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Updated: Jun 11, 2026

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Published on: October 27, 2020
Imatinib mesylate enhances the malignant behavior of human breast carcinoma cells
Germana Rappa1, Fabio Anzanello, Aurelio Lorico
1Department of Drug Development, Nevada Cancer Institute, One Breakthrough Way, Las Vegas, NV 89135, USA.
Purpose:
Imatinib mesylate (Imatinib), clinically employed for chronic myeloid leukemia and gastrointestinal stromal tumors, is a selective inhibitor of the tyrosine kinases, c-abl, c-kit and PDGFRs. Due to the frequent expression of these genes in breast cancer cells, the clinical efficacy of Imatinib has recently been investigated in patients with advanced and metastatic breast cancer. Here, we have studied the effects of Imatinib on human MA-11 breast carcinoma cells, expressing both c-abl and PDGFRbeta, in vitro and in mouse xenografts.
Methods:
The effects of Imatinib mesylate on the human MA-11 breast carcinoma cell line were studied in vitro and in xenografts.
Results:
Daily intraperitoneal treatment with 60 mg/kg Imatinib for 9 days of athymic nude mice pre-implanted subcutaneously with MA-11 cells did not result in an anti-tumor effect, but rather increased the take rate of 3 × 10(4) cells from 30.8 to 84.6% and caused the appearance of large abdominal masses in 30% of mice. To investigate the mechanism(s) of the observed effects of Imatinib on MA-11 tumors, we exposed the cells in vitro to Imatinib for 9 days. The surviving population, expanded in culture, showed increased motility and over-expressed a set of genes associated with aggressive behavior. Also, several genes belonging to the Wnt and the MAPK pathway were differentially expressed. In promoter activation assays, Imatinib increased the promoter activity driven by both Wnt and MAPK/ERK-1/2.
Conclusions:
Our data suggest caution in the clinical use of Imatinib in breast cancer patients; the comparison of Imatinib-surviving breast cancer cells with parental cells may help define the regulatory pathways involved in the increased malignancy of residual tumor cells that survive therapy, ultimately providing important therapeutic targets.
Insights
Imatinib treatment paradoxically increased breast cancer aggressiveness in mice and cell cultures. Surviving cells showed enhanced motility and gene expression linked to malignancy, suggesting caution for clinical use.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Imatinib mesylate (Imatinib) is a tyrosine kinase inhibitor used for chronic myeloid leukemia and gastrointestinal stromal tumors.
- Its efficacy in advanced and metastatic breast cancer is under investigation due to c-abl, c-kit, and PDGFR expression in breast cancer cells.
Purpose of the Study:
- To investigate the effects of Imatinib on human MA-11 breast carcinoma cells.
- To evaluate Imatinib's impact in vitro and in mouse xenografts.
Main Methods:
- MA-11 breast carcinoma cells were treated with Imatinib in vitro and in mouse xenografts.
- Effects on tumor growth, cell survival, motility, and gene expression were analyzed.
Main Results:
- In vivo, Imatinib did not inhibit tumor growth but increased tumor take rate and abdominal mass formation.
- In vitro, surviving MA-11 cells exhibited increased motility and over-expressed aggressive behavior-associated genes.
- Differential gene expression in Wnt and MAPK pathways and increased promoter activity were observed.
Conclusions:
- Imatinib treatment may enhance malignancy in residual breast cancer cells.
- Caution is advised for the clinical use of Imatinib in breast cancer.
- Identifying regulatory pathways in surviving cells could reveal therapeutic targets.
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