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PDGFRA Activating Mutations in Gastrointestinal Stromal Tumors
Michael C. Heinrich,1*Christopher L. Corless,2Anette Duensing,3Laura McGreevey,1Chang-Jie Chen,3Nora Joseph,3Samuel Singer,4Diana J. Griffith,1Andrea Haley,1Ajia Town,1George D. Demetri,5Christopher D. M. Fletcher,3Jonathan A. Fletcher35*
Most gastrointestinal stromal tumors (GISTs) have activating
mutations in the KIT receptor tyrosine kinase, and most patientswith
GISTs respond well to Gleevec, which inhibits KIT kinaseactivity. Here
we show that ~35% (14 of 40) of GISTs lacking KITmutations have intragenic activation mutations in the relatedreceptor
tyrosine kinase, platelet-derived growth factor receptor (PDGFRA). Tumors expressing KIT or PDGFRA oncoproteins wereindistinguishable with respect to activation of downstream signalingintermediates and cytogenetic changes associated with tumor
progression.Thus, KIT and PDGFRA mutations
appear to be alternative and mutuallyexclusive oncogenic mechanisms in
GISTs.
1 Department of Medicine,
2 Department of Pathology, Oregon Health & Science
University Cancer Institute and Portland VA Medical Center, Portland,
OR 97201, USA.
3 Department of Pathology, Brigham
and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA, and
Harvard Medical School, Boston, MA 02115, USA.
4 Department of Surgery, Memorial Sloan-Kettering
Cancer Institute, New York, NY 10021, USA.
5 Department of Medical Oncology, Dana-Farber Cancer
Institute and Harvard Medical School, Boston, MA 02115, USA.
*
To whom correspondence should be addressed. E-mail:
heinrich{at}ohsu.edu, jfletcher{at}partners.org
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Phase II, Open-Label Study Evaluating the Activity of Imatinib in Treating Life-Threatening Malignancies Known to Be Associated with Imatinib-Sensitive Tyrosine Kinases.
M. C. Heinrich, H. Joensuu, G. D. Demetri, C. L. Corless, J. Apperley, J. A. Fletcher, D. Soulieres, S. Dirnhofer, A. Harlow, A. Town, et al. (2008)
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KIT Mutations Induce Intracellular Retention and Activation of an Immature Form of the KIT Protein in Gastrointestinal Stromal Tumors.
S. Tabone-Eglinger, F. Subra, H. El Sayadi, L. Alberti, E. Tabone, J.-P. Michot, N. Theou-Anton, A. Lemoine, J.-Y. Blay, and J.-F. Emile (2008)
Clin. Cancer Res.
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Molecular alterations of KIT and PDGFRA in GISTs: evaluation of a Portuguese series.
A L Gomes, A Gouveia, A F Capelinha, D de la Cruz, P Silva, R M Reis, A Pimenta, and J M Lopes (2008)
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Oncogene addiction: setting the stage for molecularly targeted cancer therapy.
Monitoring Interactions between Receptor Tyrosine Kinases and Their Downstream Effector Proteins in Living Cells Using Bioluminescence Resonance Energy Transfer.
P. K. Tan, J. Wang, P.-L. H. Littler, K. K. Wong, T. A. Sweetnam, W. Keefe, N. R. Nash, E. C. Reding, F. Piu, M. R. Brann, et al. (2007)
Mol. Pharmacol.
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Association of Intratumoral Vascular Endothelial Growth Factor Expression and Clinical Outcome for Patients with Gastrointestinal Stromal Tumors Treated with Imatinib Mesylate.
J. C. McAuliffe, A. J.F. Lazar, D. Yang, D. M. Steinert, W. Qiao, P. F. Thall, A. K. Raymond, R. S. Benjamin, and J. C. Trent (2007)
Clin. Cancer Res.
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Pediatric KIT Wild-Type and Platelet-Derived Growth Factor Receptor {alpha} Wild-Type Gastrointestinal Stromal Tumors Share KIT Activation but not Mechanisms of Genetic Progression with Adult Gastrointestinal Stromal Tumors.
K. A. Janeway, B. Liegl, A. Harlow, C. Le, A. Perez-Atayde, H. Kozakewich, C. L. Corless, M. C. Heinrich, and J. A. Fletcher (2007)
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Platelet-Derived Growth Factor Receptor-{beta} Constitutive Activity Promotes Angiogenesis In Vivo and In Vitro.
P. U. Magnusson, C. Looman, A. Ahgren, Y. Wu, L. Claesson-Welsh, and R. L. Heuchel (2007)
Arterioscler Thromb Vasc Biol
27, 2142-2149
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Clonal Evolution of Resistance to Imatinib in Patients with Metastatic Gastrointestinal Stromal Tumors.
J. Desai, S. Shankar, M. C. Heinrich, J. A. Fletcher, C. D. Fletcher, J. Manola, J. A. Morgan, C. L. Corless, S. George, K. Tuncali, et al. (2007)
Clin. Cancer Res.
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Multiple Gastrointestinal Stromal and Other Tumors Caused by Platelet-Derived Growth Factor Receptor {alpha} Gene Mutations: A Case Associated with a Germline V561D Defect.
B. Pasini, L. Matyakhina, T. Bei, M. Muchow, S. Boikos, B. Ferrando, J. A. Carney, and C. A. Stratakis (2007)
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Sorafenib Inhibits the Imatinib-Resistant KITT670I Gatekeeper Mutation in Gastrointestinal Stromal Tumor.
T. Guo, N. P. Agaram, G. C. Wong, G. Hom, D. D'Adamo, R. G. Maki, G. K. Schwartz, D. Veach, B. D. Clarkson, S. Singer, et al. (2007)
Clin. Cancer Res.
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