Abstract: |
Imatinib mesylate targets mutated KIT oncoproteins in gastrointestinal stromal tumor (GIST) and produces a clinical response in 80% of patients. The mechanism is believed to depend predominantly on the inhibition of KIT-driven signals for tumor-cell survival and proliferation. Using a mouse model of spontaneous GIST, we found that the immune system contributes substantially to the antitumor effects of imatinib. Imatinib therapy activated CD8+ T cells and induced regulatory T cell (T reg cell) apoptosis within the tumor by reducing tumor-cell expression of the immunosuppressive enzyme indoleamine 2,3-dioxygenase (Ido). Concurrent immunotherapy augmented the efficacy of imatinib in mouse GIST. In freshly obtained human GIST specimens, the T cell profile correlated with imatinib sensitivity and IDO expression. Thus, T cells are crucial to the antitumor effects of imatinib in GIST, and concomitant immunotherapy may further improve outcomes in human cancers treated with targeted agents. © 2011 Nature America, Inc. All rights reserved. |
Keywords: |
controlled study; protein expression; unclassified drug; nonhuman; flow cytometry; cd8+ t lymphocyte; cd8-positive t-lymphocytes; animal cell; mouse; animals; mice; gastrointestinal stromal tumor; imatinib; gastrointestinal stromal tumors; proto-oncogene proteins c-kit; cytotoxic t lymphocyte antigen 4 antibody; apoptosis; enzyme inhibition; animal experiment; animal model; pyrimidines; mice, inbred c57bl; blotting, western; gene expression regulation, neoplastic; regulatory t lymphocyte; immunotherapy; drug mechanism; t-lymphocytes, regulatory; reverse transcriptase polymerase chain reaction; microarray analysis; chromatin immunoprecipitation; down regulation; piperazines; indoleamine 2,3 dioxygenase; indoleamine-pyrrole 2,3,-dioxygenase; drug sensitivity; tryptophan; 1 methyl dextro tryptophan; 9d9 antibody; 9h10 antibody
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