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Journal of Clinical Endocrinology & Metabolism, doi:10.1210/jc.2005-1381
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The Journal of Clinical Endocrinology & Metabolism Vol. 91, No. 1 159-168
Copyright © 2006 by The Endocrine Society

Wnt/ß-Catenin Signaling Mediates Antineoplastic Effects of Imatinib Mesylate (Gleevec) in Anaplastic Thyroid Cancer

Annavarapu Srinivas Rao, Natalia Kremenevskaja, Reinhard von Wasielewski, Vladimira Jakubcakova, Shashi Kant, Julia Resch and Georg Brabant

Departments of Gastroenterology, Hepatology, and Endocrinology (A.S.R., N.K., J.R., G.B.) and Pathology (R.v.W.), Institute of Biochemistry (S.K.), Medical School Hannover, and Max-Planck Institute for Experimental Endocrinology (V.J.), D-30625 Hannover, Germany

Address all correspondence and requests for reprints to: Prof. G. Brabant, Department of Gastroenterology, Hepatology, and Endocrinology, Medizinische Hochschule Hannover, Carl-Neuberg Strasse 1, D-30625 Hannover, Germany. E-mail: brabant.georg{at}mh-hannover.de.

Context: Dysregulation of Wnt signaling is a key step in neoplastic thyrocyte proliferation. However, it is unclear whether the selective tyrosine kinase (TK) inhibitor, imatinib mesylate, is linked to the Wnt/ß-catenin cascade and is able to modulate the pathway.

Objective: Conflicting data are reported on the therapeutic effects of imatinib in anaplastic thyroid carcinomas (ATCs), but the molecular mechanism of action is unclear. Here, we further delineated the antitumor effects and the potential efficacy of imatinib in dedifferentiated thyroid carcinomas.

Results: Tissue microarray of histologically proven ATCs (n = 12) demonstrated that six of 12 tumors expressed at least one of the imatinib-sensitive TKs. Similarily, imatinib-sensitive TKs were detected in seven of 10 thyroid cancer cell lines derived from metastatic papillary, follicular, and ATCs. Coimmunoprecipitation in ARO cells demonstrated a direct link between c-abl and ß-catenin. Imatinib (10 µM for 48 h) drastically reduced ß-catenin expression and redistributed it from the nucleus to the cell membrane. It stabilized adherens junctions by increasing ß-catenin/E-cadherin binding and reduced the invasive potential of thyroid cancer. Furthermore, imatinib (10 µM for 48 h) attenuated T cell factor/lymphoid enhancer factor activity, reduced cyclin D1 levels and dose-dependently suppressed thyrocyte proliferation by half without affecting apoptosis.

Conclusion: Our data provide a molecular mechanism for the antitumor activity of imatinib that may help to develop it as a therapeutic option in a subset of ATC patients.







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Copyright © 2006 by The Endocrine Society