FLT3 (FMS-like tyrosine kinase 3)
2005-06-01 Susanne Schnittger   AffiliationMLL Münchner Leukümielabor GmbH, Max-Lebsche-Platz 31, 81377 München, Germany
Identity
HGNC
LOCATION
13q12.2
LOCUSID
ALIAS
CD135,FLK-2,FLK2,STK1
FUSION GENES
DNA/RNA
Description
the FLT3 gene contains 24 exons and spans 96,982 bases (start:27,475,753 bp to end 27,572,735 from 13pter) oriented at the minus strand.
Transcription
3.7 kb; 2979 bp open reading frame
Proteins
Description
Size: 993 amino acids; 112804 Da;
FLT3 is a class III receptor tyrosine kinase (RTK) structurally related to the receptors for platelet derived growth factor (PDGF), colony stimulating factor 1 (CSF1), and KIT ligand (KL).; these RTK contain five immunoglobulin-like domains in the extracellular region and an intracelular tyrosine kinase domain splitted in two by a specific hydrophilic insertion (kinase insert); immunoprecipitation of the human FLT3 protein results in the appearance of a minor band of Mr 130 000 and a major band of Mr 155 000/160 000; the high-molecular-weight band corresponds to the mature, N-glycosylated form, and the low-molecular-weight band to the immature, high mannose-containing form; N-linked glycosylations account for 50 000 daltons.
FLT3 is a class III receptor tyrosine kinase (RTK) structurally related to the receptors for platelet derived growth factor (PDGF), colony stimulating factor 1 (CSF1), and KIT ligand (KL).; these RTK contain five immunoglobulin-like domains in the extracellular region and an intracelular tyrosine kinase domain splitted in two by a specific hydrophilic insertion (kinase insert); immunoprecipitation of the human FLT3 protein results in the appearance of a minor band of Mr 130 000 and a major band of Mr 155 000/160 000; the high-molecular-weight band corresponds to the mature, N-glycosylated form, and the low-molecular-weight band to the immature, high mannose-containing form; N-linked glycosylations account for 50 000 daltons.
Expression
FLT3 expression was described on bone marrow CD34-positive cells, corresponding to multipotential, myeloid and B-lymphoid progenitor cells, and on monocytic cells; FLT3 expression is restricted to cells of the fetal liver expressing high levels of CD34; in addition, the FLT3 protein is expressed on blast cells from most AML and B-ALL.
Localisation
Subcellular location: Type I membrane protein. 3D structure: PDB id 1RJB (3D).
Function
FLT3 receptor function can be defined by the activity of its ligand (FL); FL is an early acting factor and supports the survival, proliferation and differentiation of primitive hemopoietic progenitor cells. Ligand binding to FLT3 promotes receptor dimerization and subsequent signalling through posphorylation of multiple cytoplasmatic proteins, including SHC, SHP-2, SHIP, Cbl, Cbl-b, Gab1 and Gab2, as well as the activation of several downstream signalling pathways, such as the Ras/Raf/MAPK and PI3 kinase cascades.
Function: Receptor for the FL cytokine. Has a tyrosine-protein kinase activity. Catalytic activity: ATP + a protein tyrosine = ADP + protein tyrosine phosphate.
Similarity: Belongs to the Tyr protein kinase family. CSF-1/PDGF receptor subfamily. Contains 1 immunoglobulin-like C2-type domain.
Function: Receptor for the FL cytokine. Has a tyrosine-protein kinase activity. Catalytic activity: ATP + a protein tyrosine = ADP + protein tyrosine phosphate.
Similarity: Belongs to the Tyr protein kinase family. CSF-1/PDGF receptor subfamily. Contains 1 immunoglobulin-like C2-type domain.
Mutations
Somatic
Mutations in the FLT3 gene are the most frequent genetic aberration that have been described in acute myeloid leukemia. With 20-25% length mutations in the juxtamembrane domain are the most frequent, followed by 7-8% mutations in the second tyrosine kinase kinase domain, mostly point mutations in codon 835 or deletions of codon 836. Also point mutations in the juxta membrane domain have been described and the number of new mutations all over the total gene is still growing.
Implicated in
Entity name
FLT3-length mutation (FLT3-LM)
Disease
Internal tandem duplications and/or insertions and, rarely, deletions in the FLT3-gene are implicated in 20-25% of all acute myeloid leukemias (AML). It was also described to be involved in 5-10 % myelodysplastic syndromes (MDS) refractory anaemia with excess of blasts (RAEB 1 and RAEB 2) and rare cases with acute lymphoblastic leukemia (ALL) The duplicated sequence belongs to exon 11 but sometimes involves intron 11 and exon 12. The most frequently used nomenclature is FLT3-ITD (internal tandem duplication). Because of the very heterogenous molecular structure the term FLT3-LM (length mutation) seems to be more adequate.
