New Target for Precision Medicine Treatment of Giant-Cell Tumor of Bone: Sunitinib Is Effective in the Treatment of Neoplastic Stromal Cells with Activated PDGFRβ Signaling

Giant-cell tumor of bone (GCTB) is an intermediate type of primary bone tumor characterized by locally aggressive growth with metastatic potential. The aim of this study was to identify new druggable targets among the cell signaling molecules involved in GCTB tumorigenesis. Profiles of activated sig...

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Main Authors: Michal Mahdal, Jakub Neradil, Peter Mudry, Silvia Paukovcekova, Iva Staniczkova Zambo, Jiri Urban, Peter Macsek, Lukas Pazourek, Tomas Tomas, Renata Veselska
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/14/3543
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author Michal Mahdal
Jakub Neradil
Peter Mudry
Silvia Paukovcekova
Iva Staniczkova Zambo
Jiri Urban
Peter Macsek
Lukas Pazourek
Tomas Tomas
Renata Veselska
author_facet Michal Mahdal
Jakub Neradil
Peter Mudry
Silvia Paukovcekova
Iva Staniczkova Zambo
Jiri Urban
Peter Macsek
Lukas Pazourek
Tomas Tomas
Renata Veselska
author_sort Michal Mahdal
collection DOAJ
description Giant-cell tumor of bone (GCTB) is an intermediate type of primary bone tumor characterized by locally aggressive growth with metastatic potential. The aim of this study was to identify new druggable targets among the cell signaling molecules involved in GCTB tumorigenesis. Profiles of activated signaling proteins in fresh-frozen tumor samples and tumor-derived cell lines were determined using phosphoprotein arrays. Analysis of the obtained data revealed epidermal growth factor receptor (EGFR) and platelet-derived growth factor receptor beta (PDGFRβ) as potential targets, but only the PDGFR inhibitor sunitinib caused a considerable decrease in stromal cell viability <i>in vitro</i>. Furthermore, in the case of a 17-year-old patient suffering from GCTB, we showed that the addition of sunitinib to the standard treatment of GCTB with the monoclonal antibody denosumab resulted in the complete depletion of multinucleated giant cells and mononuclear stromal cells in the tumor tissue. To summarize, the obtained data showed that a specific receptor tyrosine kinase (RTK) signaling pattern is activated in GCTB cells and plays an important role in the regulation of cell proliferation. Thus, activated RTKs and their downstream signaling pathways represent useful targets for precision treatment with low-molecular-weight inhibitors or with other types of modern biological therapy.
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spelling doaj.art-0359ddf0f0ab42c5a01569643702929b2023-11-22T03:25:04ZengMDPI AGCancers2072-66942021-07-011314354310.3390/cancers13143543New Target for Precision Medicine Treatment of Giant-Cell Tumor of Bone: Sunitinib Is Effective in the Treatment of Neoplastic Stromal Cells with Activated PDGFRβ SignalingMichal Mahdal0Jakub Neradil1Peter Mudry2Silvia Paukovcekova3Iva Staniczkova Zambo4Jiri Urban5Peter Macsek6Lukas Pazourek7Tomas Tomas8Renata Veselska9First Department of Orthopedic Surgery, St. Anne’s University Hospital and Faculty of Medicine, Masaryk University, 65691 Brno, Czech RepublicLaboratory of Tumor Biology, Department of Experimental Biology, Faculty of Science, Masaryk University, 61137 Brno, Czech RepublicInternational Clinical Research Center, St. Anne’s University Hospital, 65691 Brno, Czech RepublicLaboratory of Tumor Biology, Department of Experimental Biology, Faculty of Science, Masaryk University, 61137 Brno, Czech RepublicInternational Clinical Research Center, St. Anne’s University Hospital, 65691 Brno, Czech RepublicDepartment of Chemistry, Faculty of Science, Masaryk University, 61137 Brno, Czech RepublicLaboratory