The Bcr-Abl mutations T315I and Y253H do not confer a growth advantage in the absence of imatinib

C Miething, S Feihl, C Mugler, R Grundler… - Leukemia, 2006 - nature.com
C Miething, S Feihl, C Mugler, R Grundler, N Von Bubnoff, F Lordick, C Peschel, J Duyster
Leukemia, 2006nature.com
Abstract Mutations in the Bcr-Abl kinase domain are a frequent cause of imatinib resistance
in patients with advanced CML or Ph+ ALL. The impact of these mutations on the overall
oncogenic potential of Bcr-Abl and on the clinical course of the disease in the absence of
imatinib is presently unclear. In this study, we analyzed the effects of the Bcr-Abl P-loop
mutation Y253H and the highly imatinib resistant T315I mutation on kinase activity in vitro
and transforming efficiency of Bcr-Abl in vitro and in vivo. Immunoprecipitated Bcr-Abl …
Abstract
Mutations in the Bcr-Abl kinase domain are a frequent cause of imatinib resistance in patients with advanced CML or Ph+ ALL. The impact of these mutations on the overall oncogenic potential of Bcr-Abl and on the clinical course of the disease in the absence of imatinib is presently unclear. In this study, we analyzed the effects of the Bcr-Abl P-loop mutation Y253H and the highly imatinib resistant T315I mutation on kinase activity in vitro and transforming efficiency of Bcr-Abl in vitro and in vivo. Immunoprecipitated Bcr-Abl Y253H and Bcr-Abl T315I proteins displayed similar kinase activities and substrate phosphorylation patterns as Bcr-Abl wildtype. We directly compared the proliferative capacity of mutant to wildtype Bcr-Abl in primary BM cells in vitro and in a murine transplantation model of CML by using a competitive repopulation assay. The results implicate that in the absence of imatinib, there is no growth advantage for cells carrying Bcr-Abl T315I or Bcr-Abl Y253H compared to Bcr-Abl wt, whereas imatinib treatment clearly selects for leukemic cells expressing mutant Bcr-Abl both in vitro and in vivo. Thus, the analysed Bcr-Abl mutants confer imatinib resistance, but do not induce a growth advantage in the absence of imatinib.
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