Novel mode of action of c-kit tyrosine kinase inhibitors leading to NK cell-dependent antitumor effects

Autor: Salah Mecheri, Jonhantan A. Fletcher, Kris Thielemans, Florent Crépineau, Jacky Bernard, Caroline Flament, Julien Taieb, Isabelle Tchou, Jean-Yves Blay, J.F. Emile, Cédric Ménard, Alain Spatz, Vladimir Lazar, Eric Angevin, Véronique Chung-Scott, Magali Terme, François M. Lemoine, Laurence Zitvogel, Christophe Borg, Hiro Wakasugi, Ali G. Turhan, Michael Heinrich, Thomas Tursz, Axel Le Cesne, Koji Maruyama, Caroline Robert
Přispěvatelé: Physiology
Jazyk: angličtina
Rok vydání: 2004
Předmět:
Popis: Mutant isoforms of the KIT or PDGF receptors expressed by gastrointestinal stromal tumors (GISTs) are considered the therapeutic targets for STI571 (imatinib mesylate; Gleevec), a specific inhibitor of these tyrosine kinase receptors. Case reports of clinical efficacy of Gleevec in GISTs lacking the typical receptor mutations prompted a search for an alternate mode of action. Here we show that Gleevec can act on host DCs to promote NK cell activation. DC-mediated NK cell activation was triggered in vitro and in vivo by treatment of DCs with Gleevec as well as by a loss-of-function mutation of KIT. Therefore, tumors that are refractory to the antiproliferative effects of Gleevec in vitro responded to Gleevec in vivo in an NK cell-dependent manner. Longitudinal studies of Gleevec-treated GIST patients revealed a therapy-induced increase in IFN-gamma production by NK cells, correlating with an enhanced antitumor response. These data point to a novel mode of antitumor action for Gleevec.
Databáze: OpenAIRE