PMID- 18602920 OWN - NLM STAT- MEDLINE DCOM- 20081002 LR - 20220316 IS - 1528-0012 (Electronic) IS - 0016-5085 (Linking) VI - 135 IP - 3 DP - 2008 Sep TI - C-kit inhibition by imatinib mesylate attenuates progenitor cell expansion and inhibits liver tumor formation in mice. PG - 969-79, 979.e1 LID - 10.1053/j.gastro.2008.05.077 [doi] AB - BACKGROUND & AIMS: Numerous studies have linked the proliferation of liver progenitor cells (LPCs) during chronic liver disease to the risk for development of hepatocellular carcinoma. Thus, selective inhibition of LPC growth during preneoplastic injury may prevent or delay the onset of liver cancer. Rats carrying a germ-line mutation in c-kit have an impaired LPC response to liver injury. Therefore, we hypothesized that the c-kit inhibitor imatinib mesylate (IM) would suppress LPC growth and, therefore, may exert antitumorigenic effects in the liver. METHODS: Expression of IM target proteins was examined in chronically injured rodent and human livers. The effect of IM was examined in vitro using LPC lines and in vivo in mice fed a choline-deficient, ethionine-supplemented (CDE) diet. Livers were examined following short-term (up to 1 month) or long-term (up to 14 months) feeding of CDE diet and drug treatments. RESULTS: C-kit was significantly up-regulated in chronic injury and expressed by LPCs. IM was antiproliferative to LPC lines, and knockdown of c-kit reduced this response. IM treatment inhibited the LPCs response and early fibrogenesis induced by a short-term CDE diet. On the longer term, IM treatment reduced the extent of fibrosis and significantly inhibited tumor formation. CONCLUSIONS: Tyrosine kinase inhibitors, such as IM, may be suited for the prevention of hepatocellular carcinoma in the setting of chronic liver injury via antiproliferative effects on c-kit-expressing LPCs. FAU - Knight, Belinda AU - Knight B AD - School of Medicine and Pharmacology, Centre for Medical Research, University of Western Australia, Fremantle, Western Australia, Australia. Belinda.Knight@uwa.edu.au FAU - Tirnitz-Parker, Janina E E AU - Tirnitz-Parker JE FAU - Olynyk, John K AU - Olynyk JK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080603 PL - United States TA - Gastroenterology JT - Gastroenterology JID - 0374630 RN - 0 (Antineoplastic Agents) RN - 0 (Benzamides) RN - 0 (Piperazines) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyrimidines) RN - 8A1O1M485B (Imatinib Mesylate) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-kit) RN - EC 2.7.10.1 (Receptor, Platelet-Derived Growth Factor alpha) RN - EC 2.7.10.2 (Proto-Oncogene Proteins c-abl) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - N91BDP6H0X (Choline) RN - WX1BN24WZT (Ethionine) SB - IM CIN - Gastroenterology. 2008 Sep;135(3):733-5. PMID: 18692053 MH - Animals MH - Antineoplastic Agents/*pharmacology MH - Benzamides MH - Cell Line, Tumor MH - Cell Proliferation/*drug effects MH - Cell Survival/drug effects MH - Choline/administration & dosage MH - Diet MH - Dose-Response Relationship, Drug MH - Ethionine/administration & dosage MH - Hepatitis B, Chronic/metabolism/pathology MH - Hepatocytes/*drug effects/pathology MH - Humans MH - Imatinib Mesylate MH - In Vitro Techniques MH - Liver/drug effects/metabolism MH - Liver Neoplasms, Experimental/metabolism/*pathology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Piperazines/*pharmacology MH - Protein Kinase Inhibitors/*pharmacology MH - Proto-Oncogene Proteins c-abl/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Proto-Oncogene Proteins c-kit/*metabolism MH - Pyrimidines/*pharmacology MH - Receptor, Platelet-Derived Growth Factor alpha/metabolism MH - Stem Cells/*drug effects/pathology EDAT- 2008/07/08 09:00 MHDA- 2008/10/03 09:00 CRDT- 2008/07/08 09:00 PHST- 2007/10/22 00:00 [received] PHST- 2008/05/08 00:00 [revised] PHST- 2008/05/29 00:00 [accepted] PHST- 2008/07/08 09:00 [pubmed] PHST- 2008/10/03 09:00 [medline] PHST- 2008/07/08 09:00 [entrez] AID - S0016-5085(08)00952-9 [pii] AID - 10.1053/j.gastro.2008.05.077 [doi] PST - ppublish SO - Gastroenterology. 2008 Sep;135(3):969-79, 979.e1. doi: 10.1053/j.gastro.2008.05.077. Epub 2008 Jun 3.