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10.1126/scitranslmed.aaa5731

http://scihub22266oqcxt.onion/10.1126/scitranslmed.aaa5731
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C4644635!4644635!26062848
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suck abstract from ncbi


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pmid26062848      Sci+Transl+Med 2015 ; 7 (291): 291ra96
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  • Integration of Hedgehog and mutant FLT3 signaling in myeloid leukemia #MMPMID26062848
  • Lim Y; Gondek L; Li L; Wang Q; Ma H; Chang E; Huso DL; Foerster S; Marchionni L; McGovern K; Watkins DN; Peacock CD; Levis M; Smith BD; Merchant AA; Small D; Matsui W
  • Sci Transl Med 2015[Jun]; 7 (291): 291ra96 PMID26062848show ga
  • FLT3 internal tandem duplication (ITD) mutations resulting in constitutive kinase activity are common in acute myeloid leukemia (AML) and carry a poor prognosis. Several agents targeting FLT3 have been developed, but their limited clinical activity suggests that the inhibition of other factors contributing to the malignant phenotype is required. We examined gene expression data sets as well as primary specimens and found that the expression of GLI2, a major effector of the Hedgehog (Hh) signaling pathway, was increased in FLT3-ITD compared to wild type FLT3 AML. To examine the functional role of the Hh pathway, we studied mice in which Flt3-ITD expression results in an indolent myeloproliferative state and found that constitutive Hh signaling accelerated the development of AML by enhancing STAT5 signaling and the proliferation of bone marrow myeloid progenitors. Furthermore, combined FLT3 and Hh pathway inhibition limited leukemic growth in vitro and in vivo, and this approach may serve as a therapeutic strategy for FLT3-ITD AML.
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