of Tumor Biology, Department of Experimental Biology, Faculty of Science, Masaryk University, 61137 Brno, Czech RepublicFirst Department of Orthopedic Surgery, St. Anne’s University Hospital and Faculty of Medicine, Masaryk University, 65691 Brno, Czech RepublicFirst Department of Orthopedic Surgery, St. Anne’s University Hospital and Faculty of Medicine, Masaryk University, 65691 Brno, Czech RepublicLaboratory of Tumor Biology, Department of Experimental Biology, Faculty of Science, Masaryk University, 61137 Brno, Czech RepublicGiant-cell tumor of bone (GCTB) is an intermediate type of primary bone tumor characterized by locally aggressive growth with metastatic potential. The aim of this study was to identify new druggable targets among the cell signaling molecules involved in GCTB tumorigenesis. Profiles of activated signaling proteins in fresh-frozen tumor samples and tumor-derived cell lines were determined using phosphoprotein arrays. Analysis of the obtained data revealed epidermal growth factor receptor (EGFR) and platelet-derived growth factor receptor beta (PDGFRβ) as potential targets, but only the PDGFR inhibitor sunitinib caused a considerable decrease in stromal cell viability <i>in vitro</i>. Furthermore, in the case of a 17-year-old patient suffering from GCTB, we showed that the addition of sunitinib to the standard treatment of GCTB with the monoclonal antibody denosumab resulted in the complete depletion of multinucleated giant cells and mononuclear stromal cells in the tumor tissue. To summarize, the obtained data showed that a specific receptor tyrosine kinase (RTK) signaling pattern is activated in GCTB cells and plays an important role in the regulation of cell proliferation. Thus, activated RTKs and their downstream signaling pathways represent useful targets for precision treatment with low-molecular-weight inhibitors or with other types of modern biological therapy.https://www.mdpi.com/2072-6694/13/14/3543giant-cell tumor of bonetargeted treatmentsunitinibPDGFR betadenosumabsignaling
spellingShingle Michal Mahdal
Jakub Neradil
Peter Mudry
Silvia Paukovcekova
Iva Staniczkova Zambo
Jiri Urban
Peter Macsek
Lukas Pazourek
Tomas Tomas
Renata Veselska
New Target for Precision Medicine Treatment of Giant-Cell Tumor of Bone: Sunitinib Is Effective in the Treatment of Neoplastic Stromal Cells with Activated PDGFRβ Signaling
Cancers
giant-cell tumor of bone
targeted treatment
sunitinib
PDGFR beta
denosumab
signaling
title New Target for Precision Medicine Treatment of Giant-Cell Tumor of Bone: Sunitinib Is Effective in the Treatment of Neoplastic Stromal Cells with Activated PDGFRβ Signaling
title_full New Target for Precision Medicine Treatment of Giant-Cell Tumor of Bone: Sunitinib Is Effective in the Treatment of Neoplastic Stromal Cells with Activated PDGFRβ Signaling
title_fullStr New Target for Precision Medicine Treatment of Giant-Cell Tumor of Bone: Sunitinib Is Effective in the Treatment of Neoplastic Stromal Cells with Activated PDGFRβ Signaling
title_full_unstemmed New Target for Precision Medicine Treatment of Giant-Cell Tumor of Bone: Sunitinib Is Effective in the Treatment of Neoplastic Stromal Cells with Activated PDGFRβ Signaling
title_short New Target for Precision Medicine Treatment of Giant-Cell Tumor of Bone: Sunitinib Is Effective in the Treatment of Neoplastic Stromal Cells with Activated PDGFRβ Signaling
title_sort new target for precision medicine treatment of giant cell tumor of bone sunitinib is effective in the treatment of neoplastic stromal cells with activated pdgfrβ signaling
topic giant-cell tumor of bone
targeted treatment
sunitinib
PDGFR beta
denosumab
signaling
url https://www.mdpi.com/2072-6694/13/14/3543
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