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Published on: July 17, 2019
SRC family kinase activity is up-regulated in hormone-refractory prostate cancer
Oleg Tatarov1, Thomas J Mitchell, Morag Seywright
1Division of Cancer Sciences and Molecular Pathology, Faculty of Medicine, Glasgow Royal Infirmary, Glasgow, UK.
Purpose:
Although Src family kinase (SFK) inhibitors are now in clinical trials for the treatment of androgen-independent prostate cancer (AIPC), there are no studies relating SFK activation to patient survival. This study was designed to determine if SFK activation was up-regulated with the development of AIPC and if patients could be selected who were more likely to respond to therapy.
Experimental Design:
A unique cohort of matched prostate tumor samples, taken before hormone deprivation therapy and following hormone relapse, was used to determine by immunohistochemistry on an individual patient basis if SFK activity changed with progression to AIPC and whether this related to patient outcome measures. Using matched, hormone-sensitive and hormone-refractory cell lines, we determined if hormone status affected the way prostate cancer cells respond to suppression of SFK activity by the small-molecule inhibitor dasatinib.
Results:
In the current study, 28% of patients with AIPC exhibited an increase in SFK activity in prostate cancer tissue, these patients had significantly shorter overall survival (P<0.0001), and activated SFK expression correlated with the presence of distant metastases. Dasatinib inhibited phosphorylation of Src and Lyn and the downstream substrate FAK in hormone-sensitive and hormone-refractory cell lines. Although migration was reduced by dasatinib in both cell lines, proliferation of hormone-refractory cells only was inhibited.
Conclusion:
Appropriate patient selection may allow better targeting of prostate cancer patients who are likely to respond to the treatment with SFK inhibitors at the same time improving the outcome of clinical trials.
Insights
Increased Src family kinase (SFK) activity in prostate cancer patients correlates with shorter survival and metastasis. Targeting SFK with inhibitors like dasatinib shows promise, especially in hormone-refractory AIPC, suggesting patient selection can improve treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Src family kinases (SFKs) are implicated in cancer progression.
- SFK inhibitors are under investigation for advanced prostate cancer.
- The relationship between SFK activation and patient survival in AIPC is not well-established.
Purpose of the Study:
- To investigate if SFK activation increases with progression to androgen-independent prostate cancer (AIPC).
- To determine if SFK activation correlates with patient survival and metastatic disease.
- To assess the efficacy of the SFK inhibitor dasatinib in hormone-sensitive and hormone-refractory prostate cancer models.
Main Methods:
- Immunohistochemistry was used to analyze SFK activity in matched prostate tumor samples from before and after hormone deprivation therapy.
- Matched hormone-sensitive and hormone-refractory prostate cancer cell lines were treated with dasatinib.
- Cellular responses including phosphorylation, migration, and proliferation were assessed.
Main Results:
- A significant increase in SFK activity was observed in 28% of AIPC patients, associated with shorter overall survival (P<0.0001) and distant metastases.
- Dasatinib effectively inhibited Src, Lyn, and FAK phosphorylation in both hormone-sensitive and hormone-refractory cell lines.
- Dasatinib reduced cell migration in both models and inhibited proliferation specifically in hormone-refractory cells.
Conclusions:
- SFK activation is a potential biomarker for aggressive AIPC and poor prognosis.
- SFK inhibition, particularly with dasatinib, demonstrates therapeutic potential in AIPC, especially in hormone-refractory settings.
- Patient selection based on SFK activation could optimize clinical trial outcomes for SFK inhibitor therapies.
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