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.

Abstract

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.

Related Concept Videos

Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
Transducer Mechanism: Enzyme-Linked Receptors01:27

Transducer Mechanism: Enzyme-Linked Receptors

Enzyme-linked receptors are cell-surface receptors acting as an enzyme or associating with an enzyme intracellularly. They make excellent drug targets. Drugs can bind to the extracellular ligand-binding domain or directly affect their enzymatic domain and alter their activity.
Major types that are helpful drug targets include:
Antiplatelet Drugs: Prostaglandin Synthesis, P2Y12 and Glycoprotein IIb/IIIa Inhibitors01:20

Antiplatelet Drugs: Prostaglandin Synthesis, P2Y12 and Glycoprotein IIb/IIIa Inhibitors

Antiplatelet drugs emerge as frontline defenders against the insidious threat of thromboembolic diseases, where abnormal clots obstruct vital blood vessels. These drugs stand as bulwarks, inhibiting platelet aggregation and clot formation, thereby mitigating the risk of life-threatening conditions like myocardial infarction, coronary artery disease, and thrombotic strokes.
Prostaglandin synthesis inhibitors, exemplified by the widely known aspirin, wield their power by irreversibly acetylating...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Introduction to Fibroblasts01:09

Introduction to Fibroblasts

Rudolph Virchow discovered spindle-shaped cells called fibroblasts in 1858. Inactive fibroblasts, called fibrocytes, become activated by various stimuli, such as growth factors and inflammatory cytokines. Activated fibroblasts play a crucial role in wound healing, inflammation, formation of new blood vessels, and cancer progression. Uncontrolled activation of fibroblasts results in fibrosis, the excess deposition of fibrous tissue, which can lead to scarring and affect normal organs. This...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase01:11

Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...