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Updated: Mar 11, 2026

Comet Assay to Quantify DNA Damage in FLT3 Mutant-expressing 32D Cells after Exposure to Type I and Type II FLT3 Inhibitors
Published on: October 17, 2025
The implication of FLT3 amplification for FLT targeted therapeutics in solid tumors
Sung Hee Lim1, Sun-Young Kim1, Kyung Kim2
1Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Abstract:
We investigated the patients with solid cancers harboring Fms-like tyrosine kinase 3 (FLT3) amplification using targeted sequencing of tumor tissue specimen and FISH assay. Simultaneously, FLT3-amplified patient-derived cells (PDCs) were generated to evaluate the sensitivity to FLT3 inhibition. A patient with metastatic colon cancer who was previously treated with more than 3rd line cytotoxic chemotherapy was found to have FLT3 amplification and then received regorafenib showing partial response. In two PDC cell lines with FLT3 amplification, FLT3 mRNA expression was increased, however, the growth of tumor cells was not significantly inhibited by either regorafenib or sorafenib which is known to block the activity FLT3. Additional drug combinations with mTOR inhibitor did not affect the cell proliferation of PDC. FLT3 amplification in solid cancers is infrequently observed using targeted genomic profile, as yet, FLT3 amplification does not seem to be an actionable target or a proper biomarker for FLT3 inhibitor sensitivity.
Insights
Fms-like tyrosine kinase 3 (FLT3) amplification in solid tumors is rare and may not predict response to FLT3 inhibitors. Further research is needed to determine its clinical significance.
Area of Science:
- Oncology
- Genetics
- Pharmacology
Background:
- Fms-like tyrosine kinase 3 (FLT3) amplification is an uncommon genetic alteration in solid cancers.
- Understanding the role of FLT3 amplification in solid tumors is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate the presence and clinical relevance of FLT3 amplification in solid cancer patients.
- To evaluate the efficacy of FLT3 inhibitors in preclinical models of FLT3-amplified solid tumors.
Main Methods:
- Targeted sequencing and FISH assay were used to identify FLT3 amplification in tumor tissues.
- FLT3-amplified patient-derived cells (PDCs) were generated for drug sensitivity testing.
- In vitro assays assessed the response to FLT3 inhibitors (regorafenib, sorafenib) and combination therapies.
Main Results:
- A patient with metastatic colon cancer and FLT3 amplification showed a partial response to regorafenib.
- FLT3-amplified PDCs exhibited increased FLT3 mRNA expression but were not significantly inhibited by regorafenib or sorafenib.
- Combination therapy with an mTOR inhibitor did not improve cell proliferation inhibition.
Conclusions:
- FLT3 amplification is infrequently detected in solid cancers via targeted genomic profiling.
- FLT3 amplification does not appear to be a reliable actionable target or biomarker for FLT3 inhibitor sensitivity in solid tumors.
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