Vandetanib versus Cabozantinib in Medullary Thyroid Carcinoma: A Focus on Anti-Angiogenic Effects in Zebrafish Model

Silvia Carra1, Germano Gaudenzi2, Alessandra Dicitore2

  • 1Laboratory of Endocrine and Metabolic Research, Istituto Auxologico Italiano, IRCCS, 20095 Cusano Milanino, MI, Italy.

Insights

Vandetanib (VAN) and cabozantinib (CAB) show similar anti-cancer effects in medullary thyroid carcinoma (MTC) cells. However, cabozantinib (CAB) demonstrates stronger anti-angiogenic activity in preclinical models.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Medullary thyroid carcinoma (MTC) is a rare cancer originating from thyroid C cells.
  • Vandetanib (VAN) and cabozantinib (CAB) are approved tyrosine kinase inhibitors for advanced MTC, targeting RET and other kinases.
  • Comparative analysis of VAN and CAB's anti-tumor efficacy is crucial for optimizing treatment strategies.

Purpose of the Study:

  • To compare the in vitro and in vivo anti-tumor activities of VAN and CAB in medullary thyroid carcinoma (MTC).
  • To evaluate the effects of VAN and CAB on MTC cell viability, cell cycle, and apoptosis.
  • To assess the anti-angiogenic potential of VAN and CAB using a zebrafish model.

Main Methods:

  • In vitro: MTT assay for viability, flow cytometry for cell cycle and apoptosis in TT and MZ-CRC-1 MTC cells.
  • In vivo: Zebrafish (Tg(fli1a:EGFP)) model to evaluate anti-angiogenic effects on sub-intestinal vein plexus and tumor xenografts.
  • Dose-dependent analysis of drug effects on angiogenesis.

Main Results:

  • VAN and CAB exhibited comparable inhibition of MTC cell viability and cell cycle progression.
  • Both drugs induced apoptosis, with VAN showing a stronger effect in MZ-CRC-1 cells and CAB in TT cells.
  • Both VAN and CAB demonstrated dose-dependent inhibition of angiogenesis in zebrafish, with CAB showing more potent activity.

Conclusions:

  • VAN and CAB possess similar antiproliferative effects against MTC cells in vitro.
  • Cabozantinib (CAB) exhibits a more significant anti-angiogenic effect compared to Vandetanib (VAN).
  • These findings suggest distinct mechanisms of action and highlight CAB's potent anti-angiogenic properties in MTC treatment contexts.