In vitro sensitivity of Kaposi's sarcoma cells to various chemotherapeutic agents including acyclic nucleoside

T Simonart1, G Andrei, D Parent

  • 1Department of Dermatology, Erasme University Hospital, Brussels, Belgium.

Insights

Antiviral drugs like acyclic nucleoside phosphonates do not effectively target Kaposi

Area of Science:

  • Oncology
  • Virology
  • Pharmacology

Background:

  • Kaposi's sarcoma (KS) pathogenesis involves a viral agent, suggesting antiviral therapies.
  • Human herpesvirus 8 (HHV-8) is implicated in KS development.
  • Acyclic nucleoside phosphonates show activity against HHV-8.

Purpose of the Study:

  • To investigate the antiproliferative effects of chemotherapeutic agents, including acyclic nucleoside phosphonates, on KS-derived cells.
  • To determine if KS cells are sensitive to antiviral agents targeting HHV-8.
  • To compare the efficacy of chemotherapeutic agents on KS cells versus normal endothelial cells.

Main Methods:

  • Nested PCR amplification to detect HHV-8 DNA in KS cells.
  • Cytotoxicity assays using various chemotherapeutic agents on KS cells and human dermal microvascular endothelial cells.
  • Cell stimulation with basic fibroblast growth factor (bFGF) and IC50 value correction for doubling times.

Main Results:

  • KS-derived cells lacked detectable HHV-8 DNA sequences.
  • KS cells exhibited lower sensitivity to chemotherapeutic compounds compared to normal endothelial cells.
  • Apparent chemotherapeutic resistance in KS cells was primarily due to their long doubling times.
  • bFGF-stimulated KS cells showed no specific sensitivity to acyclic nucleoside phosphonates, consistent with absent HHV-8 DNA synthesis.

Conclusions:

  • Acyclic nucleoside phosphonates do not effectively target KS cells, even when stimulated.
  • Neither anti-cancer nor antiviral agents efficiently discriminate between KS cells and normal endothelial cells.
  • The study questions the efficacy of current antiviral and chemotherapeutic strategies for KS management based on these findings.