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Updated: May 15, 2026

Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
Gene expression profile identifies tyrosine kinase c-Met as a targetable mediator of antiangiogenic therapy
Arman Jahangiri1, Michael De Lay, Liane M Miller
1Department of Neurological Surgery, University of California at San Francisco, San Francisco, CA 94158, USA.
Purpose:
To identify mediators of glioblastoma antiangiogenic therapy resistance and target these mediators in xenografts.
Experimental Design:
We conducted microarray analysis comparing bevacizumab-resistant glioblastomas (BRG) with pretreatment tumors from the same patients. We established novel xenograft models of antiangiogenic therapy resistance to target candidate resistance mediator(s).
Results:
BRG microarray analysis revealed upregulation versus pretreatment of receptor tyrosine kinase c-Met, which underwent further investigation because of its prior biologic plausibility as a bevacizumab resistance mediator. BRGs exhibited increased hypoxia versus pretreatment in a manner correlating with their c-Met upregulation, increased c-Met phosphorylation, and increased phosphorylation of c-Met-activated focal adhesion kinase and STAT3. We developed 2 novel xenograft models of antiangiogenic therapy resistance. In the first model, serial bevacizumab treatment of an initially responsive xenograft generated a xenograft with acquired bevacizumab resistance, which exhibited upregulated c-Met expression versus pretreatment. In the second model, a BRG-derived xenograft maintained refractoriness to the MRI tumor vasculature alterations and survival-promoting effects of bevacizumab. Growth of this BRG-derived xenograft was inhibited by a c-Met inhibitor. Transducing these xenograft cells with c-Met short hairpin RNA inhibited their invasion and survival in hypoxia, disrupted their mesenchymal morphology, and converted them from bevacizumab-resistant to bevacizumab-responsive. Engineering bevacizumab-responsive cells to express constitutively active c-Met caused these cells to form bevacizumab-resistant xenografts.
Conclusion:
These findings support the role of c-Met in survival in hypoxia and invasion, features associated with antiangiogenic therapy resistance, and growth and therapeutic resistance of xenografts resistant to antiangiogenic therapy. Therapeutically targeting c-Met could prevent or overcome antiangiogenic therapy resistance.
Insights
The study identified the receptor tyrosine kinase c-Met as a key mediator of glioblastoma resistance to antiangiogenic therapy. Targeting c-Met may overcome this resistance, improving treatment outcomes for glioblastoma patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Glioblastoma (GBM) is an aggressive brain tumor with limited treatment options.
- Antiangiogenic therapy, such as bevacizumab, shows initial efficacy but resistance often develops.
- Understanding resistance mechanisms is crucial for improving GBM treatment strategies.
Purpose of the Study:
- To identify molecular mediators driving resistance to antiangiogenic therapy in glioblastoma.
- To investigate the therapeutic potential of targeting identified mediators in preclinical models.
Main Methods:
- Microarray analysis of bevacizumab-resistant glioblastomas (BRG) compared to pretreatment tumors.
- Establishment of novel xenograft models to study antiangiogenic therapy resistance.
- Inhibition of c-Met using small molecule inhibitors and short hairpin RNA (shRNA).
Main Results:
- Upregulation of receptor tyrosine kinase c-Met was identified in BRG compared to pretreatment tumors.
- BRG exhibited increased hypoxia, correlating with c-Met upregulation and activation of downstream signaling pathways (FAK, STAT3).
- Targeting c-Met with inhibitors or shRNA reversed bevacizumab resistance in xenograft models, inhibiting invasion and promoting sensitivity.
Conclusions:
- c-Met plays a significant role in glioblastoma cell survival under hypoxia and invasion, contributing to antiangiogenic therapy resistance.
- Targeting c-Met represents a promising strategy to overcome or prevent resistance to antiangiogenic therapies in glioblastoma.
- These findings provide a rationale for clinical trials investigating c-Met inhibitors in combination with antiangiogenic agents for GBM treatment.
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