Signalling pathways passing Src in pancreatic endocrine tumours: relevance for possible combined targeted therapies

Gabriele Capurso1, Alessia Di Florio, Claudio Sette

  • 1Digestive and Liver Disease Unit, II Medical School, University of Rome La Sapienza, Rome, Italy.

Neuroendocrinology
|March 24, 2012
PubMed

Insights

Src family kinases (SFKs) play a key role in pancreatic endocrine tumors (PETs). Inhibiting SFKs alongside mTOR inhibitors may overcome treatment resistance in PET patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Endocrinology

Background:

  • Pancreatic endocrine tumors (PETs) frequently exhibit MEN1 gene mutations, PI3K/AKT/mTOR pathway deregulation, and growth factor overactivation.
  • Everolimus and sunitinib are FDA-approved for advanced PETs, but predictive markers for treatment response are lacking.
  • Cancer cells can develop resistance to targeted therapies via pro-survival feedback pathways, with limited understanding of pathway cross-talk in PETs.

Purpose of the Study:

  • To investigate the role of Src family kinases (SFKs) in pancreatic endocrine tumors (PETs).
  • To explore the novel function of SFKs in modulating mTOR pathway activity.
  • To evaluate the potential of combined SFK and mTOR inhibition as a therapeutic strategy for PETs.

Main Methods:

  • Review of existing data on molecular abnormalities in PETs.
  • Investigation of SFK's role in PET pathogenesis.
  • In vitro studies examining the effect of everolimus on PI3K/AKT signaling and the impact of simultaneous SFK inhibition.

Main Results:

  • Src family kinases (SFKs) are implicated in the development of PETs.
  • SFKs were found to modulate the activity of the mTOR pathway.
  • In vitro, everolimus treatment activated PI3K/AKT survival signaling, but co-inhibition of SFKs blocked this escape mechanism.

Conclusions:

  • SFKs play a significant role in PETs and can influence mTOR pathway activity.
  • Combined inhibition of SFKs and mTOR may represent a promising therapeutic approach to overcome treatment resistance in PETs.
  • Further investigation into combined SFK and mTOR inhibition is warranted for clinical application in PET treatment.

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