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2 protocols using gilteritinib

1

K562 Differentiation into Megakaryocytes

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Human chronic myeloid leukemia (CML) in blast crisis cell line (K562) was procured from the American Type Culture Collection (ATCC, Manassas, VA, USA) and maintained at 37°C, 5% CO2 in complete medium, containing Iscove’s Modified Dulbecco’s Medium (IMDM), 1X penicillin/streptomycin (Gibco), and supplemented with 10% (v/v) fetal bovine serum (FBS).
To differentiate K562 into Mk, cells were treated with Phorbol 12-myristate 13-acetate (PMA, Sigma-Aldrich, St. Louis, MO, USA), gilteritinib, quizartinib, dubermatinib (TP-0903), and midostaurin for 48–72 h as previously described (15 (link)). Where indicated, low-serum medium supplemented with 1% FBS and 1 μM imatinib were used.
gilteritinib, quizartinib, dubermatinib (TP-0903), and midostaurin were from Cayman chemical (Ann Arbor, MI, USA). All small molecules were dissolved in DMSO and store in −20°C. pMSCV-Flt3-ITD-Y591F/Y919F was procured from Addgene (Addgene.org). Flt3-ITD-Y591F/Y919F cassette was subcloned into lentiviral vector to produce viral particles using 293T cell.
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2

Xenograft Mouse Models of AML

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Xenograft mouse models were generated as previously described (13 (link)). Female 8–12-week-old NSG mice (Jackson Laboratories stock number: 005557; Bar Harbor, ME) were intravenously injected with 1×106 MOLM13-Luc+ or MOLM13-RES-Luc+ cells. Weekly tumor engraftment was assessed by bioluminescence imaging. Mice were randomized to treatment groups based on leukemia burden. Drug treatments were started on days 7 or 13 post-tail vein injection (TVI) of MOLM13 and MOLM13-RES, respectively. Gilteritinib was formulated in 0.5% methylcellulose (Sigma-Aldrich), and administered at 30 mg/kg once daily for 5 days/week for 3 weeks. Mice were observed daily and euthanized when showing signs of progressive disease including hind limb paralysis, weight loss of more than 20%, and/or lethargy. At study endpoint, bone marrow was harvested, and enriched for AML using MACS (Milteny Biotec) separation of CD45+ cells. All animal studies were approved by the OSU Institutional Animal Care and Use Committee.
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