Therapeutic Efficacy of Sunitinib in NMU-Induced Mammary Carcinogenesis in Rats
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Keywords

Breast cancer; Sunitinib; NMU-induced model; Mammary tumours; Angiogenesis inhibition; Tyrosine kinase inhibitor; Sprague–Dawley rats

Categories

Abstract

Breast cancer remains one of the leading causes of cancer-related morbidity and mortality worldwide, necessitating the development of effective therapeutic strategies. This study aimed to evaluate the antitumour efficacy of sunitinib in an N-methyl-N-nitrosourea (NMU)-induced rat model of mammary carcinogenesis.

Eighteen female Sprague–Dawley rats were administered NMU (70 mg/kg, intraperitoneally) to induce mammary tumours. Tumour development was monitored through palpation and caliper measurements. Upon reaching a mean tumour size of 14 ± 0.5 mm, animals received intralesional sunitinib treatment, while control animals received normal saline. Tumour size, incidence, body weight, and histopathological changes were evaluated.

NMU successfully induced mammary tumours in 94.44% of rats, with a mean tumour multiplicity of 1.67 ± 0.91 tumours per animal. Sunitinib treatment resulted in a reduction in tumour diameter from 15.13 ± 1.33 mm to 12.98 ± 2.48 mm, whereas tumour growth increased in the control group. No significant differences in body weight were observed between groups (P > 0.05), indicating minimal systemic toxicity. Histological analysis revealed predominantly cribriform carcinomas, with no major alterations in tumour architecture following treatment.

In conclusion, sunitinib effectively suppresses tumour progression in NMU-induced mammary tumours without inducing significant toxicity, highlighting its potential as a targeted anti-angiogenic therapy for breast cancer. Further studies are warranted to explore its molecular mechanisms and long-term therapeutic efficacy.

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References

1. Argyros, O., T. Karampelas, A. Varela, et al. “Targeting of the Breast Cancer Microenvironment with a Potent and Linkable Oxindole Based Antiangiogenic Small Molecule.” Oncotarget 8, no. 23 (2017): 37250–62. https://doi.org/10.18632/oncotarget.16763.

2. Chinchar, E., K.L. Makey, J. Gibson, et al. “Sunitinib Significantly Suppresses the Proliferation, Migration, Apoptosis Resistance, Tumor Angiogenesis and Growth of Triple-negative Breast Cancers but Increases Breast Cancer Stem Cells.” Vascular Cell 6, no. 1 (2014): 12. https://doi.org/10.1186/2045-824x-6-12.

3. Gal, A. F., L. Stan, F. Tăbăran, D. Rugină, A. F. Cătoi, and S. Andrei. “Chemopreventive Effects of Propolis in the MNU-Induced Rat Mammary Tumor Model.” Oxidative Medicine and Cellular Longevity 2020 (2020): 1–13. https://doi.org/10.1155/2020/4014838.

4. Gao, D., J. Liu, J. Yuan, et al. “Intraductal Administration of N-methyl-N-nitrosourea as a Novel Rodent Mammary Tumor Model.” Annals of Translational Medicine 9, no. 7 (2021): 576. https://doi.org/10.21037/atm-21-1540.

5. Hao, Zhonglin, and Ibrahim Sadek. “Sunitinib: The Antiangiogenic Effects and Beyond.” OncoTargets and Therapy Volume 9 (2016): 5495–5505. https://doi.org/10.2147/ott.s112242.

6. Kim, J., A. Harper, V. McCormack, H. Sung, et al. “Global patterns and trends in breast cancer incidence and mortality across 185 countries.” Nature Medicine 31, no. 4 (2025): 1154–1162. https://doi.org/10.1038/s41591-025-03502-3.

7. Korashy, Hesham M., Z.H. Maayah, F.E. Al Anazi, et al. “Sunitinib Inhibits Breast Cancer Cell Proliferation by Inducing Apoptosis, Cell-cycle Arrest and DNA Repair While Inhibiting NF-ĸB Signaling Pathways.” Anticancer Research 37, no. 9 (2017). https://doi.org/10.21873/anticanres.11899.

8. Liu, C., P. Wu, A. Zhang, and X. Mao. “Advances in Rodent Models for Breast Cancer Formation, Progression, and Therapeutic Testing.” Frontiers in Oncology 11 (2021). https://doi.org/10.3389/fonc.2021.593337.

9. Liu, Y., T. Yin, Y. Feng, et al. “Mammalian Models of Chemically Induced Primary Malignancies Exploitable for Imaging-based Preclinical Theragnostic Research.” Quantitative Imaging in Medicine and Surgery 5, no. 5 (2015): 708–29. https://doi.org/10.3978/j.issn.2223-4292.2015.06.01.

10. Murray, T.J., A.A. Ucci, M.V. Maffini, C. Sonnenschein, and A.M. Soto. “Histological Analysis of Low Dose NMU Effects in the Rat Mammary Gland.” BMC Cancer 9, no. 1 (2009). https://doi.org/10.1186/1471-2407-9-267.

