Lokker Nathalie A, Sullivan Carol M, Hollenbach Stanley J, Israel Mark A, Giese Neill A
Millennium Pharmaceuticals, Inc., South San Francisco, California 94080, USA.
Cancer Res. 2002 Jul 1;62(13):3729-35.
Glioblastoma multiforme, the most common form of malignant brain tumor,is resistant to all forms of therapy and causes death within 9-12 months of diagnosis. Glioblastomas are known to contain numerous genetic and physiological alterations affecting cell survival and proliferation; one of the most common alterations being platelet-derived growth factor (PDGF) autocrine signaling characterized by coexpression of PDGF and its receptor. The PDGF family consists of four members, PDGF-A, -B, -C, and -D, that signal through the alpha and beta PDGF receptor (PDGFR) tyrosine kinases. Numerous studies have demonstrated expression of PDGF-A, PDGF-B, and the PDGFRs in gliomablastomas, but such studies have not been conducted for the newly identified PDGF-C and -D. Therefore, we examined the expression of all PDGF ligands and receptors in 11 glioma cell lines and 5 primary glioblastoma tumor tissues by quantitative reverse transcription-PCR. Expression of PDGF/PDGFR pairs that are known to functionally interact were identified in all of the samples. Interestingly, PDGF-C expression was ubiquitous in brain tumor cells and tissues but was very low or absent in normal adult and fetal brain. PDGF-D was expressed in 10 of 11 brain tumor cell lines and 3 of 5 primary brain tumor samples. As a strategy for blocking PDGFR signaling, CT52923, a potent selective small molecule piperazinyl quinazoline kinase inhibitor of the PDGFR, was identified. In model systems using NIH/3T3 cells, CT52923 blocked PDGF autocrine-mediated phosphorylation of PDGFR, Akt, and mitogen-activated protein kinase (MAPK), while having no effect on v-fms or V12-ras-mediated Akt or extracellular signal-regulated protein kinase (Erk) phosphorylation. More importantly, p.o. administration of CT52923 to nude mice caused a significant 61% reduction (P < 0.006) in tumor growth of NIH/3T3 cells transformed by PDGF, whereas tumor formation by cells expressing v-fms was unaffected. We next characterized PDGF autocrine signaling in five glioblastoma cell lines. In all of the cases, PDGF autocrine signaling was evident because treatment with 1-10 microM CT52923 inhibited PDGFR autophosphorylation when present at a detectable level and blocked downstream Akt and/or Erk phosphorylation. The functional significance of PDGF autocrine signaling in these cells was demonstrated by the fact that the CT52923 inhibited soft agar colony formation, and, when given p.o. to nude mice, it effectively reduced tumor formation by 44% (P < 0.0019) after s.c. injection of C6 glioblastoma cells. This study of glioblastoma cells and primary tissues is the first to implicate PDGF-C and -D in brain tumor formation and confirms the existence of autocrine signaling by PDGF-A and -B. More importantly, treatment with the PDGFR antagonist CT52923 inhibited survival and/or mitogenic pathways in all of the glioblastoma cell lines tested and prevented glioma formation in a nude mouse xenograft model. Together these findings demonstrate the potential therapeutic utility of this class of compounds for the treatment of glioblastoma.
多形性胶质母细胞瘤是恶性脑肿瘤最常见的形式,对所有形式的治疗均具有抗性,在诊断后的9至12个月内会导致死亡。已知胶质母细胞瘤含有众多影响细胞存活和增殖的基因和生理改变;最常见的改变之一是以血小板衍生生长因子(PDGF)自分泌信号传导为特征,其表现为PDGF及其受体的共表达。PDGF家族由四个成员组成,即PDGF - A、-B、-C和-D,它们通过α和β血小板衍生生长因子受体(PDGFR)酪氨酸激酶发出信号。众多研究已证实胶质母细胞瘤中存在PDGF - A、PDGF - B和PDGFR的表达,但尚未对新发现的PDGF - C和-D进行此类研究。因此,我们通过定量逆转录PCR检测了11种胶质瘤细胞系和5个原发性胶质母细胞瘤肿瘤组织中所有PDGF配体和受体的表达。在所有样本中均鉴定出了已知具有功能相互作用的PDGF/PDGFR对的表达。有趣的是,PDGF - C在脑肿瘤细胞和组织中普遍表达,但在正常成人和胎儿脑中表达非常低或不表达。PDGF - D在11种脑肿瘤细胞系中的10种以及5个原发性脑肿瘤样本中的3个中表达。作为阻断PDGFR信号传导的一种策略,鉴定出了CT52923,一种有效的选择性小分子哌嗪基喹唑啉激酶抑制剂,可抑制PDGFR。在使用NIH/3T3细胞的模型系统中,CT52923可阻断PDGF自分泌介导的PDGFR、Akt和丝裂原活化蛋白激酶(MAPK)的磷酸化,而对v - fms或V12 - ras介导的Akt或细胞外信号调节蛋白激酶(Erk)磷酸化没有影响。更重要的是,给裸鼠口服CT52923可使由PDGF转化的NIH/3T3细胞的肿瘤生长显著降低61%(P < 0.006),而表达v - fms的细胞形成肿瘤则不受影响。接下来我们对5种胶质母细胞瘤细胞系中的PDGF自分泌信号传导进行了表征。在所有情况下,PDGF自分泌信号传导均很明显,因为当可检测到PDGFR自磷酸化水平时,用1 - 10 microM的CT52923处理可抑制其自磷酸化,并阻断下游的Akt和/或Erk磷酸化。CT52923抑制软琼脂集落形成,并且当给裸鼠口服时,在皮下注射C6胶质母细胞瘤细胞后可有效减少肿瘤形成44%(P < 0.0019),这一事实证明了这些细胞中PDGF自分泌信号传导的功能意义。这项对胶质母细胞瘤细胞和原发性组织的研究首次表明PDGF - C和-D与脑肿瘤形成有关,并证实了PDGF - A和-B存在自分泌信号传导。更重要的是,用PDGFR拮抗剂CT52923处理可抑制所有测试的胶质母细胞瘤细胞系中的存活和/或促有丝分裂途径,并在裸鼠异种移植模型中预防胶质瘤形成。这些发现共同证明了这类化合物在治疗胶质母细胞瘤方面的潜在治疗效用。