Related Experiment Video
Updated: Jun 10, 2026

Molecular and Immunologic Techniques in a Genetically Engineered Mouse Model of Gastrointestinal Stromal Tumor
Published on: May 2, 2022
Motesanib inhibits Kit mutations associated with gastrointestinal stromal tumors
Sean Caenepeel1, Lisa Renshaw-Gegg, Angelo Baher
1Department of Oncology Research, Amgen Inc,, One Amgen Center Drive, Thousand Oaks, CA 91320-1799, USA.
Background:
Activating mutations in Kit receptor tyrosine kinase or the related platelet-derived growth factor receptor (PDGFR) play an important role in the pathogenesis of gastrointestinal stromal tumors (GIST).
Methods:
This study investigated the activity of motesanib, an inhibitor of vascular endothelial growth factor receptors (VEGFR) 1, 2, and 3; PDGFR; and Kit, against primary activating Kit mutants and mutants associated with secondary resistance to imatinib. Single- and double-mutant isoforms of Kit were evaluated for their sensitivity to motesanib or imatinib in autophosphorylation assays and in Ba/F3 cell proliferation assays.
Results:
Motesanib inhibited Kit autophosphorylation in CHO cell lines expressing primary activating mutations in exon 9 (AYins503-504, IC50 = 18 nM) and exon 11 (V560 D, IC50 = 5 nM; Delta552-559, IC50 = 1 nM). Motesanib also demonstrated activity against kinase domain mutations conferring imatinib resistance (V560D/V654A, IC50 = 77 nM; V560D/T670I, IC50 = 277 nM; Y823 D, IC50 = 64 nM) but failed to inhibit the imatinib-resistant D816V mutant (IC50 > 3000 nM). Motesanib suppressed the proliferation of Ba/F3 cells expressing Kit mutants with IC50 values in good agreement with those observed in the autophosphorylation assays.
Conclusions:
In conclusion, our data suggest that motesanib possesses inhibitory activity against primary Kit mutations and some imatinib-resistant secondary mutations.
Insights
Motesanib effectively inhibits primary activating mutations and some imatinib-resistant secondary mutations in Kit, a key driver in gastrointestinal stromal tumors (GIST). This suggests potential for motesanib in treating GIST with specific Kit alterations.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Activating mutations in Kit receptor tyrosine kinase are crucial in gastrointestinal stromal tumor (GIST) pathogenesis.
- Platelet-derived growth factor receptor (PDGFR) also plays a role in GIST development.
Purpose of the Study:
- To investigate the activity of motesanib against primary activating Kit mutants.
- To evaluate motesanib's efficacy against Kit mutants associated with secondary resistance to imatinib.
Main Methods:
- Motesanib's inhibitory activity was tested against various single- and double-mutant Kit isoforms.
- Assays included autophosphorylation inhibition and Ba/F3 cell proliferation assays.
Main Results:
- Motesanib inhibited primary activating Kit mutations in exon 9 and exon 11 with low IC50 values.
- The drug showed activity against some imatinib-resistant Kit mutants but not the D816V mutant.
Conclusions:
- Motesanib demonstrates inhibitory activity against primary Kit mutations.
- The findings suggest motesanib's potential utility against certain imatinib-resistant secondary Kit mutations in GIST.
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