Hochschulschrift
Die Rolle des Hedgehog - Signalweges in der AML
Zusammenfassung: Hedgehog (HH) signaling was shown to be essential for the maintenance of leukemic stem cells in BCR-ABL+ myeloid leukemia, while regular hematopoietic stem cells are independent of HH-signaling. The aim of the presented study was to investigate the role of hedgehog signaling in AML.Results: Immunohistochemistry stainings for the downstream target and transcription factor of the HH-signaling pathway GLI1 demonstrated elevated expression indicating pathway activation in 84% of primary AMLs (n=40) and in all cases of MDS (n=4), while GLI1 expression was absent/low in bone marrow of healthy donors (n=5). Also other pathway members like the Smoothened (SMO)-receptor (55%) and the activating HH-ligands SHH/IHH (36%) were upregulated in AML. Pharmacological inactivation of the SMO-receptor with Cyclopamine and LDE225 (Novartis) in primary AML samples (n=20) induced apoptosis and reduced proliferation in 45% of the examined samples. The responsive AMLs also showed reduced colony forming ability after SMO-inhibiton, indicating a loss of the leukemic progenitor population, while 55% of the samples were completely resistant to SMO-inhibition. Responsiveness to SMO-inhibitors was not correlated with Flt3 mutational status, presence of MLL-fusion oncogenes or certain chromosomal aberrations. In contrast, 89% of the patients that were responsive to SMO-inhibition had a normal karyotype. Furthermore, AML patients that showed the strongest response to SMO-inhibition in vitro had a significantly shorter survival time than non-responders, which might indicate activation of HH-signaling as an adverse prognostic factor in AML.Cotransfection of GLI-LUC reporter constructs and AML gene fusions indicated direct pathway activation of AML1-ETO, TEL-TRKC, TEL-PDGFR and JAK V617F (PV).Conclusion: Thus we conclude that the Hh pathway is activated in subtypes of human AML and represents an interesting target for treatment of certain patient populations, especially patients with normal karyotype
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Deutsch
- Anmerkungen
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Albert-Ludwigs-Universität Freiburg, Dissertation, 2015
- Schlagwort
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Hedgehog
Leukämie
Akute myeloische Leukämie
Hedgehog
Krebs
Onkologie
- Ereignis
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Veröffentlichung
- (wo)
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Freiburg
- (wer)
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Universität
- (wann)
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2015
- Urheber
- Beteiligte Personen und Organisationen
- DOI
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10.6094/UNIFR/10296
- URN
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urn:nbn:de:bsz:25-freidok-102961
- Rechteinformation
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Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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25.03.2025, 13:53 MEZ
Datenpartner
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Objekttyp
- Hochschulschrift
Beteiligte
- Landwerlin, Klemens
- Dierks, Christine
- Universität
Entstanden
- 2015