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Midostaurin (PKC412) modulates differentiation and maturation of human myeloid dendritic cells.

Abstract
Midostaurin, a tyrosine kinase inhibitor, has been shown efficacy against acute myeloid leukemia and various other malignancies in clinical trials. Prior studies indicate midostaurin affects the function of immune cells such as lymphocytes and macrophages. To understand the effect of midostaurin on human myeloid dendritic cells (DCs), we conducted an ex vivo study using immature DCs differentiated from CD14(+) monocytes and further maturated using lipopolysaccharide. Addition of midostaurin to a culture of starting CD14(+) monocytes markedly and dose-dependently reduced DC recovery. Mature DCs differentiating in the presence of midostaurin had fewer, shorter cell projections than those differentiating in the absence of midostaurin. Changes in morphological features characteristic of apoptotic cells were also evident. Moreover, midostaurin affected DC differentiation and maturation patterns; CD83 expression levels decreased, whereas CD14 and CD80 expressions increased. Additionally, DCs derived in the presence of midostaurin possessed a lower endocytotic capacity and less allostimulatory activity on naive CD4(+)CD45(+)RA(+) T cell proliferation than those derived in its absence, suggesting that midostaurin redirects DC differentiation toward a less mature stage and that this effect is not solely due to its cytotoxicity. Whether this effect underlies immune suppression or tolerance to disease treatments with unwanted immune reactions needs further evaluation.
AuthorsYu-Chuen Huang, Hui-Ru Shieh, Yu-Jen Chen
JournalToxicology in vitro : an international journal published in association with BIBRA (Toxicol In Vitro) Vol. 24 Issue 6 Pg. 1705-10 (Sep 2010) ISSN: 1879-3177 [Electronic] England
PMID20685248 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright 2010 Elsevier Ltd. All rights reserved.
Chemical References
  • Antigens, CD
  • Antineoplastic Agents
  • Biomarkers
  • Lipopolysaccharides
  • Protein Kinase C
  • Staurosporine
  • midostaurin
Topics
  • Antigens, CD (metabolism)
  • Antineoplastic Agents (pharmacology)
  • Apoptosis (drug effects)
  • Biomarkers (metabolism)
  • Bone Marrow Cells (cytology)
  • Cell Differentiation (drug effects)
  • Cell Proliferation (drug effects)
  • Cells, Cultured
  • Dendritic Cells (drug effects, immunology, pathology)
  • Endocytosis (drug effects)
  • Humans
  • Lipopolysaccharides (pharmacology)
  • Protein Kinase C (antagonists & inhibitors)
  • Staurosporine (analogs & derivatives, pharmacology)
  • Transport Vesicles (drug effects)

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