11. Nicotra, R., C. Lutz, H.A. Messal, and J. Jonkers. “Rat Models of Hormone Receptor-Positive Breast Cancer.” Journal of Mammary Gland Biology and Neoplasia 29, no. 1 (2024). https://doi.org/10.1007/s10911-024-09566-0.

12. Perše, M., A. Cerar, R. Injac, and B. Štrukelj. “N-methylnitrosourea Induced Breast Cancer in Rat, the Histopathology of the Resulting Tumours and Its Drawbacks as a Model.” Pathology & Oncology Research 15, no. 1 (2008): 115–21. https://doi.org/10.1007/s12253-008-9117-x.

13. Qian, Y., and F. Yi. “Rivaroxaban Ameliorates Sunitinib‐Induced Injury of Cardiomyocytes via Repressing MAPK Signaling Pathway.” Cardiovascular Therapeutics 2025, no. 1 (2025). https://doi.org/10.1155/cdr/2208110.

14. Sewduth, R.N., and K. Georgelou. “Relevance of Carcinogen-Induced Preclinical Cancer Models.” Journal of Xenobiotics 14, no. 1 (2024): 96–109. https://doi.org/10.3390/jox14010006.

15. Sharma, N.N., N.A. Negi, N.D. Kashyap, N.A. Bal, and N.S. Bhattacharyya. “Biochemical and Histopathological Evaluation of an in Vivo Model of Breast Cancer.” GSC Biological and Pharmaceutical Sciences 16, no. 1 (2021): 202–10. https://doi.org/10.30574/gscbps.2021.16.1.0193.

16. Silva, J., A.I. Faustino-Rocha, J.A. Duarte, and P.A. Oliveira. “Realistic aspects behind the application of the rat model of chemically-induced mammary cancer: Practical guidelines to obtain the best results.” Veterinary World 16, no. 6 (2023): 1222–1230. https://doi.org/10.14202/vetworld.2023.1222-1230.

17. Silva, J., P.A. Oliveira, J.A. Duarte, and A.I. Faustino-Rocha. “Mammary Cancer Models: An Overview From the Past to the Future.” In Vivo 39, no. 1 (2024): 1–16. https://doi.org/10.21873/invivo.13800.

18. Tsubura, A., Y.C. Lai, H. Miki, et al. “Animal Models of N-Methyl-N-nitrosourea-induced Mammary Cancer and Retinal Degeneration with Special Emphasis on Therapeutic Trials.” In Vivo 25 (2011): 11–22.

19. Wang, D., F. Xiao, Z. Feng, et al. “Sunitinib Facilitates Metastatic Breast Cancer Spreading by Inducing Endothelial Cell Senescence.” Breast Cancer Research 22, no. 1 (2020). https://doi.org/10.1186/s13058-020-01346-y.

20. World Health Organization. “Breast cancer.” (2024).

21. Xin, H., C. Zhang, A. Herrmann, Y. Du, R. Figlin, and H. Yu. “Sunitinib Inhibition of Stat3 Induces Renal Cell Carcinoma Tumor Cell Apoptosis and Reduces Immunosuppressive Cells.” Cancer Research 69, no. 6 (2009): 2506–13. https://doi.org/10.1158/0008-5472.can-08-4323.

22. Yankuzo, H. Muhammad, S.T.S. Emilia, R. Shaari, and N.S. Yaacob. “Correlation of Tumour Response With Starting Tumour Size and Dose of Tamoxifen in an N-Methyl-N-Nitrosourea (NMU)-Induced Rat Mammary Cancer Model.” Asian Pacific Journal of Cancer Prevention 15, no. 16 (2014): 6721–26. https://doi.org/10.7314/apjcp.2014.15.16.6721.

23. Yin, T., S. He, G. Shen, and Y. Wang. “HIF-1 Dimerization Inhibitor Acriflavine Enhances Antitumor Activity of Sunitinib in Breast Cancer Model.” Oncology Research Featuring Preclinical and Clinical Cancer Therapeutics 22, no. 3 (2015): 139–45. https://doi.org/10.3727/096504014x13983417587366.

24. Zoroddu, S., B.D. Lorenzo, P. Paliogiannis, A.A. Mangoni, C. Carru, and A. Zinellu. “Resistin and Omentin in Breast Cancer: A Systematic Review and Meta-analysis.” Clinica Chimica Acta 562 (2024): 119838. https://doi.org/10.1016/j.cca.2024.119838.

25. Zulkefly, A., W.N.W. Azman, J. Omar, N.S.A Mutalib, et al. “Identification of Potential Biomarkers and Metabolic Changes in the Serum of Breast Lump Patients Among Kelantanese Based on 1H NMR Metabolomics.” Progress in Microbes & Molecular Biology 6, no. 1 (2023). https://doi.org/10.36877/pmmb.a0000392.

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