Targeting ALK in pediatric RMS does not induce antitumor activity in vivo View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-08

AUTHORS

Monika Wierdl, Lyudmila Tsurkan, Liying Chi, M. Jason Hatfield, Viktor Tollemar, Cori Bradley, Xiang Chen, Chunxu Qu, Philip M. Potter

ABSTRACT

PURPOSE: The anaplastic lymphoma kinase (ALK) has been demonstrated to be a valid clinical target in diseases such as anaplastic large cell lymphoma and non-small cell lung cancer. Recent studies have indicated that ALK is overexpressed in pediatric rhabdomyosarcoma (RMS) and hence we hypothesized that this kinase may be a suitable candidate for therapeutic intervention in this tumor. METHODS: We evaluated the expression of ALK in a panel of pediatric RMS cell lines and patient-derived xenografts (PDX), and sensitivity to ALK inhibitors was assessed both in vitro and in vivo. RESULTS: Essentially, all RMS lines were sensitive to crizotinib, NVP-TAE684 or LDK-378 in vitro, and molecular analyses demonstrated inhibition of RMS cell proliferation following siRNA-mediated reduction of ALK expression. However, in vivo PDX studies using ALK kinase inhibitors demonstrated no antitumor activity when used as single agents or when combined with standard of care therapy (vincristine, actinomycin D and cyclophosphamide). More alarmingly, however, crizotinib actually accelerated the growth of these tumors in vivo. CONCLUSIONS: While ALK appears to be a relevant target in RMS in vitro, targeting this kinase in vivo yields no therapeutic efficacy, warranting extreme caution when considering the use of these agents in pediatric RMS patients. More... »

PAGES

251-263

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00280-018-3615-7

DOI

http://dx.doi.org/10.1007/s00280-018-3615-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1104333422

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29855693


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