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Science 8 October 2004:
Vol. 306. no. 5694, pp. 269 - 271
DOI: 10.1126/science.1102160

Reports

Activating Mutations of NOTCH1 in Human T Cell Acute Lymphoblastic Leukemia

Andrew P. Weng,1*{dagger} Adolfo A. Ferrando,2* Woojoong Lee,1 John P. Morris, IV,2 Lewis B. Silverman,2 Cheryll Sanchez-Irizarry,1 Stephen C. Blacklow,1 A. Thomas Look,2 Jon C. Aster1{ddagger}

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 normal T cell development. Here, we report that more than 50% of human T-ALLs, including tumors from all major molecular oncogenic subtypes, have activating mutations that involve the extracellular heterodimerization domain and/or the C-terminal PEST domain of NOTCH1. These findings greatly expand the role of activated NOTCH1 in the molecular pathogenesis of human T-ALL and provide a strong rationale for targeted therapies that interfere with NOTCH 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.

{dagger} Present address: Department of Pathology, British Columbia Cancer Agency, Vancouver, BC V5Z 4E6, Canada.

{ddagger} To whom correspondence should be addressed. E-mail: jaster{at}rics.bwh.harvard.edu

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Clin. Cancer Res. 13, 6964-6969
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Jagged1-mediated Notch activation induces epithelial-to-mesenchymal transition through Slug-induced repression of E-cadherin.
K. G. Leong, K. Niessen, I. Kulic, A. Raouf, C. Eaves, I. Pollet, and A. Karsan (2007)
J. Exp. Med. 204, 2935-2948
   Abstract »    Full Text »    PDF »
Therapeutic Implications of Leukemic Stem Cell Pathways.
S. Chumsri, W. Matsui, and A. M. Burger (2007)
Clin. Cancer Res. 13, 6549-6554
   Abstract »    Full Text »    PDF »
Distinct gene expression profiles of acute myeloid/T-lymphoid leukemia with silenced CEBPA and mutations in NOTCH1.
B. J. Wouters, M. A. Jorda, K. Keeshan, I. Louwers, C. A. J. Erpelinck-Verschueren, D. Tielemans, A. W. Langerak, Y. He, Y. Yashiro-Ohtani, P. Zhang, et al. (2007)
Blood 110, 3706-3714
   Abstract »    Full Text »    PDF »
NOTCH1 pathway activation is an early hallmark of SCL T leukemogenesis.
J. R. Gothert, R. L. Brake, M. Smeets, U. Duhrsen, C. G. Begley, and D. J. Izon (2007)
Blood 110, 3753-3762
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Screening for leukemia- and clone-specific markers at birth in children with T-cell precursor ALL suggests a predominantly postnatal origin.
S. Fischer, G. Mann, M. Konrad, M. Metzler, G. Ebetsberger, N. Jones, B. Nadel, O. Bodamer, O. A. Haas, K. Schmitt, et al. (2007)
Blood 110, 3036-3038
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p16INK4A tumor suppressor gene expression and CD3{epsilon} deficiency but not pre-TCR deficiency inhibit TAL1-linked T-lineage leukemogenesis.
M. Fasseu, P. D. Aplan, M. Chopin, N. Boissel, J.-C. Bories, J. Soulier, H. von Boehmer, F. Sigaux, and A. Regnault (2007)
Blood 110, 2610-2619
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Notch1 co-opts lymphoid enhancer factor 1 for survival of murine T-cell lymphomas.
C. Spaulding, E. J. Reschly, D. E. Zagort, Y. Yashiro-Ohtani, L. J. Beverly, A. Capobianco, W. S. Pear, and B. L. Kee (2007)
Blood 110, 2650-2658
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Prognostic and oncogenic relevance of TLX1/HOX11 expression level in T-ALLs.
J. Bergeron, E. Clappier, I. Radford, A. Buzyn, C. Millien, G. Soler, P. Ballerini, X. Thomas, J. Soulier, H. Dombret, et al. (2007)
Blood 110, 2324-2330
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Notch signaling induces cytoplasmic CD3{epsilon} expression in human differentiating NK cells.
M. De Smedt, T. Taghon, I. Van de Walle, G. De Smet, G. Leclercq, and J. Plum (2007)
Blood 110, 2696-2703
   Abstract »    Full Text »    PDF »
Cell and molecular biology of Notch.
U.-M. Fiuza and A. M. Arias (2007)
J. Endocrinol. 194, 459-474
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Identification of genomic classifiers that distinguish induction failure in T-lineage acute lymphoblastic leukemia: a report from the Children's Oncology Group.
S. S. Winter, Z. Jiang, H. M. Khawaja, T. Griffin, M. Devidas, B. L. Asselin, and R. S. Larson (2007)
Blood 110, 1429-1438
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The C-MYB locus is involved in chromosomal translocation and genomic duplications in human T-cell acute leukemia (T-ALL), the translocation defining a new T-ALL subtype in very young children.
E. Clappier, W. Cuccuini, A. Kalota, A. Crinquette, J.-M. Cayuela, W. A. Dik, A. W. Langerak, B. Montpellier, B. Nadel, P. Walrafen, et al. (2007)
Blood 110, 1251-1261
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