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Published on: July 25, 2020
Targeting HSP90 in ovarian cancers with multiple receptor tyrosine kinase coactivation
Yisheng Jiao1, Wenbin Ou, Fanguo Meng
1Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, P. R. China. yishengjiao@yahoo.com.cn
Background:
Ovarian cancer has the highest mortality rate of all gynecologic malignancy. The receptor tyrosine kinases (RTKs), including EGFR, ERBB2, PDGFR, VEGFR and MET, are activated in subsets of ovarian cancer, suggesting that these kinases might represent novel therapeutic targets. However, clinical trials have not or just partially shown benefit to ovarian cancers treated with EGFR, ERBB2, or PDGFR inhibitors. Despite multiple RTK activation in ovarian cancer pathogenesis, it is unclear whether transforming activity is dependent on an individual kinase oncoprotein or the coordinated activity of multiple kinases. We hypothesized that a coordinated network of multi-RTK activation is important for the tumorigenesis of ovarian cancers.
Results:
Herein, we demonstrate co-activation of multiple RTKs (EGFR, ERBB2, ERBB4, MET and/or AXL) in individual ovarian cancer cell lines and primary tumors. We also show that coordinate inhibition of this multi-kinase signaling has substantially greater effect on ovarian cancer proliferation and survival, compared to inhibition of individual activated kinases. The inhibition of this multi-RTK signaling by HSP90 suppression results in profound pro-apoptotic and anti-proliferative effects, and is associated with the inactivation of RTK downstream PI3-K/AKT/mTOR and RAF/MAPK signaling.
Conclusion:
These studies suggest that anti-multiple RTK strategy could be useful in the treatment of ovarian cancer.
Insights
Targeting multiple receptor tyrosine kinases (RTKs) simultaneously shows promise for ovarian cancer treatment. Coordinated inhibition of these RTKs significantly impacts cancer cell proliferation and survival, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Ovarian cancer has a high mortality rate among gynecologic malignancies.
- Receptor tyrosine kinases (RTKs) are implicated in ovarian cancer, but individual inhibitors show limited benefit.
- The role of coordinated RTK networks in ovarian cancer tumorigenesis is not well understood.
Purpose of the Study:
- To investigate the hypothesis that a coordinated network of multi-RTK activation is crucial for ovarian cancer development.
- To evaluate the efficacy of targeting multiple RTKs compared to individual kinases.
Main Methods:
- Co-activation of multiple RTKs (EGFR, ERBB2, ERBB4, MET, AXL) was assessed in ovarian cancer cell lines and primary tumors.
- The effects of coordinate multi-RTK inhibition versus single-kinase inhibition on cancer cell proliferation and survival were compared.
- The impact of HSP90 suppression on multi-RTK signaling and downstream pathways (PI3-K/AKT/mTOR, RAF/MAPK) was analyzed.
Main Results:
- Co-activation of multiple RTKs was observed in individual ovarian cancer samples.
- Coordinate inhibition of multi-RTK signaling demonstrated a significantly greater impact on ovarian cancer proliferation and survival than inhibiting individual kinases.
- HSP90 suppression led to profound pro-apoptotic and anti-proliferative effects, linked to inactivation of downstream RTK signaling.
Conclusions:
- Ovarian cancer pathogenesis involves the coordinated activity of multiple RTKs.
- Targeting multiple RTKs concurrently represents a promising therapeutic strategy for ovarian cancer.
- This multi-RTK inhibition approach warrants further investigation for clinical application in ovarian cancer treatment.
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