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Publication : Role of macrophage targeting in the antitumor activity of trabectedin.

First Author  Germano G Year  2013
Journal  Cancer Cell Volume  23
Issue  2 Pages  249-62
PubMed ID  23410977 Mgi Jnum  J:194307
Mgi Id  MGI:5473423 Doi  10.1016/j.ccr.2013.01.008
Citation  Germano G, et al. (2013) Role of macrophage targeting in the antitumor activity of trabectedin. Cancer Cell 23(2):249-62
abstractText  There is widespread interest in macrophages as a therapeutic target in cancer. Here, we demonstrate that trabectedin, a recently approved chemotherapeutic agent, induces rapid apoptosis exclusively in mononuclear phagocytes. In four mouse tumor models, trabectedin caused selective depletion of monocytes/macrophages in blood, spleens, and tumors, with an associated reduction of angiogenesis. By using trabectedin-resistant tumor cells and myeloid cell transfer or depletion experiments, we demonstrate that cytotoxicity on mononuclear phagocytes is a key component of its antitumor activity. Monocyte depletion, including tumor-associated macrophages, was observed in treated tumor patients. Trabectedin activates caspase-8-dependent apoptosis; selectivity for monocytes versus neutrophils and lymphocytes is due to differential expression of signaling and decoy TRAIL receptors. This unexpected property may be exploited in different therapeutic strategies.
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