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Imatinib mesylate treatment in a dog with gastrointestinal stromal tumors with a c-kit mutation
Authors:Mitsuhiro IRIE  Yoshinori TAKEUCHI  Yuzo OHTAKE  Hitomi SUZUKI  Nao NAGATA  Takuma MIYOSHI  Yumiko KAGAWA  Tetsushi YAMAGAMI
Institution:1)Shikoku Veterinary Medical Center, 3308–5 Ikenobe, Miki-cho, Kita-gun, Kagawa 761–0701, Japan;2)Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1–1–1 Yayoi, Bunkyo-ku, Tokyo 113–8657, Japan;3)North Labo, 8–35 2-chome-kita, Hongo, Shiroishi-ku, Sapporo-shi, Hokkaido 003–0027, Japan
Abstract:A 13-year-old spayed mixed-breed dog was diagnosed with a gastrointestinal stromal tumor (GIST) after histopathological examination of an abdominal mass. Five months after surgical resection of the tumor, we detected the recurrence of GIST with multiple disseminated abdominal lesions. A sequence analysis of cDNA obtained from a biopsy of the recurrent tumors revealed a mutation within exon 9 of the c-kit gene (1523A>T, Asn508Ile), which has been shown to cause ligand-independent phosphorylation of the KIT protein in GISTs and canine mast cell tumors (MCTs). Upon detection of the recurrent tumors, we initiated treatment with imatinib mesylate (10 mg/kg, q 24 hr). After 2 months, the dog achieved complete remission. Our findings indicate that canine GIST, and possibly MCT, may be responsive to molecular-targeted therapy.
Keywords:canine  gastrointestinal stromal tumor  imatinib mesylate
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