
Clinical Cancer Research Vol. 6, 1804-1810, May 2000
© 2000 American Association for Cancer Research
Molecular Oncology, Markers, Clinical Correlates |
Ras Activation in Normal White Blood Cells and Childhood Acute Lymphoblastic Leukemia1
Friederike C. von Lintig,
Ivana Huvar,
Ping Law,
Mitchell B. Diccianni,
Alice L. Yu and
Gerry R. Boss2
Departments of Medicine [F. C. v. L., I. H., P. L., G. R. B.] and Pediatrics [M. B. D., A. L. Y.] and the Cancer Center [F. C. v. L., I. H., P. L., M. B. D., A. L. Y., G. R. B.], University of California, San Diego, La Jolla, California 92093-0652
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ABSTRACT
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Ras
is an important cellular switch, relaying growth-promoting signals from
the plasma membrane to the nucleus. In cultured cells, Ras is activated
by various hematopoietic cytokines and growth factors, but the
activation state of Ras in peripheral WBCs and bone marrow cells has
not been studied nor has Ras activation been assessed in cells from
patients with acute lymphoblastic leukemia (ALL). Using an enzyme-based
method, we assessed Ras activation in peripheral WBCs, lymphocytes, and
bone marrow cells from normal subjects and from children with T-cell
ALL (T-ALL) and B-lineage ALL (B-ALL). In normal subjects, we found
mean Ras activations of 14.3, 12.5, and 17.2% for peripheral blood
WBCs, lymphocytes, and bone marrow cells, respectively. All three of
these values are higher than we have found in other normal human cells,
compatible with constitutive activation of Ras by cytokines and growth
factors present in serum and bone marrow. In 9 of 18 children with
T-ALL, Ras activation exceeded two SDs above the mean of the
corresponding cells from normal subjects, whereas in none of 11
patients with B-ALL did Ras show increased activation; activating
genetic mutations in ras occur in less than 10% of ALL
patients. Thus, Ras is relatively activated in peripheral blood WBCs,
lymphocytes, and bone marrow cells compared with other normal human
cells, and Ras is activated frequently in T-ALL but not in B-ALL.
Increased Ras activation in T-ALL compared with B-ALL may contribute to
the more aggressive nature of the former disease.
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INTRODUCTION
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Ras, the product of the ras proto-oncogene, is anchored
at the cellular membrane and transmits proproliferative signals from
cytokines and growth factors to the nucleus via
MAP3
kinase and other
effector proteins (1
, 2)
. Ras is genetically mutated to a
constitutively activated form in about one-third of all human
malignancies, including about 30% of acute myelogenous leukemias
(3)
. Genetic ras mutations are much less
frequent in ALL than in acute myelogenous leukemias occurring in only
about 8% of all ALL patients and, when present, they are restricted to
codons 12 and 13 of N-ras (4, 5, 6, 7)
. This
relatively low incidence of ras mutations in ALL has
suggested that Ras plays a minor role in the pathogenesis of this
leukemia (3)
. However, in cell culture systems, Ras can be
activated through "upstream" mechanisms, e.g., a
constitutively active growth factor receptor that signals through Ras,
or through "downstream" mechanisms, e.g., decreased
RasGAP activity (8
, 9) . Using a highly sensitive,
enzyme-based method, we have measured the activation state of Ras in
several human tumors, including astrocytomas, neurosarcomas, and breast
and ovarian cancers, and showed that Ras can be activated through
upstream and downstream mechanisms in the absence of a genetic
ras mutation (10, 11, 12)
.
Because the T-l and B-cell antigen receptors as well as the interleukin
(IL) 2 and 3 receptors signal, in part, through the Ras/MAP kinase
pathway, it is clear that Ras is involved in regulating the growth and
function of T and B cells (13, 14, 15, 16, 17, 18)
. We, therefore,
hypothesized that Ras may be activated in T- ALL and B-ALL by an
upstream mechanism and, in the present work, we measured the activation
state of Ras in children with T-ALL and B-ALL and compared the results
to Ras activation in peripheral WBCs, lymphocytes, and bone marrow
cells from normal subjects. We found that Ras was significantly more
activated in normal blood and bone marrow cells compared with other
normal human cells, consistent with stimulation of the cells by
cytokines and growth factors present in serum and marrow. When compared
with the normal blood and marrow cells, Ras was highly activated in
half of the T-ALLs and in none of the B-ALLs. To our knowledge, this
work represents the first assessment of Ras activation in normal and
malignant human WBCs and lays the groundwork for novel treatment
strategies of childhood T-ALL using agents that target Ras or other
proteins in the Ras/MAP kinase pathway (19
, 20) . Increased
Ras activation in children with T-ALL compared with B-ALL may
contribute to the difference in phenotype between these two leukemias.
