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UvA-DARE is a service provided by the library of the University of Amsterdam (https://dare.uva.nl)

UvA-DARE (Digital Academic Repository)

The interplay between microenvironmental signaling and novel targeted drugs in

CLL

Thijssen, R.

Publication date

2016

Document Version

Final published version

Link to publication

Citation for published version (APA):

Thijssen, R. (2016). The interplay between microenvironmental signaling and novel targeted

drugs in CLL.

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The inTerplay beTween

microenvironmenTal

signaling and novel

TargeTed drugs in cll

rachel Thijssen

R

a

chel Thijs

sen

The in Te Rpl a y be Tween mic Roenvi Ronmen

Tal signaling and no

vel Ta Rge Ted d Rugs in cll

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The inTerplay beTween

microenvironmenTal

signaling and novel

TargeTed drugs in cll

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Lay out and printing: Off page, Amsterdam

Cover design: Bert Potse

ISBN: 978-94-6182-733-3

The printing of this thesis was financially supported by: AbbVie, Celgene, Gilead Sciences, MRC-Holland, Roche, Sanofi-Genzyme

Copyright © Rachel Thijssen, Amsterdam, The Netherlands

All right reserved. No part of this thesis may be reproduced or transmitted in any from or by any means without the written permission of the author.

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THE INTERPLAY BETWEEN MICROENVIRONMENTAL SIGNALING

AND NOVEL TARGETED DRUGS IN CLL

ACADEMISCH PROEFSCHRIFT

ter verkrijging van de graad van doctor aan de Universiteit van Amsterdam op gezag van de Rector Magnificus

prof. dr. ir. K.I.J. Maex

ten overstaan van een door het College voor Promoties ingestelde commissie, in het openbaar te verdedigen in de Agnietenkapel

op vrijdag 25 november 2016, te 14:00 uur

door

Rachel Thijssen

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PROMOTIECOMMISSIE

Promotores

Prof. dr. E.F. Eldering Universiteit van Amsterdam Prof. dr. A.P. Kater Universiteit van Amsterdam

Copromotor

Prof. dr. M.J. Kersten Universiteit van Amsterdam

Overige leden

Prof. dr. M.H.J. van Oers Universiteit van Amsterdam Prof. dr. J. Borst Universiteit van Amsterdam Dr. M. Spaargaren Universiteit van Amsterdam Prof. dr. J.H. Veelken Universiteit Leiden

Prof. dr. R.W. Hendriks Erasmus Universiteit Rotterdam Faculteit der Geneeskunde

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TABLE OF CONTENTS

Chapter 1 General Introduction 7

Chapter 2 The pan phosphoinositide 3-kinase/mammalian 21 target of rapamycin inhibitor SAR245409 (voxtalisib/XL765)

blocks survival, adhesion and proliferation of primary chronic lymphocytic leukemia cells

Chapter 3 Dual TORK/DNA-PK inhibition blocks critical signalling 51 pathways in chronic lymphocytic leukemia

Chapter 4 Targeting antigen-independent proliferation in chronic 83 lymphocytic leukemia through differential kinase inhibition

Chapter 5 Resistance to ABT-199 induced by microenvironmental signals 103 in chronic lymphocytic leukemia can be counteracted by CD20 antibodies or kinase inhibitors

Chapter 6 IL-21 and IL-4 distinctly affect NF-

κ

B binding on the Bcl-XL 121 promoter in CLL cells

Chapter 7 General Discussion 139

Appendices Summary 157 Samenvatting 161 Curriculum Vitae 164 Publications 165 PhD Portfolio 166 Dankwoord 168

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