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Published on: April 26, 2024
Dasatinib is preclinically active against Src-overexpressing human transitional cell carcinoma of the urothelium with
Jonathan M Levitt1, Hideyuki Yamashita, Weiguo Jian
1Scott Department of Urology, Baylor College of Medicine, Houston, Texas, USA.
Abstract:
Dasatinib is an orally administered multitargeted kinase inhibitor that targets Src family tyrosine kinases, Abl, c-Kit, and PDGFR. A preclinical study was conducted to evaluate dasatinib alone or combined with cisplatin for human transitional cell carcinoma (TCC). Expression of Src in a human TCC tissue microarray was evaluated by immunohistochemistry. The activity of dasatinib and/or cisplatin was evaluated in six human TCC cell lines. Western blot was done to assess Src and phosphorylated-Src (p-Src) expression. The activity of dasatinib alone and in combination with cisplatin was determined in murine subcutaneous xenografts. Sixty-two percent to 75% of human TCC expressed Src. Dasatinib displayed significant antiproliferative activity at nanomolar concentrations against two human TCC cell lines (RT4 and Hu456) that exhibited high Src and p-Src expression and were cisplatin-resistant. RT4 cells were the most sensitive and displayed the highest level of Src pathway activation (p-Src/Src ratio). Dasatinib downregulated p-Src in either sensitive or resistant cells. TCC cells that were sensitive to cisplatin (5637 and TCC-SUP) were highly resistant to dasatinib and exhibited low Src expression. Dasatinib showed antitumor activity in RT4 murine xenografts, and the combination of dasatinib and cisplatin was significantly more active than placebo. Combination dasatinib plus cisplatin significantly inhibited proliferation and promoted apoptosis in vivo. In conclusion, dasatinib displayed significant preclinical antitumor activity against Src-overexpressing human TCC with active Src signaling and was highly active in combination with cisplatin in vivo. Further clinical development might be warranted in selected human subjects.
Insights
Dasatinib shows preclinical promise against Src-overexpressing transitional cell carcinoma (TCC). Combining dasatinib with cisplatin demonstrated significant antitumor activity in vivo, warranting further clinical investigation.
Area of Science:
- Oncology
- Pharmacology
Background:
- Transitional cell carcinoma (TCC) is a significant malignancy.
- Src signaling pathway dysregulation is implicated in TCC progression.
- Targeted therapies are being explored for TCC treatment.
Purpose of the Study:
- To evaluate the preclinical efficacy of dasatinib, a multitargeted kinase inhibitor, against human TCC.
- To assess the combination therapy of dasatinib and cisplatin in TCC models.
- To investigate the role of Src expression in TCC response to dasatinib.
Main Methods:
- Immunohistochemistry to assess Src expression in TCC tissue microarrays.
- In vitro evaluation of dasatinib and cisplatin activity in human TCC cell lines.
- Western blot analysis for Src and phosphorylated-Src (p-Src) expression.
- In vivo assessment of dasatinib and combination therapy in murine xenograft models.
Main Results:
- Src expression was observed in 62-75% of human TCC samples.
- Dasatinib exhibited significant antiproliferative activity against cisplatin-resistant TCC cell lines with high Src and p-Src expression.
- Combination therapy of dasatinib and cisplatin demonstrated enhanced antitumor activity, including proliferation inhibition and apoptosis induction in vivo.
- Dasatinib effectively downregulated p-Src in both sensitive and resistant TCC cells.
Conclusions:
- Dasatinib demonstrates preclinical antitumor activity in Src-overexpressing TCC with active Src signaling.
- The combination of dasatinib and cisplatin shows significant synergistic efficacy in preclinical TCC models.
- These findings support further clinical investigation of dasatinib, particularly in combination with cisplatin, for TCC patients with specific molecular profiles.
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