Аннотация:Activation of receptor tyrosine kinases is recognized
as a hallmark of cancer. Vascular endothelial growth
factor (VEGF) and its receptor VEGFR are the prominent
players in the induction of tumor neoangiogenesis. Strategies
to inhibit VEGF and VEGFR are under intensive investigation
in preclinical and clinical settings. Regorafenib is a
multikinase inhibitor targeting some VEGFR and other receptor
kinases. Preclinical results led to the FDA approval of
regorafenib for treatment of metastatic colorectal cancer patients.
Effects of this drug in pancreatic ductal adenocarcinoma
(PDAC) have not been investigated yet. Gene expression
was assessed with real-time PCR analysis. In vitro cell viability,
proliferation, apoptosis, necrosis, migration, and invasion
of the PDAC cells were assessed after regorafenib treatment.
Ex vivo anti-tumor effects of regorafenib were investigated in
a spheroid model of PDAC. In vivo anti-tumor effects of the
drug were evaluated in a fertilized chicken egg model. In this
work, we have demonstrated only a marginal anticancer effect
of regorafenib in PDAC in vitro and ex vivo. However, in the
egg model of PDAC, this drug reduced tumor volume.
Besides, regorafenib is capable of modulating the expression
of cancer stem cell (CSC) markers and epithelial-tomesenchymal
transition (EMT) markers on PDAC cells. We
found out that effects of regorafenib on the expression of CSC
and EMT markers are very heterogeneous and depend obviously
on original expression of these markers. We concluded
that regorafenib might be a potential drug for PDAC and it
should be investigated in future clinical trials.