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Genetic alterations activating kinase and cytokine receptor signaling in high-risk acute lymphoblastic leukemia.

Abstract
Genomic profiling has identified a subtype of high-risk B-progenitor acute lymphoblastic leukemia (B-ALL) with alteration of IKZF1, a gene expression profile similar to BCR-ABL1-positive ALL and poor outcome (Ph-like ALL). The genetic alterations that activate kinase signaling in Ph-like ALL are poorly understood. We performed transcriptome and whole genome sequencing on 15 cases of Ph-like ALL and identified rearrangements involving ABL1, JAK2, PDGFRB, CRLF2, and EPOR, activating mutations of IL7R and FLT3, and deletion of SH2B3, which encodes the JAK2-negative regulator LNK. Importantly, several of these alterations induce transformation that is attenuated with tyrosine kinase inhibitors, suggesting the treatment outcome of these patients may be improved with targeted therapy.
AuthorsKathryn G Roberts, Ryan D Morin, Jinghui Zhang, Martin Hirst, Yongjun Zhao, Xiaoping Su, Shann-Ching Chen, Debbie Payne-Turner, Michelle L Churchman, Richard C Harvey, Xiang Chen, Corynn Kasap, Chunhua Yan, Jared Becksfort, Richard P Finney, David T Teachey, Shannon L Maude, Kane Tse, Richard Moore, Steven Jones, Karen Mungall, Inanc Birol, Michael N Edmonson, Ying Hu, Kenneth E Buetow, I-Ming Chen, William L Carroll, Lei Wei, Jing Ma, Maria Kleppe, Ross L Levine, Guillermo Garcia-Manero, Eric Larsen, Neil P Shah, Meenakshi Devidas, Gregory Reaman, Malcolm Smith, Steven W Paugh, William E Evans, Stephan A Grupp, Sima Jeha, Ching-Hon Pui, Daniela S Gerhard, James R Downing, Cheryl L Willman, Mignon Loh, Stephen P Hunger, Marco A Marra, Charles G Mullighan
JournalCancer cell (Cancer Cell) Vol. 22 Issue 2 Pg. 153-66 (Aug 14 2012) ISSN: 1878-3686 [Electronic] United States
PMID22897847 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2012 Elsevier Inc. All rights reserved.
Chemical References
  • EBF1 protein, human
  • Oncogene Proteins, Fusion
  • Protein Kinase Inhibitors
  • RNA, Messenger
  • Receptors, Cytokine
  • Trans-Activators
  • Protein-Tyrosine Kinases
  • Receptor, Platelet-Derived Growth Factor beta
Topics
  • Animals
  • Base Sequence
  • Cell Transformation, Neoplastic
  • DNA Mutational Analysis
  • Enzyme Activation (drug effects)
  • Gene Expression Regulation, Leukemic (drug effects)
  • Gene Rearrangement (genetics)
  • Genetic Predisposition to Disease
  • Humans
  • Mice
  • Molecular Sequence Data
  • Mutation (genetics)
  • Oncogene Proteins, Fusion (genetics)
  • Philadelphia Chromosome
  • Phosphorylation (drug effects)
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma (enzymology, genetics)
  • Protein Kinase Inhibitors (pharmacology)
  • Protein-Tyrosine Kinases (genetics)
  • RNA, Messenger (genetics, metabolism)
  • Receptor, Platelet-Derived Growth Factor beta (genetics)
  • Receptors, Cytokine (genetics)
  • Recurrence
  • Risk Factors
  • Sequence Deletion (genetics)
  • Signal Transduction (drug effects, genetics)
  • Trans-Activators (genetics)

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