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PDGF receptors as targets in tumor treatment
Arne Ostman1, Carl-Henrik Heldin
1Department of Pathology-Oncology, Cancer Center Karolinska, Karolinska Institutet, R8:03, SE-171 76 Stockholm, Sweden.
Abstract:
Signaling through platelet-derived growth factor (PDGF) receptors contributes to multiple tumor-associated processes. The recent introduction of clinically useful PDGF inhibitors have the last years validated PDGF receptors in malignant and stromal cells as relevant cancer drug targets. Mutational activation of PDGF receptor signaling in malignant cells has been described in some rare tumor types such as dermatofibrosarcoma protuberans, a subset of GISTs, and some hematologic malignancies. Furthermore, expression of PDGF receptors on pericytes is a common characteristic of solid tumors. The clinical efficacy of novel multikinase inhibitors, such as sunitinib and sorafenib, most likely involves targeting of PDGF receptor-dependent pericytes. Preclinical studies suggest that targeting of stromal PDGF receptors might also constitute a novel strategy to enhance tumor drug uptake. Finally, recent studies have implied both pro- and antimetastatic effects of PDGF receptors on malignant and stromal cells. The studies on the roles of PDGF receptors in cancer signaling are thus presently in a dynamic phase where collaborations between oncologists, pathologists, and tumor biologists are predicted to be highly productive.
Insights
Platelet-derived growth factor (PDGF) receptor signaling is crucial in cancer. Inhibiting PDGF receptors in tumors and stromal cells shows promise as a cancer therapy, impacting tumor growth and drug delivery.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Platelet-derived growth factor (PDGF) receptor signaling is implicated in various tumor-associated processes.
- PDGF receptors are validated cancer drug targets in both malignant and stromal cells.
- Mutational activation of PDGF receptor signaling occurs in rare malignancies like dermatofibrosarcoma protuberans, GISTs, and some hematologic cancers.
Purpose of the Study:
- To review the multifaceted roles of PDGF receptors in cancer.
- To highlight the therapeutic potential of targeting PDGF receptors in oncology.
- To discuss the implications of PDGF receptor signaling in tumor microenvironment and metastasis.
Main Methods:
- Review of preclinical and clinical studies on PDGF receptor signaling in cancer.
- Analysis of the efficacy of multikinase inhibitors targeting PDGF receptors.
- Examination of the role of PDGF receptors in pericytes and stromal cells.
Main Results:
- PDGF receptor inhibition is a clinically relevant strategy, with multikinase inhibitors like sunitinib and sorafenib showing efficacy likely through targeting pericytes.
- Targeting stromal PDGF receptors may enhance tumor drug uptake.
- PDGF receptors exhibit both pro- and antimetastatic effects, depending on cell type and context.
Conclusions:
- PDGF receptor signaling is a dynamic area in cancer research with significant therapeutic implications.
- Targeting PDGF receptors offers a promising avenue for cancer treatment, potentially improving drug delivery and affecting metastasis.
- Interdisciplinary collaboration is essential to further elucidate and exploit the role of PDGF receptors in cancer therapy.
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