Sonia M Amaral, David P Curley, Nicole Duclos, Donna Neuberg, Robert M Scarborough, Anjali Pandey, Stanley Hollenbach, Keith Abe, Nathalie A Lokker, D Gary Gilliland, Neill A Giese
JournalCancer cell (Cancer Cell) Vol. 1 Issue 5 Pg. 421-32 (Jun 2002) ISSN: 1535-6108 [Print] United States
PMID12124172 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antineoplastic Agents
  • Enzyme Inhibitors
  • Interleukin-3
  • Piperazines
  • Proto-Oncogene Proteins
  • Quinazolines
  • Receptors, Cell Surface
  • tandutinib
  • FLT3 protein, human
  • Flt3 protein, mouse
  • Proto-Oncogene Proteins c-kit
  • Receptor Protein-Tyrosine Kinases
  • Receptors, Platelet-Derived Growth Factor
  • fms-Like Tyrosine Kinase 3
Topics
  • Animals
  • Antineoplastic Agents (pharmacology)
  • Apoptosis (drug effects)
  • Bone Marrow Cells (enzymology, pathology)
  • Bone Marrow Transplantation
  • Enzyme Inhibitors (pharmacology)
  • Flow Cytometry
  • Humans
  • Immunoblotting
  • Interleukin-3 (metabolism)
  • Leukemia, Myeloid, Acute (drug therapy, enzymology, genetics)
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Mutation
  • Phosphorylation
  • Piperazines (pharmacology)
  • Proto-Oncogene Proteins (antagonists & inhibitors, metabolism)
  • Proto-Oncogene Proteins c-kit (drug effects, metabolism)
  • Quinazolines (pharmacology)
  • Receptor Protein-Tyrosine Kinases (antagonists & inhibitors, metabolism)
  • Receptors, Cell Surface (antagonists & inhibitors)
  • Receptors, Platelet-Derived Growth Factor (antagonists & inhibitors)
  • Tandem Repeat Sequences
  • Transfection
  • Tumor Cells, Cultured (drug effects)
  • fms-Like Tyrosine Kinase 3

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