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An adaptive Src-PDGFRA-Raf axis in rhabdomyosarcoma
Jinu Abraham1, Ying Xuan Chua, Jason M Glover
1Pediatric Cancer Biology Program, Knight Cancer Institute, Oregon Health & Science University, Portland, OR 97239, USA. abraham@ohsu.edu
Abstract:
Alveolar rhabdomyosarcoma (aRMS) is a very aggressive sarcoma of children and young adults. Our previous studies have shown that small molecule inhibition of Pdgfra is initially very effective in an aRMS mouse model. However, slowly evolving, acquired resistance to a narrow-spectrum kinase inhibitor (imatinib) was common. We identified Src family kinases (SFKs) to be potentiators of Pdgfra in murine aRMS primary cell cultures from mouse tumors with evolved resistance in vivo in comparison to untreated cultures. Treating the resistant primary cell cultures with a combination of Pdgfra and Src inhibitors had a strong additive effect on cell viability. In Pdgfra knockout tumors, however, the Src inhibitor had no effect on tumor cell viability. Sorafenib, whose targets include not only PDGFRA but also the Src downstream target Raf, was effective at inhibiting mouse and human tumor cell growth and halted progression of mouse aRMS tumors in vivo. These results suggest that an adaptive Src-Pdgfra-Raf-Mapk axis is relevant to PDGFRA inhibition in rhabdomyosarcoma.
Insights
Targeting PDGFRA and Src family kinases (SFKs) overcomes resistance in alveolar rhabdomyosarcoma (aRMS). Combination therapy or Sorafenib effectively inhibits tumor growth by targeting the adaptive Src-Pdgfra-Raf-Mapk axis.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Alveolar rhabdomyosarcoma (aRMS) is an aggressive pediatric cancer.
- Initial treatment with PDGFRA inhibitors shows efficacy but acquired resistance is common.
- Src family kinases (SFKs) have been identified as potential mediators of resistance.
Purpose of the Study:
- To investigate the role of SFKs in PDGFRA inhibitor resistance in aRMS.
- To evaluate combination therapy with PDGFRA and SFK inhibitors.
- To assess the efficacy of Sorafenib, a multi-kinase inhibitor, in aRMS models.
Main Methods:
- Utilized a murine aRMS model and primary cell cultures.
- Compared resistant and untreated cell cultures to identify resistance mechanisms.
- Tested combination therapy of PDGFRA and SFK inhibitors.
- Evaluated Sorafenib treatment in vivo and in vitro for mouse and human aRMS cells.
Main Results:
- SFKs potentiate PDGFRA signaling in resistant aRMS.
- Combined PDGFRA and SFK inhibition demonstrated an additive effect on cell viability.
- SFK inhibition alone had no effect in PDGFRA-deficient tumors.
- Sorafenib effectively inhibited tumor growth in mouse models and human cell lines.
Conclusions:
- An adaptive Src-Pdgfra-Raf-Mapk signaling axis is crucial for PDGFRA inhibition resistance in aRMS.
- Targeting this axis with combination therapy or Sorafenib shows therapeutic potential.
- Further investigation into this pathway could lead to improved aRMS treatment strategies.
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