FLT3 is a member of the class III receptor tyrosine kinase family FLT3 (Fms-like tyrosine kinase 3), also known as FLK-2 (fetal liver kinase-2) and STK-1 (human stem cell kinase-1 1 ), was cloned independently by 2 groups in 1991. [2][3][4] FLT3 has strong sequence similarities with other members of the class III receptor tyrosine kinase (RTKIII) receptor family. A subset of RTKIII family members that includes FLT3, FMS, platelet-derived growth factor receptor (PDGFR), and KIT are characterized by an extracellular domain comprised of 5 immunoglobulinlike (Ig-like) domains and by a cytoplasmic domain with a split tyrosine kinase motif. 5,6 The FLT3 gene encodes a 1000-and 993-amino acid protein in the mouse and human, respectively, 3,7 and is expressed in immature hematopoietic cells, placenta, gonads, and brain. 8,9 Immunoprecipitation studies of FLT3 expressed in COS-7, and in other cell types, demonstrate a major band at about 140 kDa, and a less abundant, more diffuse band of about 160 kDa. Pulse-chase experiments demonstrate that the larger band is derived from the smaller band by posttranslational N-linked glycosylation and is localized to the plasma membrane. 9,10 FLT3 expression and function in normal hematopoietic cells FLT3 is expressed in a variety of human and murine cell lines of both myeloid and B-lymphoid lineage. 11,12 In normal bone marrow, expression appears to be restricted to early progenitors, including CD34 ϩ cells with high levels of expression of CD117 (c-KIT). 13,14 FLT3 is also expressed at high levels in a spectrum of hematologic malignancies including 70% to 100% of acute myelogenous leukemia (AML) of all French-American-British (FAB) subtypes, B-precursor cell acute lymphoblastic leukemia (ALL), a fraction of T-cell ALL, and chronic myelogenous leukemia (CML) in lymphoid blast crisis. 13,15 Targeted disruption of FLT3 results in healthy adult mice with normal mature hematopoietic populations. 16 However, there are deficiencies in primitive B-lymphoid progenitors, and bone marrow transplantation (BMT) experiments show a reduced ability of stem cells lacking FLT3 to reconstitute both T cells and myeloid cells. 16 These data demonstrate an important role for FLT3 in development of multipotent stem cells and B cells.
FLT3 ligandThe ligand for FLT3 (FLT3 ligand or FL) was cloned in 1993. 17 FL is a type I transmembrane (TM) protein that can be released as a soluble homodimeric protein, [18][19][20] and is expressed in cells of the hematopoietic bone marrow microenvironment, including bone marrow fibroblasts, 21 as well as in hematopoietic cell lines of myeloid, and B-and T-cell lineages. 11 Both the membrane-bound and soluble forms can activate the tyrosine kinase activity of the receptor and stimulate growth of progenitor cells in the marrow and blood. However, like Steel factor, the ligand for c-KIT, FL does not efficiently induce proliferation of normal myeloid and lymphoid progenitors by itself, but strongly synergizes with other hematopoietic growth factors and interleukins. [22][23][...