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Updated: May 28, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
MET and VEGF: synergistic targets in castration-resistant prostate cancer
1Exelixis, Inc., South San Francisco, CA 94083-0511, USA. daftab@exelixis.com
Abstract:
Recent advances in the treatment of prostate cancer have resulted in improved outcomes, including longer survival, but new options are needed for treating patients with castration-resistant disease, particularly in the presence of bone metastasis. Data from preclinical models and clinical biomarker studies indicate that antiangiogenic agents should be a promising treatment for this patient population, and multiple agents in this class have demonstrated activity in early-stage clinical trials. Pivotal trials in prostate cancer with agents targeting vascular endothelial growth factor (VEGF) signalling have resulted in significant improvements in tumour response and progression-free survival. However, overall survival was not significantly improved. Recent preclinical studies suggest that the limited impact on overall survival may result from the development of evasive resistance after inhibition of angiogenesis, possibly through upregulation of MET (hepatocyte growth factor receptor) signalling. MET plays important roles in angiogenesis, tumour cell invasion and bone metastasis, all of which are key factors in castration-resistant prostate cancer. Inhibition of both the MET and VEGF pathways may improve the efficacy of angiogenesis inhibitors in prostate cancer.
Insights
New prostate cancer treatments targeting angiogenesis show promise but face resistance. Combining MET and VEGF pathway inhibition may improve overall survival in castration-resistant prostate cancer with bone metastasis.
Area of Science:
- Oncology
- Cancer Research
- Molecular Biology
Background:
- Prostate cancer treatment has advanced, yet castration-resistant disease with bone metastasis requires novel therapeutic strategies.
- Antiangiogenic agents targeting vascular endothelial growth factor (VEGF) signaling show activity but limited overall survival benefits in clinical trials.
- Evasive resistance, potentially mediated by hepatocyte growth factor receptor (MET) signaling, may explain the suboptimal overall survival outcomes.
Purpose of the Study:
- To explore the potential of combined MET and VEGF pathway inhibition for treating castration-resistant prostate cancer.
- To investigate the role of MET signaling in angiogenesis, invasion, and bone metastasis in prostate cancer.
- To enhance the efficacy of antiangiogenic therapies in advanced prostate cancer.
Main Methods:
- Review of preclinical models and clinical biomarker studies on antiangiogenic agents.
- Analysis of data from pivotal prostate cancer trials involving VEGF-targeting agents.
- Examination of recent preclinical findings on MET pathway activation and its implications.
Main Results:
- VEGF pathway inhibition improved tumor response and progression-free survival but not overall survival.
- Preclinical data suggest MET signaling upregulation contributes to resistance against antiangiogenic therapy.
- MET signaling is implicated in key castration-resistant prostate cancer processes like angiogenesis, invasion, and bone metastasis.
Conclusions:
- Dual inhibition of MET and VEGF pathways presents a promising strategy to overcome resistance and improve outcomes.
- Targeting MET signaling alongside angiogenesis may enhance the effectiveness of current treatments for advanced prostate cancer.
- Further investigation into combined MET and VEGF pathway blockade is warranted for castration-resistant prostate cancer patients.
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