2017
DOI: 10.1016/j.cellsig.2017.06.011
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From the outside, from within: Biological and therapeutic relevance of signal transduction in T-cell acute lymphoblastic leukemia

Abstract: T-cell acute lymphoblastic leukemia (T-ALL) is an aggressive hematological cancer that arises from clonal expansion of transformed T-cell precursors. In this review we summarize the current knowledge on the external stimuli and cell-intrinsic lesions that drive aberrant activation of pivotal, pro-tumoral intracellular signaling pathways in T-cell precursors, driving transformation, leukemia expansion, spread or resistance to therapy. In addition to their pathophysiological relevance, receptors and kinases invo… Show more

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Cited by 25 publications
(30 citation statements)
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“…Recent discoveries regarding the genetic basis of T-ALL have provided new insight in the development of this malignancy and we now have a good overview of the various pathways that are altered in T-ALL. 3 , 29 However, many of the in vitro model systems used to study developmental and oncogenic T-cell signaling pathways ex vivo can be limiting due to either not being physiological or require the use of feeder-cell lines. Here we analyzed the pro-T-cell culture system as a new cellular model and show using a systems biology approach that pro-T cells recapitulate thymic T cell at the DN2–DN3 stage.…”
Section: Discussionmentioning
confidence: 99%
“…Recent discoveries regarding the genetic basis of T-ALL have provided new insight in the development of this malignancy and we now have a good overview of the various pathways that are altered in T-ALL. 3 , 29 However, many of the in vitro model systems used to study developmental and oncogenic T-cell signaling pathways ex vivo can be limiting due to either not being physiological or require the use of feeder-cell lines. Here we analyzed the pro-T-cell culture system as a new cellular model and show using a systems biology approach that pro-T cells recapitulate thymic T cell at the DN2–DN3 stage.…”
Section: Discussionmentioning
confidence: 99%
“…Frequently, the aberrant activation of these signaling pathways crucial to normal T-cell development and implicated in the pathogenesis of T-ALL, is due to genetic alterations of components of these pathways. However, it is becoming clear that bidirectional cross-talk between the microenvironment and leukemic cells exists and that microenvironmental cues ultimately contribute to tumor cell proliferation and survival [ 47 ]. Amongst the intracellular signaling pathways activated by genetic alterations (excluding oncogenic NOTCH1 signaling and CDKN2A / CDKN2B alterations) we find: (1) increased kinase signaling through: (i) the PI3K/AKT/mechanistic target of rapamycin (mTOR) [PI3K/AKT/mTOR] pathway, most commonly altered by PTEN deletion/mutations, PTPN2 deletion, PIK3R1 or v-akt murine thymoma viral oncogene homolog 1 ( AKT1 ) mutations; (ii) the IL-7R/JAK/STAT pathway, via activating mutations in the interleukin 7 receptor α-chain gene ( IL-7Rα ), Janus kinase 1 ( JAK1 ), JAK3 or signal transducer and activator of transcription 5B ( STAT5B ); (iii) the RAS/mitogen-activated protein kinase (RAS/MAPK) signaling through Kirsten rat sarcoma viral oncogene homolog ( KRAS ) and neurofibromin 1 ( NF1 ) mutations; and (iv) via chimeric ABL1 fusion genes such as nucleoporin 214kDa-Abelson murine leukemia viral oncogene homolog 1 (NUP214)-ABL1 and ETS Variant 6-Abelson murine leukemia viral oncogene homolog 1 (ETV6)-ABL1; (2) altered epigenetic regulation through mutations affecting (i) PHF6 ; (ii) PRC2 components EZH2 , SUZ12 and EED ; (iii) KMT2A [also called ubiquitously transcribed tetratricopeptide repeat, X chromosome ( UTX )] reviewed in [ 48 ]; (3) altered ribosomal function through mutations affecting Ribosomal protein L5 ( RPL5 ), Ribosomal protein L10 ( RPL10 ), Ribosomal protein L22 ( RPL22 ) or CCR4-NOT transcription complex subunit 3 ( CNOT3 ) [ 43 ]; and (4) altered expression of oncogenic miRNAs (onco-miRs) such as miR-19b, miR-20a, miR-26a, miR-92, and miR-223 or long noncoding RNAs (lncRNAs) such as leukemia-induced non coding activator RNA 1 (LUNAR1) [ 45 ].…”
Section: Signaling Pathways Involved In the Development Of T-allmentioning
confidence: 99%
“…Our increased knowledge of genetic alterations has significantly contributed to identify oncogenetic drivers and signaling cascades regulating T-ALL pathophysiology. This has opened the possibility of targeting pathways that are critical to prevent and/or treat relapse [ 8 ]. The mechanistic target of rapamycin (mTOR) is a key effector of signaling networks that are aberrantly regulated in T-ALL and negatively affect patient outcome [ 9 ].…”
Section: Introductionmentioning
confidence: 99%