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MATERIALS AND METHODS
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Harvesting and Processing of Peripheral Blood and Bone Marrow
Cells.
Approximately 10 ml of peripheral blood or 1 ml of bone marrow was
obtained from normal subjects and from children with B-ALL according to
a procedure approved by the UCSD IRB and from children with T-ALL
according to POG-approved protocols; POG samples were shipped
overnight with the bone marrows diluted 1:2 in RPMI medium. To generate
peripheral WBCs and nucleated bone marrow cells, red cells were lysed
in 0.9% ammonium acetate according to standard procedures, and to
generate peripheral blood lymphocytes, whole blood was applied to a
Ficoll gradient as previously described (21)
. Some of the
POG samples were lymphocytes isolated on a Ficoll gradient and frozen
in 10% DMSO; these samples were washed once in PBS before further
processing. As discussed later in "Results," none of these
isolation procedures altered the activation state of Ras.
Cell Lysis and Immunoprecipitation of Ras.
Cells were lysed by gentle shaking for 5 min at 4°C in a HEPES-based
buffer containing 1% NP40, MgCl2, and protease
inhibitors (10)
. The lysates were centrifuged at
10,000 x g for 5 min to precipitate nuclei and other
subcellular organelles, and to the supernatants were added NaCl,
deoxycholate, and SDS to final concentrations of 500
mM, 0.5%, and 0.05%, respectively. The samples
were split in half with one-half receiving 3 µg of the rat monoclonal
anti-Ras antibody Y13259 (experimental sample) and the other half
receiving 3 µg of rat IgG (control sample); both halves received
protein G agarose beads and a rabbit anti-rat IgG-Fc secondary
antibody. The samples were shaken gently for 1 h at 4°C, and the
immunoprecipitates were washed four times in a detergent-based buffer
and two times in a Tris-based buffer. The washed immunoprecipitates
were resuspended in a TrisPO4/EDTA/DTT solution
and heated to 100°C for 3 min to elute GTP and GDP from the
immunoprecipi-tated Ras.
We have found that a 1-h incubation of the primary antibody (Y13259)
with cell extracts is sufficient to quantitatively immunoprecipitate
Ras (10)
. Magnesium ion and high salt present in the
incubation buffer inhibit GTP/GDP dissociation from Ras and RasGAP
activity, respectively; in addition, antibody Y13259, which is a
pan-Ras antibody recognizing all three forms of Ras, i.e.,
H-, K- and N-Ras, is a Ras-neutralizing antibody that inhibits RasGEF
and RasGAP from interacting with Ras (22)
. We have shown
that antibody Y13259 is superior to antibody Y13238 for
immunoprecipitating Ras, although the latter antibody could,
theoretically, precipitate Ras bound to its downstream effectors
(23)
. We have shown in experiments where Ras was
immunoprecipitated from cells previously incubated with
32PO4 that GDP and GTP are
quantitatively eluted from Ras in the
TrisPO4/EDTA/DTT solution; in addition, we have
shown by high-performance liquid chromatography that at neutral pH,
less than 5% of GTP is destroyed when heated to 100°C for up to 5
min (10)
.
Measurement of Ras Activation.
The activation state of Ras is defined as the percent of Ras molecules
in the active GTP-bound state, i.e., (Ras-bound
GTP/Ras-bound GTP + Ras-bound GDP) x 100 and was measured as
described previously (8
, 10, 11, 12
, 24)
.
Briefly, GTP that had been bound to Ras was measured in a portion
of the sample by converting it to ATP using the enzyme nucleoside
diphosphate kinase; ATP was measured by the luciferase/luciferin system
according to the following reactions:
The assay is sensitive to 1 fmol of GTP and is linear over a
two-log scale. The amount of Ras-bound GTP was determined by
subtracting the control sample from the experimental sample and by
using standard curves prepared with each sample set (standards prepared
on separate days are within 10% of each other).
