Impact of Nintedanib and Anti-Angiogenic Agents on Uveal Melanoma Cell Behavior

Vera E Pawlik1, Svenja R Sonntag1, Salvatore Grisanti1

  • 1Department of Ophthalmology, University of Lübeck, Lübeck, Germany.

Abstract

Insights

Nintedanib reduced uveal melanoma (UM) cell metabolic activity without toxicity, unlike other anti-angiogenic drugs. Further research is recommended for nintedanib as a potential therapy for UM.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Uveal melanoma (UM) is a rare primary eye cancer.
  • Anti-angiogenic therapies are crucial in cancer treatment.

Purpose of the Study:

  • To investigate the direct impact of nintedanib, an angiokinase inhibitor, and anti-angiogenic agents (ranibizumab, bevacizumab, aflibercept) on UM cell lines.
  • To evaluate the efficacy of these agents on primary (Mel270) and metastatic (OMM2.5) UM cells.

Main Methods:

  • Cell viability, metabolic activity, and oxidative stress were assessed using MTT, LIVE/DEAD, and ROS assays.
  • Expression of VEGF-A165 and its receptor-2 was analyzed via immunofluorescence.
  • VEGF-A165 secretion was quantified using ELISA.

Main Results:

  • Nintedanib (1 µg/mL) significantly reduced metabolic activity in Mel270 (38%) and OMM2.5 (46%) cells without inducing toxicity.
  • Other tested anti-angiogenic agents did not alter metabolic activity or viability.
  • Nintedanib induced oxidative stress in Mel270 cells but not OMM2.5 cells.

Conclusions:

  • Nintedanib demonstrated a concentration-dependent suppression of UM cell growth.
  • The metastatic OMM2.5 cell line showed insensitivity to nintedanib's pro-oxidant effects.
  • This study highlights nintedanib as a potential therapeutic agent for UM, warranting further investigation for adjuvant therapies.