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.

Abstract

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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