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Blood, 15 April 2005, Vol. 105, No. 8, pp. 3127-3132.
Prepublished online as a Blood First Edition Paper on January 6, 2005; DOI 10.1182/blood-2004-10-3967.


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Submitted October 14, 2004
Accepted December 26, 2004

Macrophage colony stimulating factor receptor, c-fms, is a novel target of imatinib

Andrea L Dewar*, Antony C Cambareri, Andrew C Zannettino, Bernadette L Miller, Kathleen V Doherty, Timothy P Hughes, and A B Lyons

Division of Haematology, Hanson Institute, Institute of Medical and Veterinary Science, Adelaide, SA, Australia
Australian Red Cross Blood Service, Adelaide, SA, Australia

* Corresponding author; email: andrea.dewar{at}imvs.sa.gov.au.

Imatinib is a tyrosine kinase inhibitor that suppresses the growth of bcr-abl expressing CML progenitor cells by blockade of the ATP-binding site of the kinase domain of bcr-abl. Imatinib also inhibits the c-abl, PDGF receptor, ARG and SCF receptor tyrosine kinases and has been used clinically to inhibit the growth of malignant cells in CML and GIST patients. Although initially considered to have minimal effects of normal hematopoiesis, recent studies show that imatinib also inhibits the growth of some non-malignant hematopoietic cells including monocyte/macrophages. This inhibition could not be attributed to the known activity profile of imatinib. Here, we demonstrate for the first time that imatinib targets the M-CSF receptor, c-fms. Phosphorylation of c-fms was inhibited by therapeutic concentrations of imatinib, and this was not due to downregulation in c-fms expression. Imatinib was also found to inhibit M-CSF-induced proliferation of a cytokine dependent cell line, further supporting the hypothesis that imatinib affects the growth and development of monocyte/macrophages through inhibition of c-fms signalling. Importantly, these results identify an additional biological target to those already defined for imatinib. Imatinib should now be assessed for activity in diseases where c-fms activation is implicated, including breast and ovarian cancer and inflammatory conditions.


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