In a different portion of the sample, total guanine nucleotides bound
to Ras were measured by converting GDP to GTP using pyruvate kinase and
phosphoenolpyruvate and then GTP, which now represented the sum of GDP
plus GTP, was measured as described above:
The amount of Ras-bound GDP was determined by subtracting the
amount of Ras-bound GTP (measured in one portion of the sample) from
the total amount of Ras-bound guanine nucleotides (measured in another
portion of the sample). The data are expressed as femtomoles of GTP or
GDP per microgram of DNA, and because of the high sensitivity and
linearity of the assay, accurate data can be obtained from 5500 x 106 cells, corresponding to approximately
0.1010 mg DNA. As an internal control, with each sample set we
measured Ras-bound GTP and GDP in HL-60 human promyelocytic leukemic
cells; we have previously determined Ras activation in these cells and
found it to be highly reproducible (25)
.
Measurement of DNA.
DNA was measured in the nuclear fraction by a standard fluorescence
method using the fluorescent dye bisbenzimidazole (26)
.
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RESULTS
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Ras Activation in Peripheral Blood WBCs, Lymphocytes, and Bone
Marrow Cells from Normal Subjects.
We measured Ras activation in peripheral blood WBCs from eight
subjects, in peripheral blood lymphocytes from six subjects, and in
nucleated bone marrow cells from nine subjects (Table 1
; Ras activation was calculated from the
amounts of Ras-bound GTP and GDP that were measured, and these raw data
are also shown). All of the subjects were healthy without known viral
or bacterial infections, and their age range was 20 to 45 years; we did
not feel it was appropriate to obtain blood and bone marrow from
children for these studies. For the zero time measurements shown in
Table 1
, the blood or bone marrow was processed immediately after
collection; thus, peripheral blood WBCs or nucleated bone marrow cells
were lysed within 5 min of collection, and peripheral blood lymphocytes
were lysed within 30 min of collection. For the 1- and 3-h
measurements, whole blood or bone marrow were kept intact at room
temperature for the indicated times before processing. The overnight
samples were diluted 1:2 in RPMI medium and were otherwise kept
undisturbed at room temperature for 1620 h before further processing.
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Table 1
Ras activation in peripheral WBCs and bone
marrow cells of normal subjects
Peripheral blood or bone marrow obtained from normal subjects was kept
undisturbed at room temperature with overnight samples diluted 1:2 in
RPMI medium. At the indicated times, red cells were lysed in ammonium
acetate when preparing peripheral WBCs and bone marrow cells;
lymphocytes were isolated on a Ficoll gradient and processed
immediately or frozen as described in "Materials and Methods."
Cells were extracted, Ras was immunoprecipitated, and Ras-bound GTP and
GDP (Ras·GTP and ·GDP) were measured as described in "Materials
and Methods"; Ras activation is (Ras·GTP/Ras·GTP +
Ras·GDP). The data are the means ± SD of duplicate measurements
from the indicated number of
subjects.
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We found that the activation state of Ras was 14.3 ± 3.2%
(mean ± SD) in the zero time peripheral blood WBCs and that Ras
activation remained stable in the 1- and 3-h and overnight samples
(Table 1)
. This degree of Ras activation is considerably more than we
have found in other normal human cells, including neuronal cells and
breast and ovarian epithelial cells in which Ras activation is
generally <5% [(11
, 12)
and unpublished observations;
in several experiments, Ras activation was measured simultaneously in
peripheral WBCs and in these other normal cells]. Increased Ras
activation in peripheral WBCs compared with other normal cells may
occur because WBCs are continually exposed to cytokines and growth
factors present in serum that signal through Ras. Consistent with this
hypothesis, we found that when we changed our experimental protocol and
first isolated WBCs from whole blood and then incubated the cells in
the absence of serum, Ras activation levels in the cells began to
decrease after about 45 min of incubation and by 90 min were reduced by
about 50%. The stability of Ras activation over time in WBCs incubated
in whole blood is, therefore, likely secondary to continued exposure to
serum cytokines and growth factors. To determine if exposing the WBCs
to 0.9% ammonium acetate during RBC removal changed the WBCs Ras
activation, we modified our experimental protocol and directly added
the cell lysis buffer to whole blood. Although RBCs contain little or
no Ras, they do contain high amounts of ATP and, therefore, the
background signal increased markedly in the absence of red cell
removal; however, Ras activation under these conditions was similar to
the ammonium acetatetreated cells, indicating that ammonium acetate
had little or no effect on the cells Ras activation.
