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The ErbB inhibitors trastuzumab and erlotinib inhibit growth of vestibular schwannoma xenografts in nude mice: a preliminary study
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The ErbB inhibitors trastuzumab and erlotinib inhibit growth of vestibular schwannoma xenografts in nude mice: a preliminary study

J Jason Clark, Matthew Provenzano, Henry R Diggelmann, Ningyong Xu, Skylar S Hansen and Marlan R Hansen
Otology & neurotology, Vol.29(6), pp.846-853
09/2008
DOI: 10.1097/MAO.0b013e31817f7398
PMCID: PMC2652856
PMID: 18636037

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Abstract

To analyze the ability of ErbB inhibitors to reduce the growth of vestibular schwannoma (VS) xenografts. Vestibular schwannoma xenografts were established in the interscapular fat pad in nude mice for 4 weeks. Initially, a small cohort of animals was treated with the ErbB2 inhibitor trastuzumab or saline for 2 weeks. Animals also received bromodeoxyuridine injections to label proliferating cells. In a longer-term experiment, animals were randomized to receive trastuzumab, erlotinib (an ErbB kinase inhibitor), or placebo for 12 weeks. Tumor growth was monitored by magnetic resonance imaging during the treatment period. Cell death was analyzed by terminal deoxynucleotidyl transferase-mediated dUTP-biotin end labeling of fragmented DNA. Tumors can be distinguished with T2-weighted magnetic resonance imaging sequences. Trastuzumab significantly reduced the proliferation of VS cells compared with control (p < 0.01) as analyzed by bromodeoxyuridine uptake. Control tumors demonstrated slight growth during the 12-week treatment period. Both trastuzumab and erlotinib significantly reduced the growth of VS xenografts (p < 0.05). Erlotinib, but not trastuzumab, resulted in a significant increase in the percentage of terminal deoxynucleotidyl transferase-mediated dUTP-biotin end labeling of fragmented DNA-positive VS cells (p < 0.01). In this preliminary study, the ErbB inhibitors trastuzumab and erlotinib decreased growth of VS xenografts in nude mice, raising the possibility of using ErbB inhibitors in the management of patients with schwannomas, particularly those with neurofibromatosis Type 2.
Magnetic Resonance Imaging Erlotinib Hydrochloride Neuroma, Acoustic - diagnosis Antibodies, Monoclonal - pharmacology Genes, erbB - drug effects Neuroma, Acoustic - surgery Antibodies, Monoclonal - therapeutic use Antibodies, Monoclonal, Humanized Animals Mice, Nude Protein Kinase Inhibitors - therapeutic use Quinazolines - therapeutic use Fluorescent Antibody Technique Cell Proliferation - drug effects Mice Protein Kinase Inhibitors - pharmacology Cell Death - drug effects Neuroma, Acoustic - drug therapy Quinazolines - pharmacology Trastuzumab

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