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Nilotinib, an approved leukemia drug, inhibits smoothened signaling in Hedgehog-dependent medulloblastoma.

Kirti Kandhwal Chahal | Jie Li | Irina Kufareva | Milind Parle | Donald L Durden | Robert J Wechsler-Reya | Clark C Chen | Ruben Abagyan
PloS one | 2019

Dysregulation of the seven-transmembrane (7TM) receptor Smoothened (SMO) and other components of the Hedgehog (Hh) signaling pathway contributes to the development of cancers including basal cell carcinoma (BCC) and medulloblastoma (MB). However, SMO-specific antagonists produced mixed results in clinical trials, marked by limited efficacy and high rate of acquired resistance in tumors. Here we discovered that Nilotinib, an approved inhibitor of several kinases, possesses an anti-Hh activity, at clinically achievable concentrations, due to direct binding to SMO and inhibition of SMO signaling. Nilotinib was more efficacious than the SMO-specific antagonist Vismodegib in inhibiting growth of two Hh-dependent MB cell lines. It also reduced tumor growth in subcutaneous MB mouse xenograft model. These results indicate that in addition to its known activity against several tyrosine-kinase-mediated proliferative pathways, Nilotinib is a direct inhibitor of the Hh pathway. The newly discovered extension of Nilotinib's target profile holds promise for the treatment of Hh-dependent cancers.

Pubmed ID: 31539380

Associated grants

  • Agency: NHLBI NIH HHS, United States
    Id: R35 HL135737
  • Agency: NINDS NIH HHS, United States
    Id: R01 NS097649
  • Agency: NIGMS NIH HHS, United States
    Id: R35 GM131881
  • Agency: NIAID NIH HHS, United States
    Id: R01 AI118985
  • Agency: NINDS NIH HHS, United States
    Id: R01 NS102432
  • Agency: NIGMS NIH HHS, United States
    Id: R01 GM117424
  • Agency: NIGMS NIH HHS, United States
    Id: R01 GM071872

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