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Updated: May 18, 2026

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Published on: September 30, 2016
Therapeutic potential of the TWEAK/Fn14 pathway in intractable gastrointestinal cancer
Ryo Yoriki1, Satoru Akashi, Masayuki Sho
1Department of Surgery, Nara Medical University, Nara;
Abstract:
Tumor necrosis factor-like weak inducer of apoptosis (TWEAK) is a member of the TNF superfamily. It has been suggested that it plays a pivotal role in various physiological and pathological conditions due to its proinflammatory properties. Fibroblast growth-inducible 14 (Fn14) has been identified as a TWEAK receptor. A number of studies have suggested that TWEAK-Fn14 interaction results in the promotion of apoptosis, cell growth as well as angiogenesis. Although recent studies have indicated that TWEAK and Fn14 are expressed in a number of tumor lines and tissues, the therapeutic potential of this pathway has yet to be elucidated. This study investigated the potential of TWEAK and Fn14 in esophageal and pancreatic cancer as novel molecular targets for anti-cancer therapy. TWEAK and Fn14 protein expression was evaluated in 43 patients with esophageal cancer and 51 patients with pancreatic cancer by immunohistochemistry. As a result, either TWEAK or Fn14 expression was observed in 58.1% of the cases with esophageal cancer and 74.5% of the cases with pancreatic cancer. Furthermore, TWEAK/Fn14 gene expression was identified in the majority of the human esophageal and pancreatic cancer cell lines. Therapeutic efficacies of blocking TWEAK and Fn14 were evaluated by tumor growth inhibition assay in TWEAK- and Fn14-expressing human esophageal and pancreatic cancer cell lines. Coculture with anti-TWEAK or -Fn14 mAb was found to induce a 22-65% cell growth inhibition of these cells. Finally, the significant therapeutic effect of targeting this pathway under in vivo physiological conditions was confirmed using a murine gastrointestinal cancer model. In conclusion, the TWEAK/Fn14 pathway may be functional and critical in intractable gastrointestinal cancers. Therefore, TWEAK and/or Fn14 may be novel molecular targets for anti-cancer therapy.
Insights
The TWEAK/Fn14 pathway is crucial in esophageal and pancreatic cancers. Blocking TWEAK or Fn14 shows therapeutic potential, inhibiting tumor growth in preclinical models, suggesting novel anti-cancer strategies.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Tumor necrosis factor-like weak inducer of apoptosis (TWEAK) is a pro-inflammatory cytokine.
- Fibroblast growth-inducible 14 (Fn14) is the TWEAK receptor.
- The TWEAK-Fn14 pathway is implicated in cell growth, apoptosis, and angiogenesis.
Purpose of the Study:
- To investigate the role of the TWEAK/Fn14 pathway in esophageal and pancreatic cancers.
- To evaluate TWEAK and Fn14 as potential molecular targets for anti-cancer therapy.
Main Methods:
- Immunohistochemistry to assess TWEAK and Fn14 protein expression in patient tumor tissues.
- Gene expression analysis in esophageal and pancreatic cancer cell lines.
- In vitro tumor growth inhibition assays using anti-TWEAK or anti-Fn14 monoclonal antibodies (mAbs).
- In vivo studies using a murine gastrointestinal cancer model.
Main Results:
- TWEAK or Fn14 expression was detected in 58.1% of esophageal and 74.5% of pancreatic cancer cases.
- TWEAK/Fn14 gene expression was prevalent in human esophageal and pancreatic cancer cell lines.
- Anti-TWEAK or anti-Fn14 mAb treatment inhibited cancer cell growth by 22-65% in vitro.
- Targeting the TWEAK/Fn14 pathway demonstrated significant therapeutic effects in vivo.
Conclusions:
- The TWEAK/Fn14 pathway is potentially functional and critical in esophageal and pancreatic cancers.
- TWEAK and/or Fn14 represent promising novel molecular targets for anti-cancer therapies.
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