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Novel mode of action of c-kit tyrosine kinase inhibitors leading to NK cell–dependent antitumor effects
Christophe Borg, Magali Terme, Julien Taïeb, Cédric Ménard, Caroline Flament, Caroline Robert, Koji Maruyama, Hiro Wakasugi, Eric Angevin, Kris Thielemans, Axel Le Cesne, Véronique Chung-Scott, Vladimir Lazar, Isabelle Tchou, Florent Crépineau, François Lemoine, Jacky Bernard, Jonhantan A. Fletcher, Ali Turhan, Jean-Yves Blay, Alain Spatz, Jean-François Emile, Michael C. Heinrich, Salah Mécheri, Thomas Tursz, Laurence Zitvogel
Christophe Borg, Magali Terme, Julien Taïeb, Cédric Ménard, Caroline Flament, Caroline Robert, Koji Maruyama, Hiro Wakasugi, Eric Angevin, Kris Thielemans, Axel Le Cesne, Véronique Chung-Scott, Vladimir Lazar, Isabelle Tchou, Florent Crépineau, François Lemoine, Jacky Bernard, Jonhantan A. Fletcher, Ali Turhan, Jean-Yves Blay, Alain Spatz, Jean-François Emile, Michael C. Heinrich, Salah Mécheri, Thomas Tursz, Laurence Zitvogel
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Article Oncology

Novel mode of action of c-kit tyrosine kinase inhibitors leading to NK cell–dependent antitumor effects

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Abstract

Mutant isoforms of the KIT or PDGF receptors expressed by gastrointestinal stromal tumors (GISTs) are considered the therapeutic targets for STI571 (imatinib mesylate; Gleevec), a specific inhibitor of these tyrosine kinase receptors. Case reports of clinical efficacy of Gleevec in GISTs lacking the typical receptor mutations prompted a search for an alternate mode of action. Here we show that Gleevec can act on host DCs to promote NK cell activation. DC-mediated NK cell activation was triggered in vitro and in vivo by treatment of DCs with Gleevec as well as by a loss-of-function mutation of KIT. Therefore, tumors that are refractory to the antiproliferative effects of Gleevec in vitro responded to Gleevec in vivo in an NK cell–dependent manner. Longitudinal studies of Gleevec-treated GIST patients revealed a therapy-induced increase in IFN-γ production by NK cells, correlating with an enhanced antitumor response. These data point to a novel mode of antitumor action for Gleevec.

Authors

Christophe Borg, Magali Terme, Julien Taïeb, Cédric Ménard, Caroline Flament, Caroline Robert, Koji Maruyama, Hiro Wakasugi, Eric Angevin, Kris Thielemans, Axel Le Cesne, Véronique Chung-Scott, Vladimir Lazar, Isabelle Tchou, Florent Crépineau, François Lemoine, Jacky Bernard, Jonhantan A. Fletcher, Ali Turhan, Jean-Yves Blay, Alain Spatz, Jean-François Emile, Michael C. Heinrich, Salah Mécheri, Thomas Tursz, Laurence Zitvogel

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Figure 3

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Gleevec alone or combined with FL induced NK cell activation in vivo. (A...
Gleevec alone or combined with FL induced NK cell activation in vivo. (A) Long-term exposure to Gleevec in C57BL/6 mice induced reduction of the splenic T lymphocyte counts but selectively maintained the NK cell subset. After red blood cell removal and an adherence step, splenocytes were enumerated after 15-–21 days of oral feeding with Gleevec (150 mg/kg bid) or H2O (200 μl) and analyzed by flow cytometry using anti-CD3 and anti-NK1.1 mAb’s. The absolute numbers of CD3+/NK1.1– T cells and CD3–/NK1.1+ NK cells were deduced from the percentages obtained in 2 independent experiments and are indicated in the boxes (B). T lymphocytes were not activated during Gleevec oral feeding. In the CD3+/NK1.1– T cell gate, the CD69 expression is shown. (C) NK lymphocytes were activated during therapy with Gleevec. In the CD3–/NK1.1+ NK cell gate, the CD69 expression is shown. Swissnu/nu mice (D) and C57BL/6 littermates (E) were injected intraperitonealy with 10 μg of FL or 100 μl of PBS each day for 10 days. From day 7 to day 10, mice received either Gleevec (150 mg/kg bid) or H2O (200 μl). At day 11, all mice were sacrificed to analyze the expression of the NK activation marker CD69 on NK1.1+ or DX5+/CD3– splenocytes. Positive controls included mice treated with rhuIL-2 (1 × 105 IU intraperitoneally, bid for 4 days). Groups were compared by analysis of variance (ANOVA) using the nonparametric Kruskall-Wallis test. *P < 0.05 as compared to PBS. #P < 0.05 as compared to Gleevec. P < 0.05 as compared to FL.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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