3130 Background: Enhanced and altered signaling at tyrosinkinase receptors (TKR) as abl, c-kit and PDGF-R (receptors) influences tumor growth in a number of solid malignancies. The drug Imatinib is able to reduce cell proliferation by blocking these TKR. Expression patterns of TKR and their impact on growth control in ovarian cancer are investigated. Also the potential therapeutic role of Imatinib for ovarian cancer is examined in vitro. Methods:The ovarian cancer cell lines BG-1, HEY, OVCAR 3, OVCAR 8 and SK-OV 3 are screened for abl, c-kit, PDGF-R-α and -β expression by immunohistochemistry and PCR. Cell lines are incubated 3, 5 and 7 days with rising concentrations of single Imatinib, single Paclitaxel and single Paraplatin. Also combinations of Imatinib with Paclitaxel and Imatinib with Paraplatin are used. Finally ovarian cancer cells are incubated with triple combination of Imatinib, Paclitaxel and Paraplatin. After incubation drug sensibility assays (proliferation and apoptosis) are performed. Results:Abl and PDGF-R-β are expressed in all cell lines. PDGF-R-α is deteceted in BG-1, Skov 3, OVCAR 3 and weakly in OVCAR 8. C-kit expression is only detected in Skov-3 and OVCAR 3. High dose Imatinib incubation (>15 μM for 72 h) leads to receptor independent decrease of cell numbers (IC 50) and pro-apoptotic effects in all cell lines. 72 h combinations of low dose Imatinib (≤ 2 μM) with Paraplatin (IC50), as well as triple combination of Imatinib (≤ 2 μM) with Paclitaxel (IC25) and Paraplatin (IC25) show synergistic effects. Imatinib (≤ 2 μM) in combination with Paclitaxel (IC50) has an additive effect. The chemo-sensitizing effect of low dose Imatinib appears to be mediated by multiple factors, but is enhanced in c-kit positive cell lines (OVCAR 3 and Skov-3). Conclusions: High dose Imatinib leads to unspecific growth inhibition in ovarian cancer cell lines. Additive and even synergistic anti-cancer effects of Imatinib are seen in combination with cytostatic drugs as Paraplatin and Paclitaxel. Further interactions of Imatinib with PDGF-R and c-kit need to be investigated. Additional pre-clinical and clinical studies have to be performed to confirm results in vivo. Author Disclosure Employment or Leadership Consultant or Advisory Stock Ownership Honoraria Research Funding Expert Testimony Other Remuneration Novartis Pharmaceutical, Germany Novartis Novartis
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