Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
  • Clinical Research and Public Health
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All ...
  • Videos
    • Conversations with Giants in Medicine
    • Video Abstracts
  • Reviews
    • View all reviews ...
    • Clinical innovation and scientific progress in GLP-1 medicine (Nov 2025)
    • Pancreatic Cancer (Jul 2025)
    • Complement Biology and Therapeutics (May 2025)
    • Evolving insights into MASLD and MASH pathogenesis and treatment (Apr 2025)
    • Microbiome in Health and Disease (Feb 2025)
    • Substance Use Disorders (Oct 2024)
    • Clonal Hematopoiesis (Oct 2024)
    • View all review series ...
  • Viewpoint
  • Collections
    • In-Press Preview
    • Clinical Research and Public Health
    • Research Letters
    • Letters to the Editor
    • Editorials
    • Commentaries
    • Editor's notes
    • Reviews
    • Viewpoints
    • 100th anniversary
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • Reviews
  • Review series
  • Conversations with Giants in Medicine
  • Video Abstracts
  • In-Press Preview
  • Clinical Research and Public Health
  • Research Letters
  • Letters to the Editor
  • Editorials
  • Commentaries
  • Editor's notes
  • Reviews
  • Viewpoints
  • 100th anniversary
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
Novel mode of action of c-kit tyrosine kinase inhibitors leading to NK cell–dependent antitumor effects
Christophe Borg, … , Thomas Tursz, Laurence Zitvogel
Christophe Borg, … , Thomas Tursz, Laurence Zitvogel
Published August 1, 2004
Citation Information: J Clin Invest. 2004;114(3):379-388. https://doi.org/10.1172/JCI21102.
View: Text | PDF
Article Oncology

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

  • Text
  • PDF
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

×

Figure 4

Options: View larger image (or click on image) Download as PowerPoint
Gleevec endowed DCs with NK cell stimulatory capacity. (A) Mouse DCs pre...
Gleevec endowed DCs with NK cell stimulatory capacity. (A) Mouse DCs pretreated with Gleevec exhibited enhanced NK cell stimulatory capacity in vitro. BM-DC+NK coculture supernatants were monitored for IFN-γ secretion. Gleevec alone or FL+Gleevec did not trigger NK cell cytotoxicity or IFN-γ production in the absence of BM-DCs. (B) Gleevec but not tyrphostin (AG957) enhanced the NK stimulatory activity of DCs. Experiments were conducted in triplicate at various DC/NK ratios (1:2, 1:10) in the presence of Gleevec or tyrphostin. (C) IL-12 is not involved in the Gleevec-mediated NK cell activation. Conventions as in A but using IL-12p35 loss-of-function BM-DCs instead of WT BM-DCs. (D) STI-mediated NK cell activation depends on cell-cell contact. BM-DC and NK cell cocultures were separated or not by a trans-well membrane (BM-DC // NK). (E) Long-term exposure to Gleevec enhanced the host CD11c+ DC capacity to activate NK cells. Cell-sorted CD11c+ B220– splenocytes from C57BL/6 mice treated either with H2O or Gleevec for 15–21 days were incubated for 20 hours with NK cells as in A. IFN-γ release was measured. One representative experiment (out of 2) is shown. (F) Human CD34+-derived DCs stimulated with Gleevec also promoted NK cell activation. After coculture of CD34+-derived DCs with purified human NK cells, NK cell cytolytic activity was observed against K562. Means of triplicate wells are represented (standard errors were consistently less than 10% of means). One representative experiment (out of 5) is depicted. Groups were compared by ANOVA using the nonparametric Kruskall-Wallis test (*P < 0.05).

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

Sign up for email alerts