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Published on: June 16, 2013
Improved tumor vascular function following high-dose epidermal growth factor receptor tyrosine kinase inhibitor
Mark M Moasser1, Lisa J Wilmes, Ching Hang Wong
1Department of Medicine, University of California, San Francisco, San Francisco, California 94143, USA. mmoasser@medicine.ucsf.edu
Purpose:
To determine if inhibitors of the human growth factor receptor (HER) family can be used to enhance tumor vascular permeability and perfusion and optimize the efficacy of cytotoxic chemotherapeutics. Poor tumor vascular function limits the delivery and efficacy of cancer chemotherapeutics and HER family tyrosine kinases mediate tumor-endothelial signaling in both of these compartments.
Materials And Methods:
BT474 human breast cancer tumors were established in mice and the biologic effects of the HER tyrosine kinase inhibitor (TKI) gefitinib on tumor vascular function was determined by dynamic contrast-enhanced MRI (DCE-MRI), and on tumor vascular architecture and perfusion by immunofluorescence microscopy.
Results:
A brief dose of gefitinib enhances the antitumor activity of paclitaxel in vivo but not in cell culture, suggesting that its chemoenhancing activity involves the in vivo microenvironment. A brief high dose of gefitinib induces a decrease in endothelial transfer constant (Kps) and a concomitant increase in tumor fractional plasma volume (fPV). These changes are accompanied by a rapid reduction in tumor volume, likely due to decreased tumor edema, and modestly improved tumor vascular architecture and perfusion on microscopy.
Conclusion:
These data suggest that HER family TKIs have the potential to optimize the tumor microenvironment for delivery of cytotoxic chemotherapeutics.
Insights
Inhibitors targeting human epidermal growth factor receptor (HER) family tyrosine kinases can improve chemotherapy delivery. Gefitinib enhances paclitaxel efficacy by optimizing the tumor microenvironment and vascular function.
Area of Science:
- Oncology
- Cancer Biology
- Pharmacology
Background:
- Poor tumor vascular function impedes chemotherapy delivery and efficacy.
- Human epidermal growth factor receptor (HER) family tyrosine kinases play a role in tumor vascular signaling.
Purpose of the Study:
- To investigate if HER family inhibitors can enhance tumor vascular permeability and perfusion.
- To determine if these inhibitors can optimize the efficacy of cytotoxic chemotherapeutics.
Main Methods:
- BT474 human breast cancer xenografts were established in mice.
- Dynamic contrast-enhanced MRI (DCE-MRI) assessed tumor vascular function.
- Immunofluorescence microscopy evaluated tumor vascular architecture and perfusion following gefitinib treatment.
Main Results:
- Gefitinib, a HER tyrosine kinase inhibitor (TKI), enhanced paclitaxel's antitumor activity in vivo, but not in cell culture.
- A brief high dose of gefitinib decreased endothelial transfer constant (Kps) and increased tumor fractional plasma volume (fPV).
- These vascular changes correlated with reduced tumor volume, decreased edema, and improved tumor vascular architecture and perfusion.
Conclusions:
- HER family TKIs show potential for optimizing the tumor microenvironment.
- This optimization may improve the delivery and efficacy of cytotoxic chemotherapeutics.
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