FLT3

Oncogene
Receptor-type tyrosine-protein kinase FLT3 UniProt accession P36888

Tyrosine-protein kinase that acts as a cell-surface receptor for the cytokine FLT3LG and regulates differentiation, proliferation and survival of hematopoietic progenitor cells and of dendritic cells. Promotes phosphorylation of SHC1 and AKT1, and activation of the downstream effector MTOR. Promotes activation of RAS signaling and phosphorylation of downstream kinases, including MAPK1/ERK2 and/or MAPK3/ERK1.

Promotes phosphorylation of FES, FER, PTPN6/SHP, PTPN11/SHP-2, PLCG1, and STAT5A and/or STAT5B. Activation of wild-type FLT3 causes only marginal activation of STAT5A or STAT5B. Mutations that cause constitutive kinase activity promote cell proliferation and resistance to apoptosis via the activation of multiple signaling pathways

Source: UniProt

Monomer in the absence of bound FLT3LG. Homodimer in the presence of bound FLT3LG. Interacts with FIZ1 following ligand activation (By similarity).

Interacts with FES, FER, LYN, FGR, HCK, SRC and GRB2. Interacts with PTPRJ/DEP-1 and PTPN11/SHP2. Interacts with RNF115 and RNF126 (By similarity)

(Microbial infection) Interacts with human cytomegalovirus protein UL7

Source: UniProt
Membrane — Single-pass type I membrane protein, Endoplasmic reticulum lumen
Source: UniProt

Detected in bone marrow, in hematopoietic stem cells, in myeloid progenitor cells and in granulocyte/macrophage progenitor cells (at protein level). Detected in bone marrow, liver, thymus, spleen and lymph node, and at low levels in kidney and pancreas. Highly expressed in T-cell leukemia

Source: UniProt

The juxtamembrane autoregulatory region is important for normal regulation of the kinase activity and for maintaining the kinase in an inactive state in the absence of bound ligand. Upon tyrosine phosphorylation, it mediates interaction with the SH2 domains of numerous signaling partners. In-frame internal tandem duplications (ITDs) result in constitutive activation of the kinase.

The activity of the mutant kinase can be stimulated further by FLT3LG binding

Source: UniProt
  • Leukemia, acute myelogenous (AML)

    A subtype of acute leukemia, a cancer of the white blood cells. AML is a malignant disease of bone marrow characterized by maturational arrest of hematopoietic precursors at an early stage of development. Clonal expansion of myeloid blasts occurs in bone marrow, blood, and other tissue.

    Myelogenous leukemias develop from changes in cells that normally produce neutrophils, basophils, eosinophils and monocytes.

Source: UniProt
  • PI3K Cascade
  • PIP3 activates AKT signaling
  • Constitutive Signaling by Aberrant PI3K in Cancer
  • RAF/MAP kinase cascade
  • PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling
  • FLT3 Signaling
  • STAT5 Activation
  • FLT3 mutants bind TKIs
  • STAT5 activation downstream of FLT3 ITD mutants
  • KW2449-resistant FLT3 mutants
  • semaxanib-resistant FLT3 mutants
  • crenolanib-resistant FLT3 mutants
  • gilteritinib-resistant FLT3 mutants
  • lestaurtinib-resistant FLT3 mutants
  • midostaurin-resistant FLT3 mutants
  • pexidartinib-resistant FLT3 mutants
  • ponatinib-resistant FLT3 mutants
  • quizartinib-resistant FLT3 mutants
  • sorafenib-resistant FLT3 mutants
  • sunitinib-resistant FLT3 mutants
  • tandutinib-resistant FLT3 mutants
  • linifanib-resistant FLT3 mutants
  • tamatinib-resistant FLT3 mutants
  • Signaling by FLT3 ITD and TKD mutants
  • Negative regulation of FLT3
  • FLT3 signaling through SRC family kinases
  • FLT3 signaling by CBL mutants
Source: Reactome via UniProt

Mutations

Cancer Type Mutation Percentage
Central Nervous System Astrocytoma Grade Iv 0.66%
Lung Adenocarcinoma 2.36%
Lung Small Cell Carcinoma 0.59%
Lung Squamous Cell Carcinoma 1.36%
Oesophagus Adenocarcinoma 0.31%
Oesophagus Squamous Cell Carcinoma 0.23%
Pancreas Ductal Carcinoma 0.16%

Synthetic Lethal Network

Genes with an experimentally identified or computationally predicted synthetic-lethal relationship to FLT3, aggregated across our SSL data sources. Click any partner node to view that gene’s page.

Nodes and edges are coloured by the SSL data source. Partners appearing in more than one source are shown in grey.

BioGRID SLOrth SynLethDB MexDrugs Multi-source
Sources: BioGRID, SLOrth, SynLethDB, MexDrugs

Clinical Trials

Total Trials Found: 189

NCT ID Condition Brief Title Phase Status
NCT05596981 Acute Myeloid Leukemia With FLT3/ITD Mutation, Allogeneic Hematopoietic Stem Cell Transplantation The Gut Microbiome in FLT3-ITD+ AML Undergoing Allo-HSCT With Or Without Sorafenib Maintenance After Allo-HSCT N/A UNKNOWN
NCT05791890 Acute Myeloid Leukemia GilteRInf 2022 Study (Gilteritinib Related Infections) N/A UNKNOWN
NCT06303193 Myelodysplastic Syndromes Pacritinib, a Kinase Inhibitor of CSF1R, IRAK1, JAK2, and FLT3, in Adults and Pediatric Participants 12 Years of Age or Older With Myelodysplastic Syndromes or Myelodysplastic/Myeloproliferative Neoplasms PHASE1, PHASE2 RECRUITING
NCT00989261 Acute Myeloid Leukemia Efficacy Study for AC220 to Treat Acute Myeloid Leukemia (AML) PHASE2 COMPLETED
NCT02156297 Acute Myeloid Leukemia, FLT3-ITD Mutation Sorafenib to Treat FLT3-ITD AML N/A UNKNOWN
NCT00006223 Leukemia flt3L in Treating Patients With Acute Myeloid Leukemia PHASE3 COMPLETED
NCT00915252 Acute Myeloid Leukemia Efficacy of 5-azacytidine Added to Standard Primary Therapy in Elderly Patients With Newly Diagnosed Acute Myeloid Leukemia (AML) PHASE2 COMPLETED
NCT06992934 Hematological Malignancies Immunological Impact of a Post Cell Therapy Treatment With FLT3 Inhibitors NA NOT_YET_RECRUITING
NCT01892371 FLT3 Gene Mutation Negative, FLT3 Internal Tandem Duplication Positive, Recurrent Acute Myeloid Leukemia, Recurrent Chronic Myelomonocytic Leukemia, Recurrent Myelodysplastic Syndrome, Refractory Acute Myeloid Leukemia, Refractory Chronic Myelomonocytic Leukemia, Refractory Myelodysplastic Syndrome Quizartinib With Azacitidine or Cytarabine in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia or Myelodysplastic Syndrome PHASE1, PHASE2 COMPLETED
NCT06667973 Acute Myeloid Leukemia, FLT3 Gene Mutation, Adult AML, Diagnosis Efficacy of Gilteritinib in Combination With FLAI as Induction Therapy of FLT3-positive Acute Myeloid Leukemia PHASE2 NOT_YET_RECRUITING