Demonstration of anti-tumor activity of MEK inhibitors in preclinical models of CLL hampered by loss of MAPK-Erk1/2 signaling in CLL cells during ex vivo processing and culture
Adding purified stroma-derived factor (SDF-1a/CXCL12) or media conditioned by the HS5 stromal cell line allowed re-activation of the pathway
Increased CLL cell sensitivity to MEK inhibitors also demonstrated in pretreated ex vivo system