Prognosis
An unfavourable impact on prognosis especially a high relapse rate of the FLT3-LM has been shown by many study groups. Patients with loss of the wildtype allele have an even worse prognosis than the mutated with retention of the wildtype allele. Perspective : It is of special interest that this mutation allows to perform PCR-based minimal residual disease detection in a high number of these high risk AML patients.
Cytogenetics
FLT3-LM are highly correlated with a) normal karyotype, b) t(15;17)(q25;q21) c) t(6;9)(p23;q34)
Perspective: It is of special interest that this mutation allows to perform PCR-based minimal residual disease detection in a high number of these high risk AML patients.
Perspective: It is of special interest that this mutation allows to perform PCR-based minimal residual disease detection in a high number of these high risk AML patients.
Oncogenesis
This mutation leads to constitutive ligand independent autophosphorylation of the receptor. The FLT3-LM vary in size and position in a nearly patient specific manner. Overall the aberrant structure of the juxtamembrane domain disrupts a negative regulatory domain, which leads to the constitutive receptor activation. Several Groups have reported qualitative differences in the intracellular signals provided by wild type and mutated receptors.Mutated receptor weakly works through MAP kinase and Akt but instead through strong and constitutively activated STAT5.
Entity name
FLT3 Tyrosine Kinase Domain Mutation (FLT3-TKD)
Disease
In the second tyrosine kinase domain point mutations and small deletions mostly of codons 835 and 836, respectively, can be found in 7-8% of all AML.
Prognosis
No independent impact on prognosis shown yet.
Cytogenetics
In contrast to the FLT3-LM they do not seem to be specifically correlated to a certain AML type.
Oncogenesis
These mutations also lead to constitutive autoactivation of the receptor. It has been suggested that TKD mutation may both trigger the activation loop and stabilize it in the active state.
Article Bibliography
| Pubmed ID | Last Year | Title | Authors |
|---|---|---|---|
| 1384791 | 1992 | Expression of the FMS/KIT-like gene FLT3 in human acute leukemias of the myeloid and lymphoid lineages. | Birg F et al |
| 8145851 | 1994 | Ligand for FLT3/FLK2 receptor tyrosine kinase regulates growth of haematopoietic stem cells and is encoded by variant RNAs. | Hannum C et al |
| 10216104 | 1999 | Prognostic implication of FLT3 and N-RAS gene mutations in acute myeloid leukemia. | Kiyoi H et al |
| 9454740 | 1998 | c-kit ligand and Flt3 ligand: stem/progenitor cell factors with overlapping yet distinct activities. | Lyman SD et al |
| 9176488 | 1997 | Flt3 ligand induces tumor regression and antitumor immune responses in vivo. | Lynch DH et al |
| 7621074 | 1995 | Targeted disruption of the flk2/flt3 gene leads to deficiencies in primitive hematopoietic progenitors. | Mackarehtschian K et al |
| 1648448 | 1991 | A receptor tyrosine kinase specific to hematopoietic stem and progenitor cell-enriched populations. | Matthews W et al |
| 9207445 | 1997 | Functional and phenotypic characterization of cord blood and bone marrow subsets expressing FLT3 (CD135) receptor tyrosine kinase. | Rappold I et al |
| 8637232 | 1996 | Human FLT3/FLK2 receptor tyrosine kinase is expressed at the surface of normal and malignant hematopoietic cells. | Rosnet O et al |
| 1656368 | 1991 | Murine Flt3, a gene encoding a novel tyrosine kinase receptor of the PDGFR/CSF1R family. | Rosnet O et al |
| 8394751 | 1993 | Human FLT3/FLK2 gene: cDNA cloning and expression in hematopoietic cells. | Rosnet O et al |
| 7919361 | 1994 | Cellular and molecular characterization of the role of the flk-2/flt-3 receptor tyrosine kinase in hematopoietic stem cells. | Zeigler FC et al |
