2002
DOI: 10.1182/blood.v99.4.1373
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Functional role of alternatively spliced deoxycytidine kinase in sensitivity to cytarabine of acute myeloid leukemic cells

Abstract: Development of resistance to cytarabine (AraC) is a major problem in the treatment of patients with acute myeloid leukemia (AML). Inactivation of deoxycytidine kinase (dCK) plays an important role in AraC resistance in vitro. We have identified inactive, alternatively spliced dCK forms in leukemic blasts from patients with resistant AML. Because these dCKspliced variants were only detectable in resistant AML, it was hypothesized that they might play a role in AraC resistance in vivo. In the current study, the … Show more

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Cited by 63 publications
(49 citation statements)
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References 31 publications
(31 reference statements)
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“…153,154 Alternatively, inactivation of dCK by the formation of alternatively spliced dCK transcripts has been demonstrated in seven out of 12 patients with resistant AML compared to one out of 10 patients with sensitive AML. 155 This mechanism is probably a cause of therapy failure in patients with resistant AML. 156 Finally, high 5NT expression in blast cells was shown to be an independent prognostic factor for poor outcome in 108 AML patients after ara-Ccontaining regimens.…”
Section: Jg Maring Et Almentioning
confidence: 99%
See 1 more Smart Citation
“…153,154 Alternatively, inactivation of dCK by the formation of alternatively spliced dCK transcripts has been demonstrated in seven out of 12 patients with resistant AML compared to one out of 10 patients with sensitive AML. 155 This mechanism is probably a cause of therapy failure in patients with resistant AML. 156 Finally, high 5NT expression in blast cells was shown to be an independent prognostic factor for poor outcome in 108 AML patients after ara-Ccontaining regimens.…”
Section: Jg Maring Et Almentioning
confidence: 99%
“…155 This mechanism is probably a cause of therapy failure in patients with resistant AML. 156 Finally, high 5NT expression in blast cells was shown to be an independent prognostic factor for poor outcome in 108 AML patients after ara-Ccontaining regimens. 157 The balance between dCK and 5NT might predict drug toxicity, since strongly increased 5NT activity combined with reduced dCK activity was observed in a human leukaemic cell line, resistant to ara-C and dFdC.…”
Section: Jg Maring Et Almentioning
confidence: 99%
“…Low expression or activity of deoxycytidine kinase (dCK) is responsible for the in vitro cellular resistance to Ara-C in AML cells. Only wildtype mRNA of dCK is amplified from healthy control samples, while splicing variants translating inactive dCK protein resulting from exon skipping are detected in 7 out of 12 purified AML specimen from resistant patients (79). Further work indicates that the alternatively spliced dCK forms render the AML cells to evade to Ara-C attack when there is no wide type dCK (80).…”
Section: Abnormally Spliced (As) Mrnas In Amlmentioning
confidence: 99%
“…Only wildtype mRNA of dCK is amplified from healthy control samples, while splicing variants translating inactive dCK protein resulting from exon skipping are detected in 7 out of 12 purified AML specimen from resistant patients (79). Further work indicates that the alternatively spliced dCK forms render the AML cells to evade to Ara-C attack when there is no wide type dCK (80). On the other side of the coin, exon-array analysis has been performed in isogenic sensitive and (secondary) resistant AML cell lines to Ara-C, doxorubicin (Dox) and hypomethylating agent, azacitidine (Aza) and produced novel insight of alternative exon usages (AEUs) globally (81).…”
Section: Abnormally Spliced (As) Mrnas In Amlmentioning
confidence: 99%
“…There is much interest in finding which genes are showing alternative splicing, analyzing the tissue specificity of alternative splice forms, and identifying the resulting protein isoforms. Evidence that alternative splicing might have an impact on drug efficacy or toxicity (28) in chemotherapy has made alternative splice variants potential drug targets (27,29). Tissue-specific mRNA variants can also act as regulatory RNAs that influence expression of other genes.…”
Section: Alternative Splicingmentioning
confidence: 99%