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Activating Mutations of NOTCH1 in Human T Cell Acute Lymphoblastic Leukemia
Andrew P. Weng,1*Adolfo A. Ferrando,2*Woojoong Lee,1John P. Morris, IV,2Lewis B. Silverman,2Cheryll Sanchez-Irizarry,1Stephen C. Blacklow,1A. Thomas Look,2Jon C. Aster1
Very rare cases of human T cell acute lymphoblastic leukemia(T-ALL) harbor chromosomal translocations that involve NOTCH1,a gene encoding a transmembrane receptor that regulates normalT cell development. Here, we report that more than 50% of humanT-ALLs, including tumors from all major molecular oncogenicsubtypes, have activating mutations that involve the extracellularheterodimerization domain and/or the C-terminal PEST domainof NOTCH1. These findings greatly expand the role of activatedNOTCH1 in the molecular pathogenesis of human T-ALL and providea strong rationale for targeted therapies that interfere withNOTCH signaling.
1 Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. 2 Department of Pediatric Oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, MA 02115, USA.
* These authors contributed equally to this work.
Present address: Department of Pathology, British Columbia CancerAgency, Vancouver, BC V5Z 4E6, Canada.
To whom correspondence should be addressed. E-mail: jaster{at}rics.bwh.harvard.edu
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