PMID- 11929816 OWN - NLM STAT- MEDLINE DCOM- 20020507 LR - 20221207 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 62 IP - 7 DP - 2002 Apr 1 TI - Blockade of vascular endothelial growth factor receptor and epidermal growth factor receptor signaling for therapy of metastatic human pancreatic cancer. PG - 1996-2003 AB - We determined whether concurrent blockage of vascular endothelial growth factor (VEGF) receptor and epidermal growth factor (EGF) receptor signaling by two novel tyrosine kinase inhibitors, PTK 787 and PKI 166, respectively, can inhibit angiogenesis and, hence, the growth and metastasis of human pancreatic carcinoma in nude mice. Highly metastatic human pancreatic carcinoma L3.6pl cells were injected into the pancreas of nude mice. Seven days later, groups of mice began receiving oral doses of PTK 787 and PKI 166 three times weekly. Some groups of mice also received i.p. injections of gemcitabine twice a week. The mice were necropsied when the control mice became moribund. Treatment with PTK 787 and PKI 166, with gemcitabine alone, or with the combination of PTK 787, PKI 166, and gemcitabine produced 69, 50, and 97% reduction in the volume of pancreatic tumors, respectively. Administration of protein tyrosine kinase inhibitors and gemcitabine also significantly decreased the incidence of lymph node and liver metastasis. The therapeutic efficacy directly correlated with a decrease in circulating proangiogenic molecules (VEGF, interleukin-8), a decrease in microvessel density, a decrease in proliferating cell nuclear antigen staining, and an increase in apoptosis of tumor cells and endothelial cells. Therapies produced by combining gemcitabine with either PKI 166 or PTK 787 were similar to those produced by combining gemcitabine with both PKI 166 and PTK 787. These results suggest that blockade of either epidermal growth factor receptor or VEGF receptor signaling combined with chemotherapy provides an effective approach to the therapy of pancreatic cancer. FAU - Baker, Cheryl H AU - Baker CH AD - Department of Cancer Biology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA. FAU - Solorzano, Carmen C AU - Solorzano CC FAU - Fidler, Isaiah J AU - Fidler IJ LA - eng GR - CA 16672/CA/NCI NIH HHS/United States GR - CA90270/CA/NCI NIH HHS/United States GR - CA93639/CA/NCI NIH HHS/United States GR - R35-CA42107/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Angiogenesis Inhibitors) RN - 0 (Phthalazines) RN - 0 (Pyridines) RN - 0 (Pyrimidines) RN - 0 (Pyrroles) RN - 0 (Receptors, Growth Factor) RN - 0W860991D6 (Deoxycytidine) RN - 5DX9U76296 (vatalanib) RN - 9RIE5HW38P (PKI 166) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (Receptors, Vascular Endothelial Growth Factor) RN - 0 (Gemcitabine) SB - IM MH - Angiogenesis Inhibitors/administration & dosage/pharmacology MH - Animals MH - Antineoplastic Combined Chemotherapy Protocols/*pharmacology MH - Apoptosis/drug effects MH - Cell Division/drug effects MH - Deoxycytidine/administration & dosage/*analogs & derivatives/pharmacology MH - Endothelium, Vascular/drug effects/pathology MH - ErbB Receptors/*antagonists & inhibitors MH - Humans MH - Immunohistochemistry MH - Male MH - Mice MH - Mice, Nude MH - Neoplasm Metastasis MH - Neovascularization, Pathologic/drug therapy/pathology MH - Pancreatic Neoplasms/blood supply/*drug therapy/pathology MH - Phthalazines/administration & dosage/pharmacology MH - *Pyridines MH - Pyrimidines/administration & dosage/pharmacology MH - Pyrroles/administration & dosage/pharmacology MH - Receptor Protein-Tyrosine Kinases/*antagonists & inhibitors/physiology MH - Receptors, Growth Factor/*antagonists & inhibitors/physiology MH - Receptors, Vascular Endothelial Growth Factor MH - Signal Transduction/*drug effects/physiology MH - Xenograft Model Antitumor Assays MH - Gemcitabine EDAT- 2002/04/04 10:00 MHDA- 2002/05/08 10:01 CRDT- 2002/04/04 10:00 PHST- 2002/04/04 10:00 [pubmed] PHST- 2002/05/08 10:01 [medline] PHST- 2002/04/04 10:00 [entrez] PST - ppublish SO - Cancer Res. 2002 Apr 1;62(7):1996-2003.