Because we were interested in determining the activation state of Ras
in ALL, in which lymphocytes represent the major portion of WBCs in the
peripheral blood and bone marrow, we determined the activation state of
Ras in normal peripheral blood lymphocytes and found they had a degree
of Ras activation similar to that of peripheral blood WBCs (Table 1)
.
To determine if lymphocyte isolation on a Ficoll gradient affected the
cells Ras activation, we subjected cultured human leukemic cells to
the same procedure and found no change in Ras activation (data not
shown). Because several of the ALL samples we analyzed were from the
POG tissue bank and had been frozen for a period of time, we assessed
the effect of freezing in DMSO on Ras activation in lymphocytes from
five normal subjects (Table 1)
and in bone marrow cells from two
patients with B-ALL and found no effect of the freezing on Ras
activation.
The activation state of Ras in nucleated bone marrow cells was
17.2 ± 4.6% (mean ± SD) (Table 1)
. Although this degree of
Ras activation was not statistically higher than in peripheral blood
WBCs or lymphocytes (P < 0.25, two-tailed Student
t test), it is consistent with marrow cells being exposed to
high concentrations of cytokines and growth factors in the marrow
microenvironment. In support of this idea, we found very high Ras
activation (
40%) in the marrow cells of a bone marrow donor who had
been treated with granulocyte colony-stimulating factor. As with
peripheral blood WBCs, maintaining unseparated bone marrow at room
temperature for up to 20 h before isolating the nucleated cells
did not change the cells degree of Ras activation (Table 1)
. Although
there was a trend toward higher amounts of Ras (i.e., the
sum of Ras·GTP plus Ras·GDP) in the bone marrow cells than in the
peripheral WBCs or lymphocytes (Table 1)
, this small difference did not
reach statistical significance.
Ras Activation in Peripheral Blood WBCs and Bone Marrow Cells of
Patients with T-ALL.
We assessed Ras activation in peripheral blood WBCs from five patients
with T-ALL (Table 2)
and in nucleated
bone marrow cells from 13 other T-ALL patients (Table 3)
. In all of the T-ALL patients whose
peripheral blood WBCs were analyzed, the number of leukemic cells in
the peripheral blood exceeded 90%; the percent leukemic cells in the
bone marrow was more variable, but exceeded 80%. Cytogenetic studies
were not available on the bone marrow samples because these are not
performed as part of POG protocols. The mean age of the T-ALL patients
was 11.7 years, and all but two patients were male. The peripheral
blood samples were all obtained at the time of initial diagnosis,
whereas 4 of the 13 bone marrow samples (patients 4, 6, 8, and 12 in
Table 3
) were obtained during a relapse.
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Table 2
Ras activation in peripheral WBCs of patients
with T-ALL
Peripheral blood was obtained from patients with T-ALL according to
POG-approved protocols and the activation state of Ras was measured as
described in Table 1
in isolated lymphocytes. The data are the mean of
duplicate measurements of each sample. NA, not available.
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Table 3
Ras activation in bone marrow cells of patients
with T-ALL
Bone marrow was obtained from patients with T-ALL according to
POG-approved protocols and the Ras activation state was measured in
nucleated cells as described in Table 1
. The data are the mean of
duplicate measurements of each sample. NA, not available.
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In the T-ALL patients, Ras activation in the peripheral blood
WBCs ranged from 11.1 to 37.5% (Table 2)
and in the bone marrow cells
from 7.8% to 41.1% (Table 3)
. We compared these data to Ras
activation in lymphocytes and bone marrow cells of normal subjects and
used 2 SDs above the mean of the normal subjects values as the upper
limits of normal (yielding upper limits of 18.3% for lymphocytes and
26.4% for bone marrow cells, Table 1
). According to these values,
three of the peripheral blood WBCs (from patients 35, Table 2
) and
six of the bone marrow cells from the T-ALL patients (patients 813,
Table 3
) exceeded these limits. Thus, in 9 of the 18 T-ALL patients,
Ras was abnormally activated in the leukemic cells. None of the
peripheral blood WBCs had been frozen, whereas four of the bone marrow
samples (patients 1, 2, 4, and 5) had been frozen in DMSO; as mentioned
previously, we did not find an effect of freezing on Ras activation in
normal lymphocytes (Table 1)
, nor did we find a change in Ras
activation on freezing bone marrow samples from two patients with
B-ALL. There was no correlation between Ras activation levels and the
peripheral WBC count of the T-ALL patients (Tables 2
and 3)
.
