NOTCH mutations leading to increased receptor signaling
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[0073] The present example provides results suggesting that approximately 65% of human T cell acute lymphoblastic leukemias (T-ALLs), including tumors from all major molecular oncogenic subtypes and those occurring in children and adults, have NOTCH-1 mutations.
[0074] Most of these mutations occur in regions encoding an extracellular heterodimerization domain and as truncations removing a C-terminal PEST destruction box. The mutations cause increased NOTCH-1 signaling, and T-ALL cell lines bearing such mutations are growth arrested by NOTCH-1 pathway inhibitors.
[0075] Introduction
[0076] T cell acute lymphoblastic leukemia (T-ALL) is an aggressive neoplasm that preferentially affects children and adolescents. It is commonly associated with acquired chromosomal translocations and other genetic or epigenetic abnormalities, which lead to aberrant expression of a select group of transcription factors, including the helix-loop-helix proteins TAL1, TAL2, LYL1, and BHLHB1, the orphan hom...
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