Increasing tumor uptake of anticancer drugs with imatinib.

Abstract:

:Solid malignancies often exhibit high interstitial fluid pressure (IFP), which causes poor uptake of anticancer drugs. While there are several mechanisms that regulate IFP in tumors, activation of platelet-derived growth factor receptor, which is expressed in various cell types within the tumor microenvironment, has been observed to play an important role in elevating IFP. In preclinical studies, treatment with imatinib, which inhibits both alpha- and beta-platelet-derived growth factor receptors, as well as KIT, ABL, ARG, and BCR-ABL tyrosine kinases, has been shown to decrease tumor IFP and concomitantly augment uptake of chemotherapeutic drugs, thereby enhancing the efficacy of chemotherapy. This review discusses preclinical studies showing the ability of imatinib to lower IFP and increase drug uptake within solid tumors, as well as the scientific rationale for clinical use of imatinib as combination therapy for chemotherapy.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Pietras K

doi

10.1053/j.seminoncol.2004.03.036

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

18-23

issue

2 Suppl 6

eissn

0093-7754

issn

1532-8708

pii

S0093775404001526

journal_volume

31

pub_type

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