Ras Activation in Peripheral Blood WBCs and Bone Marrow Cells of
Patients with B-ALL.
We assessed Ras activation in peripheral blood WBCs from seven patients
with B-ALL and in bone marrow cells from four patients with this
disease (Table 4)
. The age range of the
patients varied from 6 months to 15 years and 8 of the 11 patients were
male. Cytogenetic studies revealed that all 11 patients were negative
for the Philadelphia chromosome. In none of the patients did Ras
activation exceed 2 SDs above the mean of the corresponding data of the
normal subjects (cf. Table 4
to Table 1
). Three of the four peripheral
blood samples (patients 4, 5, and 7, Table 4
) had been frozen, whereas
all of the rest of the samples were analyzed fresh. Again, as for the
T-ALL samples, there was no correlation between Ras activation levels
and the peripheral blood WBC count.
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Table 4
Ras activation in peripheral WBCs and bone
marrow cells of patients with B-ALL
Peripheral blood or bone marrow was obtained from patients with B-ALL,
and the activation state of Ras was measured in nucleated cells as
described in Table 1
. The data are the means of duplicate measurements
of each sample. NA, not available.
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DISCUSSION
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Ras can be activated on ligand binding to several different types
of receptors, including tyrosine kinase receptors, nontyrosine kinase
receptors, and G proteincoupled receptors (2
, 27) . In
most cell types, Ras activation leads to increased cellular
proliferation (1
, 2)
; an exception to this rule is
neuronal cells, where Ras activation can lead to cellular
differentiation (28)
. In hematopoietic cells, Ras is
activated when a variety of cytokines and growth factors bind to their
respective receptors. These factors include erythropoietin, stem cell
factor, colony-stimulating factor-1, granulocyte macrophage
colony-stimulating factor, granulocyte-specific colony-stimulating
factor, and IL-1, -2, -3, -6, and -8 (13, 14, 15, 16, 17
, 29, 30, 31, 32, 33, 34)
; a
notable exception is IL-4, which does not activate Ras in hematopoietic
cells (13
, 34)
.
The data on Ras activation in hematopoietic cells by cytokines and
growth factors has been generated in cultured cell systems using a
32PO4 radioisotope-labeling
method (35)
. Because this method requires relatively
prolonged incubations in phosphate-free culture medium to radioactively
label Ras-bound GTP and GDP, it cannot be used to assess Ras activation
in WBCs immediately after collecting peripheral blood or bone marrow.
The Ras binding domain of Raf-1 can be used to capture Ras, but this
method assesses only GTP-bound Ras, and because it relies on Western
immunoblotting, it is only semiquantitative (36)
. Using a
nonradioactive assay that measures absolute amounts of GTP and GDP
bound to Ras, we assessed the degree of Ras activation in normal and
leukemic WBCs lysed within minutes of sample collection. The Ras
activation levels of 1417% that we found in normal peripheral blood
WBCs and bone marrow cells are considerably higher than the Ras
activation levels of 15% that we have found in other normal human
cells, including neuronal cells and breast and ovarian epithelial cells
[(11
, 12) and unpublished data]. The reason for
relatively high levels of Ras activation in hematopoietic cells is
likely from continual exposure to cytokines and growth factors present
in serum and bone marrow. This is consistent with our finding that Ras
activation in peripheral blood WBCs decreased relatively quickly when
the cells were isolated from whole blood and incubated in the absence
of serum. High Ras activation in bone marrow cells likely reflects the
cells high rates of proliferation, with Ras sending mitogenic signals
via the MAP kinase pathway (2)
. Because peripheral blood
WBCs are nondividing cells, this suggests that in these cells Ras may
transduce other messages, for example, signals necessary for cellular
chemotaxis or migration; Ras can mediate cytoskeletal changes through
two other small GTP-binding proteins, Rac and Rho (2)
. It
will be of interest to determine whether Ras becomes more activated in
peripheral blood WBCs in diseases characterized by increased serum
concentrations of cytokines and growth factors, for example, acute or
chronic inflammation.
