001     290898
005     20241120141627.0
024 7 _ |a 10.1186/s12943-024-02027-6
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024 7 _ |a pmid:38849845
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024 7 _ |a pmc:PMC11157767
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024 7 _ |a altmetric:164419609
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037 _ _ |a DKFZ-2024-01237
041 _ _ |a English
082 _ _ |a 570
100 1 _ |a Zuckermann, Marc
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245 _ _ |a Capmatinib is an effective treatment for MET-fusion driven pediatric high-grade glioma and synergizes with radiotherapy.
260 _ _ |a London
|c 2024
|b Biomed Central
336 7 _ |a article
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336 7 _ |a Journal Article
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336 7 _ |a ARTICLE
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336 7 _ |a Journal Article
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520 _ _ |a Pediatric-type diffuse high-grade glioma (pHGG) is the most frequent malignant brain tumor in children and can be subclassified into multiple entities. Fusion genes activating the MET receptor tyrosine kinase often occur in infant-type hemispheric glioma (IHG) but also in other pHGG and are associated with devastating morbidity and mortality.To identify new treatment options, we established and characterized two novel orthotopic mouse models harboring distinct MET fusions. These included an immunocompetent, murine allograft model and patient-derived orthotopic xenografts (PDOX) from a MET-fusion IHG patient who failed conventional therapy and targeted therapy with cabozantinib. With these models, we analyzed the efficacy and pharmacokinetic properties of three MET inhibitors, capmatinib, crizotinib and cabozantinib, alone or combined with radiotherapy.Capmatinib showed superior brain pharmacokinetic properties and greater in vitro and in vivo efficacy than cabozantinib or crizotinib in both models. The PDOX models recapitulated the poor efficacy of cabozantinib experienced by the patient. In contrast, capmatinib extended survival and induced long-term progression-free survival when combined with radiotherapy in two complementary mouse models. Capmatinib treatment increased radiation-induced DNA double-strand breaks and delayed their repair.We comprehensively investigated the combination of MET inhibition and radiotherapy as a novel treatment option for MET-driven pHGG. Our seminal preclinical data package includes pharmacokinetic characterization, recapitulation of clinical outcomes, coinciding results from multiple complementing in vivo studies, and insights into molecular mechanism underlying increased efficacy. Taken together, we demonstrate the groundbreaking efficacy of capmatinib and radiation as a highly promising concept for future clinical trials.
536 _ _ |a 312 - Funktionelle und strukturelle Genomforschung (POF4-312)
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650 _ 7 |a Capmatinib
|2 Other
650 _ 7 |a Combination therapy
|2 Other
650 _ 7 |a MET inhibition
|2 Other
650 _ 7 |a Pediatric-type diffuse high-grade glioma
|2 Other
650 _ 7 |a Preclinical trials
|2 Other
650 _ 7 |a Radiosensitization
|2 Other
650 _ 7 |a Proto-Oncogene Proteins c-met
|0 EC 2.7.10.1
|2 NLM Chemicals
650 _ 7 |a capmatinib
|0 TY34L4F9OZ
|2 NLM Chemicals
650 _ 7 |a Benzamides
|2 NLM Chemicals
650 _ 7 |a Oncogene Proteins, Fusion
|2 NLM Chemicals
650 _ 7 |a MET protein, human
