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Inhibition of the insulin-like growth factor receptor-1 tyrosine kinase activity as a therapeutic strategy for multiple myeloma, other hematologic malignancies, and solid tumors.

Abstract
Insulin-like growth factors and their receptor (IGF-1R) have been implicated in cancer pathophysiology. We demonstrate that IGF-1R is universally expressed in various hematologic (multiple myeloma, lymphoma, leukemia) and solid tumor (breast, prostate, lung, colon, thyroid, renal, adrenal cancer, retinoblastoma, and sarcoma) cells. Specific IGF-1R inhibition with neutralizing antibody, antagonistic peptide, or the selective kinase inhibitor NVP-ADW742 has in vitro activity against diverse tumor cell types (particularly multiple myeloma), even those resistant to conventional therapies, and triggers pleiotropic antiproliferative/proapoptotic molecular sequelae, delineated by global transcriptional and proteomic profiling. NVP-ADW742 monotherapy or its combination with cytotoxic chemotherapy had significant antitumor activity in an orthotopic xenograft MM model, providing in vivo proof of principle for therapeutic use of selective IGF-1R inhibitors in cancer.
AuthorsConstantine S Mitsiades, Nicholas S Mitsiades, Ciaran J McMullan, Vassiliki Poulaki, Reshma Shringarpure, Masaharu Akiyama, Teru Hideshima, Dharminder Chauhan, Marie Joseph, Towia A Libermann, Carlos García-Echeverría, Mark A Pearson, Francesco Hofmann, Kenneth C Anderson, Andrew L Kung
JournalCancer cell (Cancer Cell) Vol. 5 Issue 3 Pg. 221-30 (Mar 2004) ISSN: 1535-6108 [Print] United States
PMID15050914 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • ADW 742
  • Antineoplastic Agents
  • Enzyme Inhibitors
  • Pyrimidines
  • Pyrroles
  • Vascular Endothelial Growth Factor A
  • Insulin-Like Growth Factor I
  • Receptor, IGF Type 1
Topics
  • Antineoplastic Agents
  • Bone Marrow (metabolism)
  • Enzyme Inhibitors (pharmacology)
  • Flow Cytometry
  • Gene Expression Profiling
  • Hematologic Neoplasms (drug therapy, metabolism)
  • Humans
  • Insulin-Like Growth Factor I (metabolism)
  • Multiple Myeloma
  • Neoplasms (drug therapy, metabolism)
  • Pyrimidines (pharmacology)
  • Pyrroles (pharmacology)
  • Receptor, IGF Type 1 (antagonists & inhibitors, metabolism)
  • Transplantation, Heterologous (pathology)
  • Vascular Endothelial Growth Factor A (metabolism)

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