Anaplastic lymphoma kinase (ALK) inhibitor response in neuroblastoma is highly correlated with ALK mutation status, ALK mRNA and protein levels.
Cell Oncol (Dordr), 2011/10;34(5):409-17.
Duijkers FA[1], Gaal J, Meijerink JP, Admiraal P, Pieters R, de Krijger RR, van Noesel MM
Affiliations
PMID: 21625996DOI: 10.1007/s13402-011-0048-2
Impact factor: 7.051
Abstract
background: In pediatric neuroblastoma (NBL), high anaplastic lymphoma kinase (ALK) levels appear to be correlated with an unfavorable prognosis, regardless of ALK mutation status. This suggests a therapeutic role for ALK inhibitors in NBL patients. We examined the correlation between levels of ALK, phosphorylated ALK (pALK) and downstream signaling proteins and response to ALK inhibition in a large panel of both ALK mutated and wild type (WT) NBL cell lines.
methods: We measured protein levels by western blot and ALK inhibitor sensitivity (TAE684) by viability assays in 19 NBL cell lines of which 6 had a point mutation and 4 an amplification of the ALK gene.
results: ALK 220 kDa (p = 0.01) and ALK 140 kDa (p = 0.03) protein levels were higher in ALK mutant than WT cell lines. Response to ALK inhibition was significantly correlated with ALK protein levels (p < 0.01). ALK mutant cell lines (n = 4) were 14,9 fold (p < 0,01) more sensitive to ALK inhibition than eight WT cell lines.
conclusion: NBL cell lines often express ALK at high levels and are responsive to ALK inhibitors. Mutated cell lines express ALK at higher levels, which may define their superior response to ALK inhibition.
MeSH terms
Anaplastic Lymphoma Kinase; Cell Differentiation; Cell Line, Tumor; Cell Survival; Extracellular Signal-Regulated MAP Kinases; Gene Dosage; Gene Expression Regulation, Neoplastic; Humans; Mutation; Neuroblastoma; Neurons; Phosphorylation; Protein Kinase Inhibitors; Pyrimidines; RNA, Messenger; Receptor Protein-Tyrosine Kinases; Schwann Cells; Signal Transduction
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