Abstract

Anaplastic thyroid cancer (ATC) is a rare and lethal human malignancy with no known effective therapies in the majority of cases. Despite the use of conventional treatments such as chemotherapy, radiation and surgical resection, this disease remains almost universally fatal. In the present study, we identified the JAK2 inhibitor Lestaurtinib as a potent compound when testing against 13 ATC cell lines. Lestaurtinib demonstrated a potent antiproliferative effect in vitro at nanomolar concentrations. Furthermore, Lestaurtinib impeded cell migration and the ability to form colonies from single cells using scratch-wound and colony formation assays, respectively. Flow cytometry was used for cell cycle analysis following drug treatment and demonstrated arrest at the G2/M phase of the cell cycle, indicative of a cytostatic effect. In vivo studies using the chick chorioallantoic membrane xenograft models demonstrated that treatment with Lestaurtinib resulted in a significant decrease in endpoint tumor volume and vascularity using power Doppler ultrasound imaging. Overall, this study provides evidence that Lestaurtinib is a potent antiproliferative agent with potential antiangiogenic activity that warrants further investigation as a targeted therapy for ATC.

Highlights

  • Thyroid cancer is the most common endocrine malignancy[1]

  • We found Lestaurtinib, a JAK2 inhibitor, to be a highly potent agent across our cell line panel with 11 out 13 cell lines having nanomolar IC50 values

  • As the antiproliferative effects of Lestaurtinib did not appear to result in cell death, we evaluated whether Lestaurtinib induced a cytostatic effect on anaplastic thyroid cancer (ATC) cell lines

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Summary

Introduction

Thyroid cancer is the most common endocrine malignancy[1]. Well-differentiated thyroid cancers make up the majority of thyroid cancers and have an excellent prognosis[2]. Anaplastic thyroid cancer (ATC) is a rare type of undifferentiated thyroid cancer that. Lestaurtinib as a potent inhibitor of ATC makes up approximately 1% of thyroid cancer cases and is arguably the most lethal human malignancy[3,4,5]. Patients diagnosed with ATC typically present with a rapidly expanding neck mass resulting in airway and esophageal obstruction, and distant metastases[6,7]. Despite the aggressive use of chemotherapy, radiation and surgical resection, the outcomes for patients with ATC remain dismal, with a mean survival of only 6 months[6,8]. While there have been studies to date with the aim of understanding the molecular pathogenesis of disease, it is evident that ATC is still very poorly understood[9,10,11]

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