Insulin-Like Growth Factor I Receptor Pathway Inhibition by ADW742, Alone or in Combination with Imatinib, Doxorubicin, or Vincristine, Is a Novel Therapeutic Approach in Ewing Tumor

Purpose: Ewing tumor cell survival and proliferation depends on several autocrine loops. Targeting these loops is a promising therapeutic approach. We recently showed the cytostatic role of imatinib, an inhibitor of the SCF-KIT loop, on Ewing tumor cells, and in this study, we intend to analyze the...

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Veröffentlicht in:Clinical cancer research 2006-06, Vol.12 (11), p.3532-3540
Hauptverfasser: Martins, Ana S, Mackintosh, Carlos, Martín, David Herrero, Campos, Maria, Hernández, Teresa, Ordóñez, Jose-Luis, de Alava, Enrique
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container_end_page 3540
container_issue 11
container_start_page 3532
container_title Clinical cancer research
container_volume 12
creator Martins, Ana S
Mackintosh, Carlos
Martín, David Herrero
Campos, Maria
Hernández, Teresa
Ordóñez, Jose-Luis
de Alava, Enrique
description Purpose: Ewing tumor cell survival and proliferation depends on several autocrine loops. Targeting these loops is a promising therapeutic approach. We recently showed the cytostatic role of imatinib, an inhibitor of the SCF-KIT loop, on Ewing tumor cells, and in this study, we intend to analyze the inhibition of the insulin-like growth factor I receptor (IGF1R) loop. Experimental Design: We analyzed IGF1R blockade by ADW742, a small molecule specific for this receptor, alone and in combination with imatinib, vincristine, and doxorubicin on Ewing tumor cell lines. We studied the effect on proliferation, apoptosis, cell cycle, pathway phosphorylation, soft-agar growth, motility, and vascular endothelial growth factor expression levels. Results: Treatment with ADW742 induced down-regulation of IGF1R/AKT/mammalian target of rapamycin (mTOR) phosphorylation, which was deeper in cell lines having higher IGF1R activation levels. Treatment also induced dose-dependent inhibition of cell proliferation (IC 50 = 0.55-1.4 μmol/L), inducing a G 1 phase blockage and apoptosis. Addition of imatinib to ADW742 synergistically augmented these effects and was especially effective in inhibiting AKT/mTOR phosphorylation and reducing vascular endothelial growth factor expression in cell lines having high IGF1R activation levels. Combination with usual chemotherapeutic agents vincristine and doxorubicin showed synergistic interactions. Conclusions: Inhibition of Ewing tumor cell proliferation by ADW742 is mediated through blockade of IGF1R signaling. Combination of ADW742 with imatinib, vincristine, and doxorubicin induces a significant reduction of tumor cell growth, mainly by the increase in apoptosis with a pattern depending on IGF1R activation levels. This study supports a potential role for ADW742 in the treatment of Ewing tumor and AKT/mTOR as a possible surrogate marker of response to therapy.
doi_str_mv 10.1158/1078-0432.CCR-05-1778
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Addition of imatinib to ADW742 synergistically augmented these effects and was especially effective in inhibiting AKT/mTOR phosphorylation and reducing vascular endothelial growth factor expression in cell lines having high IGF1R activation levels. Combination with usual chemotherapeutic agents vincristine and doxorubicin showed synergistic interactions. Conclusions: Inhibition of Ewing tumor cell proliferation by ADW742 is mediated through blockade of IGF1R signaling. Combination of ADW742 with imatinib, vincristine, and doxorubicin induces a significant reduction of tumor cell growth, mainly by the increase in apoptosis with a pattern depending on IGF1R activation levels. 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subjects ADW742
AKT
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Apoptosis - drug effects
Benzamides
Bone Neoplasms - drug therapy
Bone Neoplasms - metabolism
Cell Cycle - drug effects
Cell Line, Tumor
Cell Proliferation - drug effects
Dose-Response Relationship, Drug
Down-Regulation - drug effects
Doxorubicin - administration & dosage
Drug Screening Assays, Antitumor
Ewing Tumor
G1 Phase - drug effects
Humans
IGF1R pathway
Imatinib Mesylate
Pediatric cancers
Phosphorylation - drug effects
Piperazines - administration & dosage
Protein Kinases - drug effects
Protein Kinases - metabolism
Proto-Oncogene Proteins c-akt - antagonists & inhibitors
Proto-Oncogene Proteins c-akt - metabolism
Pyrimidines - administration & dosage
Pyrimidines - pharmacology
Pyrimidines - therapeutic use
Pyrroles - pharmacology
Pyrroles - therapeutic use
Receptor, IGF Type 1 - antagonists & inhibitors
Receptor, IGF Type 1 - metabolism
Sarcoma, Ewing - drug therapy
Sarcoma, Ewing - metabolism
Sarcoma/soft-tissue malignancies
Structure-Activity Relationship
TOR Serine-Threonine Kinases
Vincristine - administration & dosage
title Insulin-Like Growth Factor I Receptor Pathway Inhibition by ADW742, Alone or in Combination with Imatinib, Doxorubicin, or Vincristine, Is a Novel Therapeutic Approach in Ewing Tumor
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