PMID- 24996772 OWN - NLM STAT- MEDLINE DCOM- 20151214 LR - 20220316 IS - 1873-2496 (Electronic) IS - 1078-1439 (Linking) VI - 33 IP - 2 DP - 2015 Feb TI - The tyrosine kinase inhibitor nilotinib has antineoplastic activity in prostate cancer cells but up-regulates the ERK survival signal-Implications for targeted therapies. PG - 72.e1-7 LID - S1078-1439(14)00206-3 [pii] LID - 10.1016/j.urolonc.2014.06.001 [doi] AB - BACKGROUND: Novel therapeutic options beyond hormone ablation and chemotherapy are urgently needed for patients with advanced prostate cancer. Tyrosine kinase inhibitors (TKIs) are an attractive option as advanced prostate cancers show a highly altered phosphotyrosine proteome. However, despite favorable initial clinical results, the combination of the TKI dasatinib with docetaxel did not result in improved patient survival for reasons that are not known in detail. METHODS: The National Cancer Institute-Approved Oncology Drug Set II was used in a phenotypic drug screen to identify novel compounds with antineoplastic activity in prostate cancer cells. Validation experiments were carried out in vitro and in vivo. RESULTS: We identified the TKI nilotinib as a novel compound with antineoplastic activity in hormone-refractory prostate cancer cells. However, further analyses revealed that treatment with nilotinib was associated with a significant up-regulation of the phospho-extracellular-signal-regulated kinases (ERK) survival signal. ERK blockade alone led to a significant antitumoral effect and enhanced the cytotoxicity of nilotinib when used in combination. CONCLUSIONS: Our findings underscore that TKIs, such as nilotinib, have antitumoral activity in prostate cancer cells but that survival signals, such as ERK up-regulation, may mitigate their effectiveness. ERK blockade alone or in combination with TKIs may represent a promising therapeutic strategy in advanced prostate cancer. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Schneider, Meike AU - Schneider M AD - Department of Urology, University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Korzeniewski, Nina AU - Korzeniewski N AD - Molecular Urooncology, Department of Urology, University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Merkle, Konstanze AU - Merkle K AD - Molecular Urooncology, Department of Urology, University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Schuler, Julia AU - Schuler J AD - Oncotest GmbH, Freiburg, Germany. FAU - Grullich, Carsten AU - Grullich C AD - National Center for Tumor Diseases, Heidelberg, Germany. FAU - Hadaschik, Boris AU - Hadaschik B AD - Department of Urology, University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Hohenfellner, Markus AU - Hohenfellner M AD - Department of Urology, University of Heidelberg School of Medicine, Heidelberg, Germany. FAU - Duensing, Stefan AU - Duensing S AD - Department of Urology, University of Heidelberg School of Medicine, Heidelberg, Germany; Molecular Urooncology, Department of Urology, University of Heidelberg School of Medicine, Heidelberg, Germany. Electronic address: stefan.duensing@med.uni-heidelberg.de. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140702 PL - United States TA - Urol Oncol JT - Urologic oncology JID - 9805460 RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyrimidines) RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) RN - F41401512X (nilotinib) SB - IM MH - Animals MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm MH - Extracellular Signal-Regulated MAP Kinases/antagonists & inhibitors/*metabolism MH - Humans MH - MAP Kinase Signaling System/*drug effects MH - Male MH - Mice MH - Mice, Mutant Strains MH - Prostatic Neoplasms/*drug therapy/enzymology/metabolism MH - Protein Kinase Inhibitors/*pharmacology MH - Pyrimidines/*pharmacology MH - Random Allocation MH - Up-Regulation/drug effects MH - Xenograft Model Antitumor Assays OTO - NOTNLM OT - Drug resistance OT - ERK OT - Nilotinib OT - Prostate cancer OT - Translational therapeutics EDAT- 2014/07/06 06:00 MHDA- 2015/12/15 06:00 CRDT- 2014/07/06 06:00 PHST- 2013/12/06 00:00 [received] PHST- 2014/05/08 00:00 [revised] PHST- 2014/06/02 00:00 [accepted] PHST- 2014/07/06 06:00 [entrez] PHST- 2014/07/06 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - S1078-1439(14)00206-3 [pii] AID - 10.1016/j.urolonc.2014.06.001 [doi] PST - ppublish SO - Urol Oncol. 2015 Feb;33(2):72.e1-7. doi: 10.1016/j.urolonc.2014.06.001. Epub 2014 Jul 2.