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Updated: May 7, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Cabozantinib inhibits prostate cancer growth and prevents tumor-induced bone lesions
Jinlu Dai1, Honglai Zhang, Andreas Karatsinides
1Authors' Affiliations: Departments of Urology and Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan; and Exelixis Inc., South San Francisco, California.
Purpose:
Cabozantinib, an orally available multityrosine kinase inhibitor with activity against mesenchymal epithelial transition factor (MET) and VEGF receptor 2 (VEGFR2), induces resolution of bone scan lesions in men with castration-resistant prostate cancer bone metastases. The purpose of this study was to determine whether cabozantinib elicited a direct antitumor effect, an indirect effect through modulating bone, or both.
Experimental Design:
Using human prostate cancer xenograft studies in mice, we determined the impact of cabozantinib on tumor growth in soft tissue and bone. In vitro studies with cabozantinib were performed using (i) prostate cancer cell lines to evaluate its impact on cell growth, invasive ability, and MET and (ii) osteoblast cell lines to evaluate its impact on viability and differentiation and VEGFR2.
Results:
Cabozantinib inhibited progression of multiple prostate cancer cell lines (Ace-1, C4-2B, and LuCaP 35) in bone metastatic and soft tissue murine models of prostate cancer, except for PC-3 prostate cancer cells in which it inhibited only subcutaneous growth. Cabozantinib directly inhibited prostate cancer cell viability and induced apoptosis in vitro and in vivo and inhibited cell invasion in vitro. Cabozantinib had a dose-dependent biphasic effect on osteoblast activity and inhibitory effect on osteoclast production in vitro that was reflected in vivo. It blocked MET and VEGFR2 phosphorylation in prostate cancer cells and osteoblast-like cells, respectively.
Conclusion:
These data indicate that cabozantinib has direct antitumor activity, and that its ability to modulate osteoblast activity may contribute to its antitumor efficacy.
Insights
Cabozantinib, a multityrosine kinase inhibitor, directly targets prostate cancer cells and influences bone cells. This dual action may enhance its effectiveness in treating bone metastases in castration-resistant prostate cancer.
Area of Science:
- Oncology
- Pharmacology
- Bone Biology
Background:
- Castration-resistant prostate cancer (CRPC) with bone metastases presents a significant clinical challenge.
- Cabozantinib is an orally available multityrosine kinase inhibitor targeting MET and VEGFR2.
- Previous studies suggest cabozantinib can resolve bone scan lesions in CRPC patients.
Purpose of the Study:
- To investigate the direct antitumor effects of cabozantinib on prostate cancer.
- To determine if cabozantinib indirectly affects tumors by modulating bone microenvironment.
- To elucidate the combined mechanisms underlying cabozantinib's efficacy in bone metastases.
Main Methods:
- Prostate cancer xenograft models in mice were used to assess cabozantinib's impact on tumor growth in soft tissue and bone.
- In vitro studies evaluated cabozantinib's effects on prostate cancer cell lines (growth, invasion, MET signaling).
- In vitro studies examined cabozantinib's impact on osteoblast viability, differentiation, and VEGFR2 signaling.
Main Results:
- Cabozantinib inhibited the progression of most prostate cancer cell lines in both bone and soft tissue models.
- Direct antitumor effects included inhibition of cell viability, induction of apoptosis, and reduced invasion.
- Cabozantinib demonstrated a dose-dependent biphasic effect on osteoblast activity and inhibited osteoclast production, impacting bone remodeling.
Conclusions:
- Cabozantinib exhibits direct antitumor activity against prostate cancer cells.
- Modulation of osteoblast activity by cabozantinib may contribute to its overall antitumor efficacy.
- The findings support a dual mechanism of action for cabozantinib in treating prostate cancer bone metastases.
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