TreatmentSTI571


40th ASCO Annual Meeting. New Orleans, LA. June 5-8, 2004. Abstract No.8554 (Animal Study)


Meeting Abstract

Antitumor activity of imatinib mesylate in medulloblastoma cell lines and xenografts

R. Morosetti, D. Meco, C. Dominici, T. Servidei, A. Riccardi, A. M. Di Francesco, G. Cusano, R. Riccardi

Catholic University, Rome, Italy; La Sapienza University, Rome, Italy.

Background. Medulloblastoma (MB) is the most common pediatric malignant brain tumor. 
Its tendency to disseminate is the main cause of treatment failure. 
Recently PDGFRa has been suggested to play a role in MB metastasis. 
Imatinib mesylate (STI571, Gleevec) is an inhibitor of selected receptor tyrosine kinases, including PDGFRa/ß and c-kit. 
Thus, we investigated the therapeutic potential of STI571 in MB, by evaluating its antitumor activity in vitro and in vivo

Methods. Expression of PDGFRa/ß and c-kit was studied in 4 human MB/PNET cell lines (D283 Med, D341 Med, DAOY, PFSK) by RT-PCR and western blotting. 
We performed growth inhibition assays at different STI571concentrations (5 to 50 µM)and time-points. 
The antitumor activity of STI571 was studied in D283 Med xenografts in nude mice, either by treating palpable tumors or by trying to prevent tumor development after inoculation. 
STI571 was administrated p.o. (100, 200 and 400 mg/kg/day) twice a day for 5 consecutive days for two weeks. 

Results. All cell lines expressed PDGFRa and c-kit, while only DAOY and PFSK expressed PDGFRß mRNA and protein. 
STI571 produced a dose- and time-dependent inhibition of growth of all the cell lines, although with a different sensitivity (IC50 ranging from 7 to 13 µM). 
In the therapeutic study, STI571 was inactive or marginally active against D283 xenografts, while in the prevention study a significant difference in tumor size was seen between treated and control animals on day 22 (TWI>60). 
No obvious toxicity was observed. 

Conclusions. STI571 was able to inhibit the in vitro growth of 4 MB cell lines and this was associated with a significant antitumor activity in vivo, thus suggesting a therapeutic potential of STI571 in MB. 
Whether these effects are mediated through inhibition of PDGFR or c-kit is under evaluation. 

(Supported by Italian Ministry of Health; AIRC; FOP and ALTI).

Copyright 2004 American Society of Clinical Oncology All rights reserved worldwide.

Source: http://www.asco.org/ac/1,1003,_12-002636-00_18-0026-00_19-001921,00.asp



 

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