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GIST48 is a human gastrointestinal stromal tumor (GIST) cell line established from a patient whose tumor progressed during imatinib treatment [1, 4]. It is a widely utilized research model for studying secondary resistance to tyrosine kinase inhibitors (TKIs) in GIST [3, 7]. The cell line is characterized by a primary homozygous mutation in KIT exon 11 (V560D) and a secondary heterozygous mutation in KIT exon 17 (D820A), which confers resistance to first-line (imatinib) and second-line (sunitinib) therapies [1, 7]. GIST48 cells are essential for evaluating the efficacy of novel agents, such as the switch-control inhibitor ripretinib, which are designed to target the active and inactive conformations of the KIT kinase domain [12, 14]. It was established by the laboratory of Jonathan Fletcher and has been instrumental in identifying the role of the KIT D820A mutation in clinical resistance [1, 7]. Although GIST48 is a cell line and not a molecular target itself, it serves as a critical platform for investigating the KIT receptor tyrosine kinase's role in oncogenesis and drug resistance [2, 13].
Tyrosine kinase inhibition
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