Imatinib inhibits the in vitro development of the monocyte/macrophage lineage from normal human bone marrow

A L Dewar1, R M Domaschenz, K V Doherty

  • 1Division of Haematology, Hanson Institute, Institute of Medical and Veterinary Science, Adelaide, South Australia, Australia.

Leukemia
|September 13, 2003
PubMed

Insights

Imatinib, an anti-cancer drug, inhibits monocyte and macrophage development from bone marrow progenitors at low concentrations. This finding suggests potential therapeutic applications for imatinib in diseases involving these cells.

Area of Science:

  • Hematology
  • Pharmacology
  • Cell Biology

Background:

  • Imatinib is a tyrosine kinase inhibitor targeting BCR-ABL in CML.
  • Its effects on other kinases like c-ABL, PDGFR, and c-KIT are known.
  • The impact of imatinib on normal hematopoietic progenitor differentiation requires further investigation.

Purpose of the Study:

  • To investigate the effect of imatinib on in vitro differentiation of normal bone marrow progenitors.
  • To determine the specific impact on monocyte/macrophage lineage development.
  • To explore the potential therapeutic implications of imatinib's effects on myeloid development.

Main Methods:

  • In vitro culture of normal bone marrow progenitors in semisolid agar and liquid media.
  • Treatment with varying concentrations of imatinib (0.1-5.0 microM).
  • Assessment of monocyte, macrophage, neutrophil, and eosinophil development and maturation.

Main Results:

  • Imatinib significantly inhibited in vitro monocyte/macrophage development at concentrations as low as 0.3 microM.
  • Neutrophil and eosinophil development were less affected.
  • Imatinib impaired monocyte maturation into macrophages at 1.0 microM.
  • Inhibition occurred irrespective of M-CSF stimulation, suggesting c-FMS inhibition is not the primary mechanism.

Conclusions:

  • Imatinib inhibits normal monocyte/macrophage development at pharmacologically achievable concentrations.
  • The mechanism may involve inhibition of kinases other than c-FMS crucial for myeloid differentiation.
  • Imatinib or related compounds show potential for treating diseases where monocytes/macrophages play a pathogenic role.