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Updated: Jul 12, 2026

A Mouse Model to Investigate the Role of Cancer-Associated Fibroblasts in Tumor Growth
Published on: December 22, 2020
Cyclooxygenase-2 and platelet-derived growth factor receptors as potential targets in treating aggressive
Stefano Signoroni1, Milo Frattini, Tiziana Negri
1Experimental Molecular Pathology, Department of Pathology, Fondazione IRCSS Istituto Nazionale dei Tumori, Milan, Italy.
Purpose:
To explore the molecular bases of potential new pharmacologic targets in aggressive fibromatosis (desmoid tumor).
Experimental Design:
Tumor specimens from 14 patients surgically treated for aggressive fibromatosis (6 familial adenomatous polyposis and 8 sporadic cases), analyzed for adenomatous polyposis coli (APC) and CTNNB1 (beta-catenin) mutations, were further investigated for beta-catenin, cyclooxygenase-2 (COX-2), platelet-derived growth factor (PDGF) receptor alpha (PDGFRA)/PDGF receptor beta (PDGFRB), their cognate ligands (PDGFA and PDGFB), and KIT using a comprehensive immunohistochemical, biochemical, molecular, and cytogenetic approach.
Results:
No CTNNB1 (beta-catenin) mutations were found in the familial adenomatous polyposis patients, but previously reported activating mutations were found in six of the eight sporadic patients. All of the cases carrying an altered WNT pathway showed nuclear and cytoplasmic immunoreactivity for beta-catenin, whereas beta-catenin expression was restricted to the cytoplasm in the sporadic patients lacking CTNNB1 mutations. COX-2 protein and mRNA overexpression was detected in all 14 cases, together with the expression and phosphorylation of PDGFRA and PDGFRB, which in turn paralleled the presence of their cognate ligands. No PDGFRB mutations were found. The results are consistent with PDGFRA and PDGFRB activation sustained by an autocrine/paracrine loop.
Conclusions:
Aggressive fibromatosis is characterized by WNT/oncogene pathway alterations triggering COX-2-mediated constitutive coactivation of PDGFRA and PDGFRB, and may therefore benefit from combined nonsteroidal anti-inflammatory drug + tyrosine kinase inhibitor treatment.
Insights
Aggressive fibromatosis involves WNT pathway alterations activating COX-2 and PDGF receptors. Combined NSAID and tyrosine kinase inhibitor therapy may benefit patients with desmoid tumors.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Aggressive fibromatosis (desmoid tumors) are locally invasive neoplasms.
- Understanding the molecular drivers is crucial for identifying new therapeutic targets.
Purpose of the Study:
- To investigate the molecular mechanisms underlying aggressive fibromatosis.
- To identify potential new pharmacologic targets for desmoid tumors.
Main Methods:
- Tumor specimens from 14 patients were analyzed.
- Methods included immunohistochemistry, biochemistry, molecular, and cytogenetic analyses.
- Key genes and proteins investigated: APC, CTNNB1 (beta-catenin), COX-2, PDGFRA, PDGFRB, PDGFA, PDGFB, and KIT.
Main Results:
- Activating CTNNB1 (beta-catenin) mutations were found in sporadic cases, correlating with WNT pathway alterations.
- COX-2 overexpression and PDGFRA/PDGFRB activation were observed in all cases.
- PDGFRA/PDGFRB activation was sustained by an autocrine/paracrine loop.
Conclusions:
- Aggressive fibromatosis exhibits WNT/oncogene pathway alterations.
- COX-2 mediated coactivation of PDGFRA and PDGFRB is a key feature.
- Combined treatment with NSAIDs and tyrosine kinase inhibitors may be beneficial.
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