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  • Berglund, ErikKarolinska Institutet (author)

Intracellular concentration of the tyrosine kinase inhibitor imatinib in gastrointestinal stromal tumor cells.

  • Article/chapterEnglish2014

Publisher, publication year, extent ...

  • 2014
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-220136
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-220136URI
  • https://doi.org/10.1097/CAD.0000000000000069DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:128502668URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Gastrointestinal stromal tumor (GIST) is the most common mesenchymal neoplasm in the gastrointestinal tract. In most GISTs, the underlying mechanism is a gain-of-function mutation in the KIT or the PDGFRA gene. Imatinib is a tyrosine kinase inhibitor that specifically blocks the intracellular ATP-binding sites of these receptors. A correlation exists between plasma levels of imatinib and progression-free survival, but it is not known whether the plasma concentration correlates with the intracellular drug concentration. We determined intracellular imatinib levels in two GIST cell lines: the imatinib-sensitive GIST882 and the imatinib-resistant GIST48. After exposing the GIST cells to imatinib, the intracellular concentrations were evaluated using LC-MS (TOF). The concentration of imatinib in clinical samples from three patients was also determined to assess the validity and reliability of the method in the clinical setting. Determination of imatinib uptake fits within detection levels and values are highly reproducible. The GIST48 cells showed significantly lower imatinib uptake compared with GIST882 in therapeutic doses, indicating a possible difference in uptake mechanisms. Furthermore, imatinib accumulated in the tumor tissues and showed intratumoral regional differences. These data show, for the first time, a feasible and reproducible technique to measure intracellular imatinib levels in experimental and clinical settings. The difference in the intracellular imatinib concentration between the cell lines and clinical samples indicates that drug transporters may contribute toward resistance mechanisms in GIST cells. This highlights the importance of further clinical studies to quantify drug transporter expression and measure intracellular imatinib levels in GIST patients.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Ubhayasekera, Sarojini J.K.A.Karolinska Institutet,Uppsala universitet,Analytisk kemi,Science for Life Laboratory, SciLifeLab(Swepub:uu)kumub884 (author)
  • Karlsson, FredrikKarolinska Institutet (author)
  • Akcakaya, PinarKarolinska Institutet (author)
  • Aluthgedara, WarunikaUppsala universitet,Analytisk kemi,Science for Life Laboratory, SciLifeLab(Swepub:uu)waral901 (author)
  • Ahlen, JanEndocrine and Sarcoma Surgery Unit, Department of Molecular Medicine and Surgery, Karolinska Institutet AND Department of Breast and Endocrine Surgery, Karolinska University Hospital (author)
  • Fröbom, RobinKarolinska Institutet (author)
  • Nilsson, Inga-LenaKarolinska Institutet (author)
  • Lui, Weng-OnnKarolinska Institutet (author)
  • Larsson, CatharinaKarolinska Institutet (author)
  • Zedenius, JanKarolinska Institutet (author)
  • Bergquist, JonasUppsala universitet,Analytisk kemi,Science for Life Laboratory, SciLifeLab(Swepub:uu)jbe25356 (author)
  • Bränström, RobertKarolinska Institutet (author)
  • Karolinska InstitutetAnalytisk kemi (creator_code:org_t)

Related titles

  • In:Anti-Cancer Drugs25:4, s. 415-220959-49731473-5741

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