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Midostaurin (PKC412) inhibits immunoglobulin E‐dependent activation and mediator release in human blood basophils and mast cells
Author(s) -
Krauth M.T.,
Mirkina I.,
Herrmann H.,
Baumgartner C.,
Kneidinger M.,
Valent P.
Publication year - 2009
Publication title -
clinical and experimental allergy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.462
H-Index - 154
eISSN - 1365-2222
pISSN - 0954-7894
DOI - 10.1111/j.1365-2222.2009.03353.x
Subject(s) - midostaurin , systemic mastocytosis , histamine , nilotinib , mast cell , immunoglobulin e , basophil , tyrosine kinase , immunology , medicine , tryptase , pharmacology , cancer research , antibody , leukemia , receptor
Summary Background KIT tyrosine kinase inhibitors (TKI), such as nilotinib or midostaurin (PKC412), are increasingly used in clinical trials to counteract neoplastic cell growth in patients with aggressive mast cell (MC) disorders. However, these patients suffer not only from MC infiltration and consecutive organ damage but also from MC mediator‐related symptoms. Methods We examined the effects of three KIT TKI, imatinib, nilotinib, and midostaurin, on IgE‐dependent mediator release in normal human blood basophils and cultured cord blood cell‐derived MC, and on spontaneous histamine secretion in the MC leukaemia cell line HMC‐1 and the basophil cell line KU812. Results The multi‐kinase inhibitor midostaurin that interacts with KIT and protein kinase C was found to counteract anti‐IgE‐induced mediator release in blood basophils and cultured cord blood cell‐derived MC in all samples examined. By contrast, no effects of imatinib or nilotinib on histamine secretion in basophils or MC were found. The effects of midostaurin on histamine release were dose‐dependent and occurred at pharmacologic concentrations (IC 50 10‐100 n m ). Midostaurin was also found to inhibit the IgE‐dependent up‐regulation of CD63 on cultured cord blood cell‐derived human MC, but did not inhibit IgE‐dependent up‐regulation of CD63 or CD203c in human blood basophils. Conclusion Midostaurin may be a beneficial drug in aggressive systemic mastocytosis not only because of its growth‐inhibitory effects but also because of its additional effects on activation and mediator release in MC and basophils.