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Blood, 1 March 2001, Vol. 97, No. 5, pp. 1413-1421
NEOPLASIA
The antiangiogenic protein kinase inhibitors SU5416 and SU6668
inhibit the SCF receptor (c-kit) in a human myeloid leukemia cell
line and in acute myeloid leukemia blasts
Beverly D. Smolich,
Helene
A. Yuen,
Kristina A. West,
Francis J. Giles,
Maher Albitar, and
Julie M. Cherrington
From Sugen, South San Francisco, CA; and the
Departments of Leukemia and Laboratory Medicine, the University of
Texas M. D. Anderson Cancer Center, Houston, TX.
SU5416 and SU6668 are potent antiangiogenic small-molecule
inhibitors of receptor tyrosine kinases, including those of the vascular endothelial growth factor and platelet-derived growth factor
receptor families. The stem cell factor (SCF) receptor, c-kit, is
structurally related to these receptors and, although not expressed on
mature peripheral blood cells, is expressed in leukemic blasts derived
from 60% to 80% of acute myeloid leukemia (AML) patients. The c-kit
kinase inhibitory activity of SU5416 and SU6668 was evaluated in MO7E
cells, a human myeloid leukemia cell line. Tyrosine autophosphorylation
of the receptor, induced by SCF, was inhibited in these cells by SU5416
and SU6668 in a dose-dependent manner (inhibitory concentration of 50%
[IC50] 0.1-1 µM). Inhibition of extracellular
signal-regulated kinase 1/2 (ERK1/2) phosphorylation, a signaling
event downstream of c-kit activation, was also inhibited in a
dose-dependent manner. Both compounds also inhibited SCF-induced
proliferation of MO7E cells (IC50 0.1 µM for SU5416; 0.29 µM for SU6668). Furthermore, both SU5416 and SU6668 induced apoptosis
in a dose- and time-dependent manner as measured by the increase in
activated caspase-3 and the enhanced cleavage of its substrate
poly(ADP-ribose) polymerase. These findings with MO7E cells were
extended to leukemic blasts from c-kit+ patients. In
patient blasts, both SU5416 and SU6668 inhibited SCF-induced
phosphorylation of c-kit and ERK1/2 and induced apoptosis. These
studies indicate that SU5416 and SU6668 inhibit biologic functions of
c-kit in addition to exhibiting antiangiogenic properties and suggest
that the combination of these activities may provide a novel
therapeutic approach for the treatment of AML.

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