PMID- 24403861 OWN - NLM STAT- MEDLINE DCOM- 20140908 LR - 20220114 IS - 1476-5586 (Electronic) IS - 1522-8002 (Print) IS - 1476-5586 (Linking) VI - 15 IP - 12 DP - 2013 Dec TI - Combining molecular targeted drugs to inhibit both cancer cells and activated stromal cells in gastric cancer. PG - 1391-9 AB - Recent studies have revealed that PDGF plays a role in promoting progressive tumor growth in several cancers, including gastric cancer. Cancer-associated fibroblasts, pericytes, and lymphatic endothelial cells in stroma express high levels of PDGF receptor (PDGF-R); cancer cells and vascular endothelial cells do not. Mammalian target of rapamycin (mTOR) is a serine/threonine kinase that increases the production of proteins that stimulate key cellular processes such as cell growth and proliferation, cell metabolism, and angiogenesis. In the present study, we examined the effects of PDGF-R tyrosine kinase inhibitor (nilotinib) and mTOR inhibitor (everolimus) on tumor stroma in an orthotopic nude mice model of human gastric cancer. Expression of PDGF-B and PDGF-Rbeta mRNAs was associated with stromal volume. Treatment with nilotinib did not suppress tumor growth but significantly decreased stromal reactivity, lymphatic invasion, lymphatic vessel area, and pericyte coverage of tumor microvessels. In contrast, treatment with everolimus decreased tumor growth and microvessel density but not stromal reactivity. Nilotinib and everolimus in combination reduced both the growth rate and stromal reaction. Target molecule-based inhibition of cancer-stromal cell interaction appears promising as an effective antitumor therapy. FAU - Onoyama, Mieko AU - Onoyama M AD - Department of Gastroenterology and Metabolism, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Kitadai, Yasuhiko AU - Kitadai Y AD - Department of Gastroenterology and Metabolism, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Tanaka, Yuichiro AU - Tanaka Y AD - Department of Gastroenterology and Metabolism, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Yuge, Ryo AU - Yuge R AD - Department of Gastroenterology and Metabolism, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Shinagawa, Kei AU - Shinagawa K AD - Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan. FAU - Tanaka, Shinji AU - Tanaka S AD - Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan. FAU - Yasui, Wataru AU - Yasui W AD - Department of Molecular Pathology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Chayama, Kazuaki AU - Chayama K AD - Department of Gastroenterology and Metabolism, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Neoplasia JT - Neoplasia (New York, N.Y.) JID - 100886622 RN - 0 (Proto-Oncogene Proteins c-sis) RN - 0 (Pyrimidines) RN - 9HW64Q8G6G (Everolimus) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.1 (Receptor, Platelet-Derived Growth Factor beta) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - F41401512X (nilotinib) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Adenocarcinoma/*drug therapy/pathology MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology/therapeutic use MH - Cell Line, Tumor MH - Drug Synergism MH - Everolimus MH - Female MH - Gene Expression MH - Humans MH - Mice MH - Mice, Inbred BALB C MH - Mice, Nude MH - Molecular Targeted Therapy MH - Proto-Oncogene Proteins c-sis/genetics/metabolism MH - Pyrimidines/administration & dosage MH - Receptor, Platelet-Derived Growth Factor beta/genetics/metabolism MH - Signal Transduction MH - Sirolimus/administration & dosage/analogs & derivatives MH - Stomach Neoplasms/*drug therapy/pathology MH - Stromal Cells/*drug effects MH - TOR Serine-Threonine Kinases/metabolism MH - Xenograft Model Antitumor Assays PMC - PMC3884530 EDAT- 2014/01/10 06:00 MHDA- 2014/09/10 06:00 PMCR- 2013/12/01 CRDT- 2014/01/10 06:00 PHST- 2013/09/20 00:00 [received] PHST- 2013/09/20 00:00 [revised] PHST- 2013/11/06 00:00 [accepted] PHST- 2014/01/10 06:00 [entrez] PHST- 2014/01/10 06:00 [pubmed] PHST- 2014/09/10 06:00 [medline] PHST- 2013/12/01 00:00 [pmc-release] AID - 131668 [pii] AID - 10.1593/neo.131668 [doi] PST - ppublish SO - Neoplasia. 2013 Dec;15(12):1391-9. doi: 10.1593/neo.131668.