|0 EC 2.7.10.1
|2 NLM Chemicals
650 _ 7 |a Protein Kinase Inhibitors
|2 NLM Chemicals
650 _ 7 |a Pyridines
|2 NLM Chemicals
650 _ 7 |a Crizotinib
|0 53AH36668S
|2 NLM Chemicals
650 _ 7 |a Anilides
|2 NLM Chemicals
650 _ 7 |a cabozantinib
|0 1C39JW444G
|2 NLM Chemicals
650 _ 7 |a Imidazoles
|2 NLM Chemicals
650 _ 7 |a Triazines
|2 NLM Chemicals
650 _ 2 |a Animals
|2 MeSH
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Glioma: pathology
|2 MeSH
650 _ 2 |a Glioma: drug therapy
|2 MeSH
650 _ 2 |a Glioma: genetics
|2 MeSH
650 _ 2 |a Glioma: therapy
|2 MeSH
650 _ 2 |a Proto-Oncogene Proteins c-met: antagonists & inhibitors
|2 MeSH
650 _ 2 |a Proto-Oncogene Proteins c-met: genetics
|2 MeSH
650 _ 2 |a Proto-Oncogene Proteins c-met: metabolism
|2 MeSH
650 _ 2 |a Mice
|2 MeSH
650 _ 2 |a Xenograft Model Antitumor Assays
|2 MeSH
650 _ 2 |a Brain Neoplasms: pathology
|2 MeSH
650 _ 2 |a Brain Neoplasms: drug therapy
|2 MeSH
650 _ 2 |a Brain Neoplasms: genetics
|2 MeSH
650 _ 2 |a Brain Neoplasms: radiotherapy
|2 MeSH
650 _ 2 |a Benzamides: pharmacology
|2 MeSH
650 _ 2 |a Benzamides: therapeutic use
|2 MeSH
650 _ 2 |a Cell Line, Tumor
|2 MeSH
650 _ 2 |a Oncogene Proteins, Fusion: genetics
|2 MeSH
650 _ 2 |a Oncogene Proteins, Fusion: metabolism
|2 MeSH
650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Protein Kinase Inhibitors: pharmacology
|2 MeSH
650 _ 2 |a Protein Kinase Inhibitors: therapeutic use
|2 MeSH
650 _ 2 |a Pyridines: pharmacology
|2 MeSH
650 _ 2 |a Pyridines: therapeutic use
|2 MeSH
650 _ 2 |a Crizotinib: pharmacology
|2 MeSH
650 _ 2 |a Crizotinib: therapeutic use
|2 MeSH
650 _ 2 |a Disease Models, Animal
|2 MeSH
650 _ 2 |a Child
|2 MeSH
650 _ 2 |a Neoplasm Grading
|2 MeSH
650 _ 2 |a Anilides: pharmacology
|2 MeSH
650 _ 2 |a Imidazoles
|2 MeSH
650 _ 2 |a Triazines
|2 MeSH
700 1 _ |a He, Chen
|b 1
700 1 _ |a Andrews, Jared
|b 2
700 1 _ |a Bagchi, Aditi
|b 3
700 1 _ |a Sloan-Henry, Roketa
|b 4
700 1 _ |a Bianski, Brandon
|b 5
700 1 _ |a Xie, Jia
|b 6
700 1 _ |a Wang, Yingzhe
|b 7
700 1 _ |a Twarog, Nathaniel
|b 8
700 1 _ |a Onar-Thomas, Arzu
|b 9
700 1 _ |a Ernst, Kati
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700 1 _ |a Yang, Lei
|b 11
700 1 _ |a Li, Yong
|b 12
700 1 _ |a Zhu, Xiaoyan
|b 13
700 1 _ |a Ocasio, Jennifer K
|b 14
700 1 _ |a Budd, Kaitlin M
|b 15
700 1 _ |a Dalton, James
|b 16
700 1 _ |a Li, Xiaoyu
|b 17
700 1 _ |a Chepyala, Divyabharathi
|b 18
700 1 _ |a Zhang, Junyuan
|b 19
700 1 _ |a Xu, Ke
|b 20
700 1 _ |a Hover, Laura
|b 21
700 1 _ |a Roach, Jordan T
|b 22
700 1 _ |a Chan, Kenneth Chun-Ho
|0 P:(DE-HGF)0
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700 1 _ |a Hofmann, Nina
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700 1 _ |a McKinnon, Peter J
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700 1 _ |a Pfister, Stefan
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700 1 _ |a Shelat, Anang A
|b 27
700 1 _ |a Rankovic, Zoran
|b 28
700 1 _ |a Freeman, Burgess B
|b 29
700 1 _ |a Chiang, Jason
|b 30
700 1 _ |a Jones, David
|0 P:(DE-He78)551bb92841f634070997aa168d818492
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|e Last author
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700 1 _ |a Tinkle, Christopher L
|b 32
700 1 _ |a Baker, Suzanne J
|b 33
773 _ _ |a 10.1186/s12943-024-02027-6
|g Vol. 23, no. 1, p. 123
|0 PERI:(DE-600)2091373-4
|n 1
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|t Molecular cancer
|v 23
|y 2024
|x 1476-4598
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