Ras was significantly activated in cells from 9 of the 18 patients with
T-ALL (as defined as more than 2 SDs above corresponding values of
normal subjects). In seven of these nine patients, Ras activation
levels were extremely high, exceeding 30%. In cultured cell systems,
such high levels of Ras activation are generally found only in the
presence of an activating mutation in the ras gene
(10
, 11
, 35
, 37)
. In NIH3T3 cells an activating
ras mutation, with Ras activation levels in the range of
2530%, is sufficient to lead to cellular transformation as assessed
by morphological changes, colony formation in soft agar, and
tumorigenesis in nude mice (1
, 10)
. Thus, it seems likely
that the Ras activation of >30% observed in seven of the T-ALL
samples may contribute to the malignant phenotype of the cells.
Consistent with this idea, there is a significantly higher risk for
hematological relapse and a trend toward a lower rate of complete
remission in the small percentage of ALL patients with activating
N-ras mutations (6)
. Given the low rate of
N-ras mutations in ALL, about 8% (4, 5, 6)
, one
can estimate that these mutations could account for only one or two of
the T-ALL samples in this series with increased Ras activation. Because
the method we use to determine Ras activation is quantitative and
measures absolute amounts of Ras-bound GTP and GDP, it can be used to
assess total cellular Ras (10)
; we found no difference in
Ras content between the normal subjects cells and the leukemic cells,
indicating there was no increase in Ras expression in the malignant
cells.
When compared with B-ALL, T-ALL is generally associated with an older
age at diagnosis, male preponderance, higher leukocyte counts, central
nervous system involvement, a higher incidence of a mediastinal mass,
and a poorer clinical outcome (38)
. The biochemical and
molecular causes of the more aggressive clinical manifestations of
T-ALL than of B-ALL are not well understood (38)
. Our data
suggest that one potential cause for some of the clinical differences
between these two diseases may be higher Ras activation in T-ALL
compared with B-ALL.
With the advent of highly sophisticated biochemical, immunological, and
molecular techniques, leukemias can be subclassified, which can provide
important prognostic information (38, 39, 40)
. Whether
assessing Ras activation in T-ALL will provide prognostic data requires
study of a much larger patient cohort, and this work is in progress.
Ras and its downstream effectors have been the subject of intense
research by the pharmaceutical industry and there are now multiple Ras
inhibitors available, some of which have completed Phase I and II
Clinical Trials (19)
. In addition to pharmacological
inhibition of Ras function, antibodies against activated Ras are being
tested, and most recently, viral oncotherapeutic agents have been
developed that require an activated Ras for their cytotoxic effect
(41)
. As these various inhibitors of Ras and its effectors
become clinically available, it will be of some value to know which
cancers will be most appropriate to treat with these new agents. The
data presented in this work provide a rational basis for treating some
childhood T-ALLs with a Ras inhibitor, and the assay for assessing Ras
activation could be used a priori, before initiating
therapy, to determine if a particular patient is a good candidate for
one of these new therapeutic approaches.
 |
ACKNOWLEDGMENTS
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We thank the Pediatric Oncology Group for providing samples.
 |
FOOTNOTES
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 Supported in part by a Leukemia Society of
America Translational Research Program Award to G. R. B. and
A. L. Y. and the Cindy Matters Fund (A. L. Y. and M. B. D.);
F. v. L. was supported by the Mildred Scheel-Stiftung für
Krebsforschung. 
2 To whom requests for reprints should be
addressed, at Department of Medicine, Cancer Center, University of
California, San Diego, La Jolla, CA 92093-0652. Phone: (619) 534-8805;
Fax: (619) 534-1421; E-mail: gboss{at}ucsd.edu 
3 The abbreviations used are: MAP,
mitogen-activated protein; ALL, acute lymphoblastic leukemia; T-ALL,
T-cell ALL; B-ALL, B-lineage ALL; POG, Pediatric Oncology Group. 
Received 11/17/99;
revised 2/ 4/00;
accepted 2/ 7/00.
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