Block of C/EBP alpha function by phosphorylation in acute myeloid leukemia with FLT3 activating mutations

J Exp Med. 2006 Feb 20;203(2):371-81. doi: 10.1084/jem.20052242. Epub 2006 Jan 30.

Abstract

Mutations constitutively activating FLT3 kinase are detected in approximately 30% of acute myelogenous leukemia (AML) patients and affect downstream pathways such as extracellular signal-regulated kinase (ERK)1/2. We found that activation of FLT3 in human AML inhibits CCAAT/enhancer binding protein alpha (C/EBPalpha) function by ERK1/2-mediated phosphorylation, which may explain the differentiation block of leukemic blasts. In MV4;11 cells, pharmacological inhibition of either FLT3 or MEK1 leads to granulocytic differentiation. Differentiation of MV4;11 cells was also observed when C/EBPalpha mutated at serine 21 to alanine (S21A) was stably expressed. In contrast, there was no effect when serine 21 was mutated to aspartate (S21D), which mimics phosphorylation of C/EBPalpha. Thus, our results suggest that therapies targeting the MEK/ERK cascade or development of protein therapies based on transduction of constitutively active C/EBPalpha may prove effective in treatment of FLT3 mutant leukemias resistant to the FLT3 inhibitor therapies.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • CCAAT-Enhancer-Binding Protein-alpha / antagonists & inhibitors*
  • CCAAT-Enhancer-Binding Protein-alpha / metabolism*
  • CCAAT-Enhancer-Binding Protein-alpha / physiology
  • Cell Differentiation / drug effects
  • Cell Line
  • Enzyme Activation / genetics
  • Female
  • Granulocytes / pathology
  • Humans
  • K562 Cells
  • Leukemia, Myeloid, Acute / genetics*
  • Leukemia, Myeloid, Acute / metabolism*
  • MAP Kinase Kinase 1 / antagonists & inhibitors
  • MAP Kinase Kinase 1 / metabolism
  • Male
  • Myeloid Cells / pathology
  • Phosphorylation
  • Piperazines / pharmacology
  • Point Mutation*
  • Quinazolines / pharmacology
  • Serine / metabolism
  • Tumor Cells, Cultured
  • U937 Cells
  • fms-Like Tyrosine Kinase 3 / antagonists & inhibitors
  • fms-Like Tyrosine Kinase 3 / genetics*
  • fms-Like Tyrosine Kinase 3 / metabolism

Substances

  • CCAAT-Enhancer-Binding Protein-alpha
  • Piperazines
  • Quinazolines
  • Serine
  • tandutinib
  • FLT3 protein, human
  • fms-Like Tyrosine Kinase 3
  • MAP Kinase Kinase 1
  • MAP2K1 protein, human