2009
DOI: 10.1182/blood-2009-02-205153
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Molecular targeting of the oncogene eIF4E in acute myeloid leukemia (AML): a proof-of-principle clinical trial with ribavirin

Abstract: The eukaryotic translation initiation factor eIF4E is elevated in 30% of malignancies including M4/M5 subtypes of acute myeloid leukemia (AML). The oncogenic potential of eIF4E arises from its ability to bind the 7-methyl guanosine (m 7 G) cap on mRNAs, thereby selectively enhancing eIF4E-dependent nuclear mRNA export and translation. We tested the clini-

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Cited by 277 publications
(407 citation statements)
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References 17 publications
(23 reference statements)
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“…Although the number of patients in this preliminary trial were low (n ¼ 11), one complete and two partial responders were observed. 152 The Em-Myc mouse lymphoma model has been used to evaluate the roles of many of the important genes in the PI3K/ PTEN/Akt/mTOR pathway in their abilities to interact and enhance lymphomagenesis and result in sensitivity to targeted therapies. Elevated active Akt (Akt-Myr þ ) expression accelerated Em-Myc-induced lymphomagenesis and promoted chemotherapeutic drug resistance and sensitivity to rapamycin in Em-Myc mice.…”
Section: Pi3k/pten/akt/mtor Drug Resistance and Leukemia Therapymentioning
confidence: 99%
“…Although the number of patients in this preliminary trial were low (n ¼ 11), one complete and two partial responders were observed. 152 The Em-Myc mouse lymphoma model has been used to evaluate the roles of many of the important genes in the PI3K/ PTEN/Akt/mTOR pathway in their abilities to interact and enhance lymphomagenesis and result in sensitivity to targeted therapies. Elevated active Akt (Akt-Myr þ ) expression accelerated Em-Myc-induced lymphomagenesis and promoted chemotherapeutic drug resistance and sensitivity to rapamycin in Em-Myc mice.…”
Section: Pi3k/pten/akt/mtor Drug Resistance and Leukemia Therapymentioning
confidence: 99%
“…Mutation of the cap-binding site of eIF4E impairs its activities in translation, mRNA export, and oncogenic transformation (12). Targeting the eIF4E-cap complex with a competitive m 7 G cap inhibitor is a promising strategy to generate anticancer agents (13,14). One such inhibitor, ribavirin, has reached clinical trials where it was used in poor-prognosis leukemia patients.…”
mentioning
confidence: 99%
“…The generic antiviral ribavirin also inhibits oncogenic eIF4E activity and has been tested in an investigator-led Phase II trial in patients with acute myelogenous leukemia (AML). 11,12 The researchers reported 5 responses and 4 cases of stable disease among 11 evaluable patients.…”
Section: By Kai-jye Lou Staff Writermentioning
confidence: 99%