Gefitinib induces myeloid differentiation of acute myeloid leukemia.
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| Abstract | Cure rates for patients with acute myeloid leukemia (AML) remain low despite ever-increasing dose intensity of cytotoxic therapy. In an effort to identify novel approaches to AML therapy, we recently reported a new method of chemical screening based on the modulation of a gene expression signature of interest. We applied this approach to the discovery of AML-differentiation-promoting compounds. Among the compounds inducing neutrophilic differentiation was DAPH1 (4,5-dianilinophthalimide), previously reported to inhibit epidermal growth factor receptor (EGFR) kinase activity. Here we report that the Food and Drug Administration (FDA)-approved EGFR inhibitor gefitinib similarly promotes the differentiation of AML cell lines and primary patient-derived AML blasts in vitro. Gefitinib induced differentiation based on morphologic assessment, nitro-blue tetrazolium reduction, cell-surface markers, genome-wide patterns of gene expression, and inhibition of proliferation at clinically achievable doses. Importantly, EGFR expression was not detected in AML cells, indicating that gefitinib functions through a previously unrecognized EGFR-independent mechanism. These studies indicate that clinical trials testing the efficacy of gefitinib in patients with AML are warranted. |
| Year of Publication | 2005
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| Journal | Blood
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| Volume | 106
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| Issue | 8
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| Pages | 2841-8
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| Date Published | 2005 Oct 15
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| ISSN | 0006-4971
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| URL | |
| DOI | 10.1182/blood-2005-02-0488
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| PubMed ID | 15998836
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| PubMed Central ID | PMC1895296
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| Grant list | 5K08 CA098444-03 / CA / NCI NIH HHS / United States
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