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Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
On Trk--the TrkB signal transduction pathway is an increasingly important target in cancer biology
Carol J Thiele1, Zhijie Li, Amy E McKee
1Cell and Molecular Biology Section, Pediatric Oncology Branch, Center for Cancer Research, CRC, NCI, Bethesda, Maryland 20892, USA. ct47a@nih.gov
Abstract:
In the beginning, Trk was an oncogene. Yet Neurotrophin-Trk signaling came to preeminence in the field of neurobiology. Now it is appreciated that Trks regulate important processes in nonneuronal cells and, in addition to their impact on tumors of neural origin, may contribute to the pathogenesis of carcinomas, myelomas, and prostate and lymphoid tumors. Although mutations and rearrangements of Trk are seen only sporadically in human cancers, such as medullary thyroid carcinoma, a number of recent studies indicate that expression of TrkB contributes to tumor pathology. In neuroblastoma, TrkA expression marks good prognosis which TrkB and Brain-derived neurotrophic factor (BDNF) expression marks poor prognosis. Activation of the BDNF/TrkB signal transduction pathway also stimulates tumor cell survival and angiogenesis and contributes to resistance to cytotoxic drugs and anoikis, enabling cells to acquire many of the characteristic features required for tumorigenesis. Small molecule inhibitors, such as Cephalon's CEP-701, are in phase 1 and 2 clinical trials, and a series of AstraZeneca Trk inhibitors are poised to enter the clinic. As monotherapy, inhibitors may be effective only in tumors with activating Trk mutations. Important clinical follow-up will be the assessment of Trk inhibitors in combination with standard chemo- or radiotherapy or other signal transduction pathway inhibitors.
Insights
Neurotrophin receptor (Trk) signaling, initially an oncogene, is now vital in neurobiology and nonneuronal cells. Trk inhibitors show promise for various cancers, with combination therapies potentially enhancing efficacy.
Area of Science:
- Oncology
- Neurobiology
- Molecular Biology
Background:
- Neurotrophin receptor (Trk) signaling, initially recognized as an oncogene, plays a crucial role in neurobiology.
- Trk signaling is now understood to regulate nonneuronal cell processes and contribute to various cancers beyond neural origins.
Purpose of the Study:
- To review the multifaceted roles of Trk signaling in both neuronal and nonneuronal cells.
- To highlight the involvement of Trk signaling in the pathogenesis of diverse human tumors.
- To discuss the therapeutic potential of Trk inhibitors in cancer treatment.
Main Methods:
- Literature review of studies on Neurotrophin-Trk signaling.
- Analysis of Trk expression patterns in different cancer types, including neuroblastoma.
- Examination of the impact of Brain-derived neurotrophic factor (BDNF)/TrkB pathway activation on tumor characteristics.
Main Results:
- TrkA expression correlates with good prognosis in neuroblastoma, while TrkB and BDNF expression indicate poor prognosis.
- Activation of the BDNF/TrkB pathway promotes tumor cell survival, angiogenesis, and resistance to therapies.
- Trk mutations are sporadic but TrkB expression is linked to tumor pathology.
Conclusions:
- Trk signaling is a significant factor in tumorigenesis across various cancer types.
- Targeting Trk signaling with small molecule inhibitors represents a promising therapeutic strategy.
- Combination therapies involving Trk inhibitors may offer enhanced efficacy in clinical settings.
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