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.

Oncotarget
|December 2, 2016
PubMed

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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