Phospho-Profiling Linking Biology and Clinics in Pediatric Acute Myeloid Leukemia.


Journal

HemaSphere
ISSN: 2572-9241
Titre abrégé: Hemasphere
Pays: United States
ID NLM: 101740619

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 27 06 2019
revised: 15 10 2019
accepted: 15 10 2019
entrez: 20 2 2020
pubmed: 20 2 2020
medline: 20 2 2020
Statut: epublish

Résumé

Aberrant activation of key signaling-molecules is a hallmark of acute myeloid leukemia (AML) and may have prognostic and therapeutic implications. AML summarizes several disease entities with a variety of genetic subtypes. A comprehensive model spanning from signal activation patterns in major genetic subtypes of pediatric AML (pedAML) to outcome prediction and pre-clinical response to signaling inhibitors has not yet been provided. We established a high-throughput flow-cytometry based method to assess activation of hallmark phospho-proteins (phospho-flow) in 166 bone-marrow derived pedAML samples under basal and cytokine stimulated conditions. We correlated levels of activated phospho-proteins at diagnosis with relapse incidence in intermediate (IR) and high risk (HR) subtypes. In parallel, we screened a set of signaling inhibitors for their efficacy against primary AML blasts in a flow-cytometry based ex vivo cytotoxicity assay and validated the results in a murine xenograft model. Certain phospho-signal patterns differ between genetic subtypes of pedAML. Some are consistently seen through all AML subtypes such as pSTAT5. In IR/HR subtypes high levels of GM-CSF stimulated pSTAT5 and low levels of unstimulated pJNK correlated with increased relapse risk overall. Combination of GM-CSF/pSTAT5

Identifiants

pubmed: 32072137
doi: 10.1097/HS9.0000000000000312
pii: HemaSphere-2019-0138
pmc: PMC7000467
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e312

Informations de copyright

Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Hematology Association.

Déclaration de conflit d'intérêts

DR has a consulting or advisory role for Celgene, Roche, Hexal, Medac, Boehringer, Behring and Novartis and received research support from Celgene Roche, Behring and Novartis. DR also received payments for travel, accommodation or other expenses from JAZZ Pharmaceuticals. KN received payments for travel, accommodation or other expenses from Affymetrix. MND received honoraria as well as payments for travel, accommodation or other expenses from Beckman-Coulter. For the remaining authors, no relevant conflicts of interest were declared.

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Auteurs

Angela Schumich (A)

CCRI, Children's Cancer Research Institute, St. Anna Kinderkrebsforschung, Vienna, Austria.

Michaela Prchal-Murphy (M)

Institute of Pharmacology and Toxicology, University of Veterinary Medicine, Vienna, Austria.

Margarita Maurer-Granofszky (M)

CCRI, Children's Cancer Research Institute, St. Anna Kinderkrebsforschung, Vienna, Austria.

Andrea Hoelbl-Kovacic (A)

Institute of Pharmacology and Toxicology, University of Veterinary Medicine, Vienna, Austria.

Nora Mühlegger (N)

CCRI, Children's Cancer Research Institute, St. Anna Kinderkrebsforschung, Vienna, Austria.

Ulrike Pötschger (U)

CCRI, Children's Cancer Research Institute, St. Anna Kinderkrebsforschung, Vienna, Austria.

Sabine Fajmann (S)

Institute of Pharmacology and Toxicology, University of Veterinary Medicine, Vienna, Austria.

Oskar A Haas (OA)

CCRI, Children's Cancer Research Institute, St. Anna Kinderkrebsforschung, Vienna, Austria.

Karin Nebral (K)

CCRI, Children's Cancer Research Institute, St. Anna Kinderkrebsforschung, Vienna, Austria.

Nils von Neuhoff (N)

Pediatric Hematology and Oncology, Department for Pediatrics III, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.

Martin Zimmermann (M)

Pediatric Hematology and Oncology, Hannover Medical School, Hannover, Germany.

Heidrun Boztug (H)

Department of Pediatric Hematology and Oncology, St. Anna Children's Hospital, Medical University of Vienna, Vienna, Austria.

Mareike Rasche (M)

Pediatric Hematology and Oncology, Department for Pediatrics III, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.

Marlies Dolezal (M)

Bioinformatics and Biostatistics Platform, Department of Biomedical Sciences, University of Veterinary Medicine, Vienna, Austria.

Christiane Walter (C)

Pediatric Hematology and Oncology, Department for Pediatrics III, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.

Dirk Reinhardt (D)

Pediatric Hematology and Oncology, Department for Pediatrics III, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.

Veronika Sexl (V)

Institute of Pharmacology and Toxicology, University of Veterinary Medicine, Vienna, Austria.

Michael N Dworzak (MN)

CCRI, Children's Cancer Research Institute, St. Anna Kinderkrebsforschung, Vienna, Austria.

Classifications MeSH