Other Information
Locus ID:
NCBI: 2322
MIM: 136351
HGNC: 3765
Ensembl: ENSG00000122025
Variants:
dbSNP: 2322
ClinVar: 2322
TCGA: ENSG00000122025
COSMIC: FLT3
RNA/Proteins
| Gene ID | Transcript ID | Uniprot |
|---|---|---|
| ENSG00000122025 | ENST00000241453 | P36888 |
| ENSG00000122025 | ENST00000380987 | E7ER61 |
Expression (GTEx)
Pathways
PharmGKB
| Entity ID | Name | Type | Evidence | Association | PK | PD | PMIDs |
|---|---|---|---|---|---|---|---|
| PA162372840 | sunitinib | Chemical | ClinicalAnnotation, MultilinkAnnotation | associated | PD | 19248971, 19667267, 20683446, 24013576, 26244574 | |
| PA166153473 | venetoclax | Chemical | LabelAnnotation | associated | |||
| PA166169917 | midostaurin | Chemical | LabelAnnotation | associated | |||
| PA166182767 | gilteritinib | Chemical | LabelAnnotation | associated | |||
| PA29444 | HRAS | Gene | Pathway | associated | 28362716 | ||
| PA30196 | KRAS | Gene | Pathway | associated | 28362716 | ||
| PA31768 | NRAS | Gene | Pathway | associated | 28362716 | ||
| PA443624 | Carcinoma, Renal Cell | Disease | ClinicalAnnotation | associated | PD | 19667267, 20683446, 24013576, 26244574 | |
| PA444773 | Leukopenia | Disease | ClinicalAnnotation | associated | PD | 19667267, 20683446, 24013576, 26244574 | |
| PA7000 | sorafenib | Chemical | Pathway | associated | 28362716 |
References
| Pubmed ID | Year | Title | Citations |
|---|---|---|---|
| 37788644 | 2024 | Clinico-Radio-Pathologic Correlation of Leukostasis in Acute Myeloid Leukemia with FLT3 Mutation. | 0 |
| 38049555 | 2024 | Characterisation of FLT3 alterations in childhood acute lymphoblastic leukaemia. | 0 |
| 38327131 | 2024 | High FLT3 expression increases immune-cell infiltration in the tumor microenvironment and correlates with prolonged disease-free survival in patients with non-small cell lung cancer. | 1 |
| 38495876 | 2024 | Leukemic mutation FLT3-ITD is retained in dendritic cells and disrupts their homeostasis leading to expanded Th17 frequency. | 0 |
| 38625438 | 2024 | Current knowledge about FLT3 gene mutations, exploring the isoforms, and protein importance in AML. | 0 |
| 38775115 | 2024 | FLT3-ITD regulation of the endoplasmic reticulum functions in acute myeloid leukemia. | 0 |
| 38811818 | 2024 | Inhibition of NOTCH4 sensitizes FLT3/ITD acute myeloid leukemia cells to FLT3 tyrosine kinase inhibition. | 0 |
| 37788644 | 2024 | Clinico-Radio-Pathologic Correlation of Leukostasis in Acute Myeloid Leukemia with FLT3 Mutation. | 0 |
| 38049555 | 2024 | Characterisation of FLT3 alterations in childhood acute lymphoblastic leukaemia. | 0 |
| 38327131 | 2024 | High FLT3 expression increases immune-cell infiltration in the tumor microenvironment and correlates with prolonged disease-free survival in patients with non-small cell lung cancer. | 1 |
| 38495876 | 2024 | Leukemic mutation FLT3-ITD is retained in dendritic cells and disrupts their homeostasis leading to expanded Th17 frequency. | 0 |
| 38625438 | 2024 | Current knowledge about FLT3 gene mutations, exploring the isoforms, and protein importance in AML. | 0 |
| 38775115 | 2024 | FLT3-ITD regulation of the endoplasmic reticulum functions in acute myeloid leukemia. | 0 |
| 38811818 | 2024 | Inhibition of NOTCH4 sensitizes FLT3/ITD acute myeloid leukemia cells to FLT3 tyrosine kinase inhibition. | 0 |
| 35876828 | 2023 | FLT3 functional low-frequency variant rs76428106-C is associated with susceptibility to systemic sclerosis. | 0 |
Citation
Susanne Schnittger
FLT3 (FMS-like tyrosine kinase 3)
Atlas Genet Cytogenet Oncol Haematol. 2005-06-01
Online version: http://atlasgeneticsoncology.org/gene/144
Historical Card
1999-05-01 FLT3 (FMS-like tyrosine kinase 3) by Olivier Rosnet  Affiliation
Centre dImmunologie INSERM-CNRS de Marseille-Luminy Case 906, 13288 Marseille Cedex 9, France
