RET fusion genes are associated with chronic myelomonocytic leukemia and enhance monocytic differentiation

被引:81
作者
Ballerini, P. [2 ]
Struski, S.
Cresson, C. [3 ]
Prade, N.
Toujani, S. [4 ]
Deswarte, C. [2 ]
Dobbelstein, S.
Petit, A. [2 ]
Lapillonne, H. [2 ]
Gautier, E-F [3 ]
Demur, C.
Lippert, E. [5 ,6 ]
Pages, P. [2 ]
Mansat-De Mas, V. [3 ,7 ,8 ]
Donadieu, J. [2 ]
Huguet, F.
Dastugue, N.
Broccardo, C. [3 ]
Perot, C. [4 ]
Delabesse, E. [1 ,3 ,7 ,8 ]
机构
[1] Hop Purpan, Dept Hematol, Hematol Lab, F-31059 Toulouse 9, France
[2] Hop Trousseau, APHP, Dept Hematol, F-75571 Paris, France
[3] Ctr Rech Canc Toulouse, Inst Natl Sante & Rech Med U1037, Toulouse, France
[4] Hop St Antoine, APHP, Dept Cytogenet, F-75571 Paris, France
[5] CHU Bordeaux, Dept Hematol, Bordeaux, France
[6] Univ Victor Segalen, INSERM U1035, Bordeaux, France
[7] CHU Toulouse, Toulouse, France
[8] Univ Toulouse 2, Toulouse, France
关键词
tyrosine kinase; sorafenib; CMML; RECEPTOR TYROSINE KINASE; PAPILLARY THYROID-CARCINOMA; ACUTE MYELOID-LEUKEMIA; HEMATOPOIETIC-CELLS; BCR-ABL; MUTATIONS; ACTIVATION; RAS; IDENTIFICATION; TRANSFORMATION;
D O I
10.1038/leu.2012.109
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Myeloproliferative neoplasms are frequently associated with aberrant constitutive tyrosine kinase (TK) activity resulting from chimaeric fusion genes or point mutations such as BCR-ABL1 or JAK2 V617F. We report here the cloning and functional characterization of two novel fusion genes BCR-RET and FGFR1OP-RET in chronic myelomonocytic leukemia (CMML) cases generated by two balanced translocations t(10; 22)(q11;q11) and t(6;10)(q27;q11), respectively. The two RET fusion genes leading to the aberrant activation of RET, are able to transform hematopoietic cells and skew the hematopoietic differentiation program towards the monocytic/macrophage lineage. The RET fusion genes seem to constitutively mimic the same signaling pathway as RAS mutations frequently involved in CMML. One patient was treated with Sorafenib, a specific inhibitor of the RET TK function, and demonstrated cytological and clinical remissions.
引用
收藏
页码:2384 / 2389
页数:6
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