Targeting ALK in pediatric RMS does not induce antitumor activity in vivo

Autor: Monika Wierdl, Cori Bradley, Chunxu Qu, Philip M. Potter, M. Jason Hatfield, Xiang Chen, Viktor Tollemar, Lyudmila Tsurkan, Liying Chi
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
Cancer Research
Vincristine
Mice
Nude

Cell Growth Processes
Toxicology
Transfection
Article
03 medical and health sciences
Mice
0302 clinical medicine
Crizotinib
In vivo
hemic and lymphatic diseases
Cell Line
Tumor

Proto-Oncogene Proteins
Antineoplastic Combined Chemotherapy Protocols
Rhabdomyosarcoma
Medicine
Anaplastic lymphoma kinase
Animals
Humans
Pharmacology (medical)
Anaplastic Lymphoma Kinase
Drug Interactions
Molecular Targeted Therapy
RNA
Small Interfering

Anaplastic large-cell lymphoma
Cyclophosphamide
Protein Kinase Inhibitors
Pharmacology
business.industry
Kinase
Cell growth
Protein-Tyrosine Kinases
Proto-Oncogene Proteins c-met
medicine.disease
Xenograft Model Antitumor Assays
030104 developmental biology
Pyrimidines
Oncology
030220 oncology & carcinogenesis
Cancer research
Dactinomycin
business
medicine.drug
Popis: PURPOSE: The anaplastic lymphoma kinase (ALK) has been demonstrated to be a valid clinical target in diseases such as anaplastic large cell lymphoma and non-small cell lung cancer. Recent studies have indicated that ALK is overexpressed in pediatric rhabdomyosarcoma (RMS) and hence we hypothesized that this kinase may be a suitable candidate for therapeutic intervention in this tumor. METHODS: We evaluated the expression of ALK in a panel of pediatric RMS cell lines and patient-derived xenografts (PDX), and sensitivity to ALK inhibitors was assessed both in vitro and in vivo. RESULTS: Essentially all RMS lines were sensitive to crizotinib, NVP-TAE684 or LDK-378 in vitro, and molecular analyses demonstrated inhibition of RMS cell proliferation following siRNA-mediated reduction of ALK expression. However, in vivo PDX studies using ALK kinase inhibitors demonstrated no antitumor activity when used as single agents or when combined with standard of care therapy (vincristine, actinomycin D and cyclophosphamide). More alarmingly however, crizotinib actually accelerated the growth of these tumors in vivo. CONCLUSIONS: While ALK appears to be a relevant target in RMS in vitro, targeting this kinase in vivo yields no therapeutic efficacy, warranting extreme caution when considering the use of these agents in pediatric RMS patients.
Databáze: OpenAIRE