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Blood, 15 March 2008, Vol. 111, No. 6, pp. 3097-3107.
Prepublished online as a Blood First Edition Paper on January 7, 2008; DOI 10.1182/blood-2007-08-104372.


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IMMUNOBIOLOGY

The effects of dasatinib on IgE receptor–dependent activation and histamine release in human basophils

Michael Kneidinger1, Uwe Schmidt2, Uwe Rix3, Karoline V. Gleixner1, Anja Vales1, Christian Baumgartner1, Christian Lupinek4, Margit Weghofer4, Keiryn L. Bennett3, Harald Herrmann1, Alexandra Schebesta2, Wayne R. Thomas5, Susanne Vrtala4, Rudolf Valenta4, Francis Y. Lee6, Wilfried Ellmeier2, Giulio Superti-Furga3, and Peter Valent1

1 Department of Internal Medicine I, Division of Hematology and Hemostaseology, Medical University of Vienna, Vienna, Austria; 2 Institute of Immunology, Center for Physiology and Pathophysiology, Medical University of Vienna, Vienna, Austria; 3 Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria; 4 Division of Immunopathology, Department of Pathophysiology, Center for Physiology and Pathophysiology, Medical University of Vienna, Vienna, Austria; 5 Center for Child Health Research, University of Western Australia, Telethon Institute of Child Health Research, West Perth, Australia; and 6 Oncology Drug Discovery, Bristol-Myers Squibb, Princeton, NJ

Dasatinib is a multitargeted drug that blocks several tyrosine kinases. Apart from its well-known antileukemic activity, the drug has attracted attention because of potential immunosuppressive and anti-inflammatory effects. We report that dasatinib at 1 µM completely blocks anti-IgE–induced histamine release in blood basophils in healthy donors, and allergen-induced release of histamine in sensitized individuals. In addition, dasatinib inhibited Fc{epsilon}RI-mediated release of IL-4 and IgE-mediated up-regulation of CD13, CD63, CD164, and CD203c in basophils. The effects of dasatinib were dose-dependent (IC50: 50-500 nM) and specific for Fc{epsilon}RI activation in that the drug failed to inhibit C5a-induced or Ca-ionophore–induced histamine release. Interestingly, at lower concentrations, dasatinib even promoted Fc{epsilon}RI-dependent histamine release in basophils in allergic subjects. In consecutive studies, dasatinib was found to interact with and block several Fc{epsilon}RI downstream targets in basophils, in-cluding Btk. Correspondingly, Fc{epsilon}RI-mediated histamine secretion in basophils was markedly reduced in Btk knockout mice and in a patient with Btk deficiency. However, the remaining "low-level" mediator secretion in Btk-deficient cells was fully blocked down again by 1 µM dasatinib. Together, these data suggest that dasatinib inhibits Fc{epsilon}RI-mediated activation of basophils through multiple signaling molecules including Btk. Dasatinib may be an interesting agent for immunologic disorders involving Btk-dependent responses or/and Fc{epsilon}RI activation of basophils.


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