The programmed cell death inducing effect of the EGF receptor tyrosine
kinase inhibitor alpha-cyano-3,4-dihydroxycinnamthioamide (AG213) was
investigated in vitro on HT-29 human colon tumor. AG213 at concentrat
ions between 45 to 450 mu M blocks the proliferation of HT-29 cells. M
orphological findings suggest that the selective tyrosine kinase inhib
itor AG213 induces Clarke III type (non-lysosomal vesiculate cytoplasm
ic) programmed cell death; unlike ATP analog nonselective tyrosine kin
ase inhibitors like Genistein which were found to induce apoptosis. Cy
cloheximide and Actinomycin-D reduced the effect of AG213 pointing to
the fact that protein and RNA synthesis are also needed for this form
of cell death. Acid phosphatase activity was found in the Golgi and in
the newly formed intracytoplasmic vacuoles 3 hours after AG213 treatm
ent which disappeared by 6 hours. The induction of Clarke III cell dea
th by tyrosine kinase inhibitors may open a new modality to selective
killing of tumor cells.