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Experimental Therapeutics |
Neurosurgical Laboratories and Brain Tumor Center, Brigham and Womens Hospital, The Childrens Hospital, and Department of Surgery, Harvard Medical School [T. K., P. R. Z., M. A., P. M. B.], and Department of Microbiology and Molecular Genetics, Harvard Medical School and the Dana-Farber Cancer Institute [J. A. A., P. I., C. D. S.], Boston, Massachusetts 02115, and Novartis Pharma AG, Oncology Research, CH-4002 Basel, Switzerland [T. O., E. B.]
Glioblastoma multiforme is the most common primary human brain tumor, and it is, for all practical purposes, incurable in adult patients. The high mortality rates reflect the fact that glioblastomas are resistant to adjuvant therapies (radiation and chemicals), the mode of action of which is cytotoxic. We show here that an p.o.-active small molecule kinase inhibitor of the 2-phenylaminopyrimidine class may have therapeutic potential for glioblastomas. STI571 inhibits the growth of U343 and U87 human glioblastoma cells that have been injected into the brains of nude mice, but it does not inhibit intracranial growth of ras-transformed cells. Studies on a broad panel of genetically validated human and animal cell lines show that STI571 acts by disruption of the ligand:receptor autocrine loops for platelet-derived growth factor that are a pervasive feature of malignant astrocytoma. The cellular response of glioblastoma cells to STI571 does not appear to involve an apoptotic mechanism.
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