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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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Submitted August 2, 2007
Accepted December 30, 2007

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

Michael Kneidinger, Uwe Schmidt, Uwe Rix, Karoline V Gleixner, Anja Vales, Christian Baumgartner, Christian Lupinek, Margit Weghofer, Keiryn L Bennett, Harald Herrmann, Alexandra Schebesta, Wayne R Thomas, Susanne Vrtala, Rudolf Valenta, Francis Y. Lee, Wilfried Ellmeier, Giulio Superti-Furga, and Peter Valent*

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

* Corresponding author; email: peter.valent{at}meduniwien.ac.at.

Dasatinib is a novel multi-targeted drug that blocks several tyrosine kinases. Apart from its well-known anti-leukemic activity, the drug has recently attracted attention because of its 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 the IgE-mediated upregulation of CD13, CD63, CD164, and CD203c in human basophils. The effects of dasatinib were dose-dependent (IC50 50-500 nM), and were 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 and upregulation of CD-molecules in basophils in allergic subjects. In consecutive studies, dasatinib was found to interact with and block several Fc{epsilon}RI-downstream-targets in basophils, including Btk. Correspondingly, the Fc{epsilon}RI-mediated histamine-secretion in basophils was markedly reduced in Btk knock-out 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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