Preclinical evaluation of Sunitinib as a single agent in the prophylactic setting in a mouse model of bone metastases

<p>Abstract</p> <p>Background</p> <p>A substantial number of breast cancer patients are identified as being at high risk of developing metastatic disease. With increasing number of targeted therapeutics entering clinical trials, chronic administration of these agents ma...

Full description

Bibliographic Details
Main Authors: Schem Christian, Bauerschlag Dirk, Bender Sascha, Lorenzen Ann-Christin, Loermann Daniel, Hamann Sigrid, Rösel Frank, Kalthoff Holger, Glüer Claus C, Jonat Walter, Tiwari Sanjay
Format: Article
Language:English
Published: BMC 2013-01-01
Series:BMC Cancer
Subjects:
Online Access:http://www.biomedcentral.com/1471-2407/13/32
_version_ 1818065536568786944
author Schem Christian
Bauerschlag Dirk
Bender Sascha
Lorenzen Ann-Christin
Loermann Daniel
Hamann Sigrid
Rösel Frank
Kalthoff Holger
Glüer Claus C
Jonat Walter
Tiwari Sanjay
author_facet Schem Christian
Bauerschlag Dirk
Bender Sascha
Lorenzen Ann-Christin
Loermann Daniel
Hamann Sigrid
Rösel Frank
Kalthoff Holger
Glüer Claus C
Jonat Walter
Tiwari Sanjay
author_sort Schem Christian
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>A substantial number of breast cancer patients are identified as being at high risk of developing metastatic disease. With increasing number of targeted therapeutics entering clinical trials, chronic administration of these agents may be a feasible approach for the prevention of metastases within this subgroup of patients. In this preclinical study we examined whether Sunitinib, a multi-tyrosine kinase inhibitor which has anti-angiogenic and anti-resorptive activity, is effective in the prevention of bone metastases.</p> <p>Method</p> <p>Sunitinib was administered daily with the first dose commencing prior to tumor cell inoculation. Intracardiac injection was performed with MDA-MB23 bone-seeking cells, which were stably transfected with DsRed2. In vivo plain radiography and fluorescent imaging (Berthold NightOwl) was used in the analysis of bone metastases. Histomorphometry was used for the quantification of TRAP<sup>+</sup> cells from bone sections and immunohistochemistry was performed using an antibody reactive to CD34 for quantification of microvessel density.</p> <p>Results</p> <p>Preventive dosing administration of Sunitinib does not inhibit colonization of tumor cells to bone or reduce the size of osteolytic lesions. There was a decrease in the number of TRAP<sup>+</sup> cells with Sunitinib treatment but this did not reach significance. Sunitinib inhibited tumor growth as determined by imaging of fluorescent tumor area. Immunohistochemical analyses of microvessel density revealed a concomitant decrease in the number of tumor blood vessels.</p> <p>Conclusions</p> <p>The findings suggest that Sunitinib can be used as a therapeutic agent for the treatment of bone metastases but as a single agent it is not effective in terms of prevention. Therefore a combination approach with other cytostatic drugs should be pursued.</p>
first_indexed 2024-12-10T14:53:27Z
format Article
id doaj.art-5dc09837296c4af295530e8a02a1f60a
institution Directory Open Access Journal
issn 1471-2407
language English
last_indexed 2024-12-10T14:53:27Z
publishDate 2013-01-01
publisher BMC
record_format Article
series BMC Cancer
spelling doaj.art-5dc09837296c4af295530e8a02a1f60a2022-12-22T01:44:22ZengBMCBMC Cancer1471-24072013-01-011313210.1186/1471-2407-13-32Preclinical evaluation of Sunitinib as a single agent in the prophylactic setting in a mouse model of bone metastasesSchem ChristianBauerschlag DirkBender SaschaLorenzen Ann-ChristinLoermann DanielHamann SigridRösel FrankKalthoff HolgerGlüer Claus CJonat WalterTiwari Sanjay<p>Abstract</p> <p>Background</p> <p>A substantial number of breast cancer patients are identified as being at high risk of developing metastatic disease. With increasing number of targeted therapeutics entering clinical trials, chronic administration of these agents may be a feasible approach for the prevention of metastases within this subgroup of patients. In this preclinical study we examined whether Sunitinib, a multi-tyrosine kinase inhibitor which has anti-angiogenic and anti-resorptive activity, is effective in the prevention of bone metastases.</p> <p>Method</p> <p>Sunitinib was administered daily with the first dose commencing prior to tumor cell inoculation. Intracardiac injection was performed with MDA-MB23 bone-seeking cells, which were stably transfected with DsRed2. In vivo plain radiography and fluorescent imaging (Berthold NightOwl) was used in the analysis of bone metastases. Histomorphometry was used for the quantification of TRAP<sup>+</sup> cells from bone sections and immunohistochemistry was performed using an antibody reactive to CD34 for quantification of microvessel density.</p> <p>Results</p> <p>Preventive dosing administration of Sunitinib does not inhibit colonization of tumor cells to bone or reduce the size of osteolytic lesions. There was a decrease in the number of TRAP<sup>+</sup> cells with Sunitinib treatment but this did not reach significance. Sunitinib inhibited tumor growth as determined by imaging of fluorescent tumor area. Immunohistochemical analyses of microvessel density revealed a concomitant decrease in the number of tumor blood vessels.</p> <p>Conclusions</p> <p>The findings suggest that Sunitinib can be used as a therapeutic agent for the treatment of bone metastases but as a single agent it is not effective in terms of prevention. Therefore a combination approach with other cytostatic drugs should be pursued.</p>http://www.biomedcentral.com/1471-2407/13/32SunitinibBone metastasesBreast cancerImaging
spellingShingle Schem Christian
Bauerschlag Dirk
Bender Sascha
Lorenzen Ann-Christin
Loermann Daniel
Hamann Sigrid
Rösel Frank
Kalthoff Holger
Glüer Claus C
Jonat Walter
Tiwari Sanjay
Preclinical evaluation of Sunitinib as a single agent in the prophylactic setting in a mouse model of bone metastases
BMC Cancer
Sunitinib
Bone metastases
Breast cancer
Imaging
title Preclinical evaluation of Sunitinib as a single agent in the prophylactic setting in a mouse model of bone metastases
title_full Preclinical evaluation of Sunitinib as a single agent in the prophylactic setting in a mouse model of bone metastases
title_fullStr Preclinical evaluation of Sunitinib as a single agent in the prophylactic setting in a mouse model of bone metastases
title_full_unstemmed Preclinical evaluation of Sunitinib as a single agent in the prophylactic setting in a mouse model of bone metastases
title_short Preclinical evaluation of Sunitinib as a single agent in the prophylactic setting in a mouse model of bone metastases
title_sort preclinical evaluation of sunitinib as a single agent in the prophylactic setting in a mouse model of bone metastases
topic Sunitinib
Bone metastases
Breast cancer
Imaging
url http://www.biomedcentral.com/1471-2407/13/32
work_keys_str_mv AT schemchristian preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases
AT bauerschlagdirk preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases
AT bendersascha preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases
AT lorenzenannchristin preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases
AT loermanndaniel preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases
AT hamannsigrid preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases
AT roselfrank preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases
AT kalthoffholger preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases
AT gluerclausc preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases
AT jonatwalter preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases
AT tiwarisanjay preclinicalevaluationofsunitinibasasingleagentintheprophylacticsettinginamousemodelofbonemetastases