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Improved tumor vascular function following high‐dose epidermal growth factor receptor tyrosine kinase inhibitor therapy
Author(s) -
Moasser Mark M.,
Wilmes Lisa J.,
Wong Ching Hang,
Aliu Sheye,
Li KaLoh,
Wang Donghui,
Hom Yun Kit,
Hann Byron,
Hylton Nola M.
Publication year - 2007
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.21196
Subject(s) - gefitinib , cancer research , vascular endothelial growth factor , epidermal growth factor receptor , vascular permeability , tyrosine kinase inhibitor , medicine , tumor microenvironment , egfr inhibitors , receptor tyrosine kinase , in vivo , cancer , pharmacology , pathology , biology , receptor , vegf receptors , microbiology and biotechnology
Abstract Purpose To determine if inhibitors of the human growth factor receptor (HER) family can be used to enhance tumor vascular permeability and perfusion and optimize the efficacy of cytotoxic chemotherapeutics. Poor tumor vascular function limits the delivery and efficacy of cancer chemotherapeutics and HER family tyrosine kinases mediate tumor‐endothelial signaling in both of these compartments. Materials and Methods BT474 human breast cancer tumors were established in mice and the biologic effects of the HER tyrosine kinase inhibitor (TKI) gefitinib on tumor vascular function was determined by dynamic contrast‐enhanced MRI (DCE‐MRI), and on tumor vascular architecture and perfusion by immunofluorescence microscopy. Results A brief dose of gefitinib enhances the antitumor activity of paclitaxel in vivo but not in cell culture, suggesting that its chemoenhancing activity involves the in vivo microenvironment. A brief high dose of gefitinib induces a decrease in endothelial transfer constant (Kps) and a concomitant increase in tumor fractional plasma volume (fPV). These changes are accompanied by a rapid reduction in tumor volume, likely due to decreased tumor edema, and modestly improved tumor vascular architecture and perfusion on microscopy. Conclusion These data suggest that HER family TKIs have the potential to optimize the tumor microenvironment for delivery of cytotoxic chemotherapeutics. J. Magn. Reson. Imaging 2007. © 2007 Wiley‐Liss, Inc.