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Cancer Therapy: Preclinical |
Authors' Affiliations: 1 Section of Toxicology and Biomedical Sciences, Ente per le Nuove tecnologie l'Energia e l'Ambiente, Research Center Casaccia; 2 La Sapienza University, Department of Pediatrics; 3 Laboratory of Oncology, Bambino Gesù Children's Hospital, Rome, Italy; 4 Royal Liverpool Children's NHS Trust Alder Hey, Department of Oncology, Liverpool, United Kingdom; and 5 School of Reproductive and Developmental Medicine, Division of Child Health, Liverpool University, Liverpool, United Kingdom
Requests for reprints: Giuseppe Raschellà, Section of Toxicology and Biomedical Sciences, ENEA Research Center Casaccia, Via Anguillarese, 301, 00060 Rome, Italy. Phone: 39-0630483172; Fax: 39-0630486559; E-mail: raschella{at}casaccia.enea.it.
Purpose: Signaling through insulin-like growth factor I receptor (IGF-IR) is important for growth and survival of many tumor types. Neuroblastoma is sensitive to IGF.
Experimental Design: We assessed the ability of NVP-AEW541, a recently developed small molecule that selectively inhibits IGF-IR activity, for neuroblastoma growth effects in vitro and in vivo. Our data showed that, in a panel of 10 neuroblastoma cell lines positive for IGF-IR expression, NVP-AEW541 inhibited in vitro proliferation in a submicromolar/micromolar (0.4-6.8) range of concentrations.
Results: As expected, NVP-AEW541 inhibited IGF-IImediated stimulation of IGF-IR and Akt. In addition to growth inhibition, the drug also induced apoptosis in vitro. Oral administration of NVP-AEW541 (50 mg/kg twice daily) inhibited tumor growth of neuroblastoma xenografts in nude mice. Analysis of tumors from the drug-treated animals revealed a marked apoptotic pattern and a decrease in microvascularization compared with controls. Interestingly, quantitative real-time PCR detected both in vitro and in vivo a significant down-regulation of mRNA for vascular endothelial growth factor (VEGF) caused by NVP-AEW541. In addition, in Matrigel-coated chambers and in severe combined immunodeficient mice tail vein injected with neuroblastoma cells, tumor invasiveness was significantly reduced by this agent. Analysis of IGF-IR expression in a series of 43 neuroblastoma primary tumors revealed IGF-IR positivity in 86% of cases.
Conclusions: Taken together, these data indicate that NVP-AEW541 can be considered as a novel promising candidate for treatment of neuroblastoma patients.
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