MOLM13 RPKC412 cells may need during the specified ZEITR Trees. doi: FLT3 inhibitor resistance 10.1371/journal.pone.0025351.g005 PLoS ONE | www.plosone.org 8 September 2011 | Volume 6 | Issue 9 | e25351 FLT3-ITD, which contribute to the limited efficacy of FLT3 inhibitors can k used as single agents for the treatment of FLT3 mutant positive AML. Furthermore, AP24534 FGFR inhibitor it was recently shown that inhibition of FLT3 ITD autophosphorylation does not always lead to cell death, raising the question of the significance of FLT3-mutant FLT3 signaling for some positive AML. Tats Chlich there are other signaling pathways have shown that play an R Important in the development of resistance, as aberrant, constitutively active PI3K/Akt signaling mediated by AML, and the expression of the Cdc28 protein kinase regulatory subunit 1B, which leads to activation of the Jak / STAT3 and MEK / ERK signaling pathways in multiple myeloma .
It is therefore expected that the clinical efficacy of FLT3 inhibitors Descr Can nkt because of their Unf Ability, completely permanent Requests reference requests getting reactions to reach the patient. We have already FLT3-ITD secondary to the protein expression in Added re resistance to FLT3 inhibitors. In order A-769662 clinical trials, treatment of FLT3 inhibitor and myelosuppressive chemotherapy in the induction of FLT3 ligand expression and / or FLT3 expression on the cell Chemical involved. In Knapper et al. Study the clinical effects were only transient decreases in peripheral blood and bone marrow blasts in 60% of patients expressing FLT3 mutants and 23% wild-type FLT3 patients.
The majority of the 14 patients, the FLT3 protein levels on day 0 of treatment and at least one point in time were need during the treatment with lestaurtinib shown measured Erh Increase the surface Chen-expression of FLT3 respiratory w During the treatment in vivo inhibitor of FLT3. The authors of this study suggested that the idea that increased Hte surface expression of FLT3 Che k Nnte a blast playing r The resistance / eingeschr Of spaces efficacy of FLT3 inhibitors. Alternatively, they suggested that inactivated lestaurtinib exposure leads only to a return of FLT3-cell, the cell membrane. In the same survey, showed at least two patients l Ngere clinical response to the sharp withdrawal of the drug after several weeks lestaurtinib.
Other studies have correlated the overexpression of the FLT3 protein with recurrence, and the expression of FLT3 transcript levels with risk of relapse, and a high percentage of blasts in the bone marrow and white S Blutk Rperchen. Not in small cell lung cancer, both the overexpression of epidermal growth factor receptor and met involved in processing, and it was suggested that the inhibition of EGFR are bypassed by activated MET. In Similar way it can m Be possible that inhibition of FLT3 in AML is not enough that other tyrosine kinase inhibitors, k Nnte take over the function of this oncoprotein. Our results suggest that there are benefits in the use of the sequential combination therapy as a means of improving the efficacy may be the FLT3 inhibitors and replace the development of resistance. Since we have not observed between S and R cells MOLM13 MOLM13 significant differences in the protein intrinsic or extrinsic apoptotic signaling pathway as the members of the Bcl-2 family or DR5 levels in context, it is conceivable that combined treatm
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