Annotation Detail

Information
Associated Genes
FLT3
Associated Variants
FLT3 p.Asp835Tyr (p.D835Y) ( ENST00000241453.12 )
FLT3 p.Asp835Tyr (p.D835Y) ( ENST00000241453.12 )
Associated Disease
acute myeloid leukemia
Source Database
CIViC Evidence
Description
An in-vitro saturation mutagenesis screen of 50 independently derived FLT3-ITD clones was performed to identify mutations that confer resistance to ponatinib. Mutations at 3 AL residues (D835 [n = 31], D839 [n = 3], and Y842 [n = 16]), with varying degrees of resistance to ponatinib were identified. FLT3 D835 mutations were shown to confer resistance to the tyrosine kinase inhibitor AC220 and ponatinib. This was especially found for D835Y and D835V mutations, whereas D835H mutations were found to confer moderate resistance to ponatinib but relatively minimal resistance to AC220.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/1036
Gene URL
https://civic.genome.wustl.edu/links/genes/24
Variant URL
https://civic.genome.wustl.edu/links/variants/437
Rating
3
Evidence Type
Predictive
Disease
Acute Myeloid Leukemia
Evidence Direction
Supports
Drug
Quizartinib,Ponatinib
Evidence Level
D
Clinical Significance
Resistance
Pubmed
23430109
Drugs
Drug NameSensitivitySupported
PonatinibResitance or Non-Reponsetrue
QuizartinibResitance or Non-Reponsetrue