Proliferation of colorectal cancer is promoted by two signaling transduction expression patterns: ErbB2/ErbB3/AKT and
Yong-Liang Yao1, Jie Shao, Chunfu Zhang
1Department of Clinical Laboratory, Kunshan First People's Hospital, Affiliated to Jiangsu University, Kunshan, Jiangsu, China.
Abstract:
One of the recent breakthroughs in cancer research is the identification of activating mutations in various receptor tyrosine kinase(RTK) pathways in many cancers including colorectal cancer(CRC). We hypothesize that, alternative to mutations, overexpression of various oncogenic RTKs may also underpin CRC pathogenesis, and different RTK may couple with distinct downstream signaling pathways in different subtypes of human CRC. By immunohistochemistry, we show here that RTK members ErbB2, ErbB3 and c-Met were in deed differentially overexpressed in colorectal cancer patient samples leading to constitutive activation of RTK signaling pathways. Using ErbB2 specific inhibitor Lapatinib and c-Met specific inhibitor PHA-665752, we further demonstrated that this constitutive activation of RTK signaling is necessary for the survival of colorectal cancer cells. Furthermore, we show that RTK overexpression pattern dictates the use of downstream AKT and/or MAPK pathways. Our data are important additions to current oncogenic mutation models, and further explain the clinical variation in therapeutic responses of colorectal cancer. Our findings advocate for more personalized therapy tailored to individual patients based on their type of RTK expression in addition to their mutation status.
Insights
Receptor tyrosine kinase (RTK) overexpression, not just mutations, drives colorectal cancer (CRC) cell survival. Targeting specific RTKs like ErbB2 and c-Met offers personalized CRC treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Activating mutations in receptor tyrosine kinase (RTK) pathways are key in many cancers, including colorectal cancer (CRC).
- The role of RTK overexpression as an alternative driver of CRC pathogenesis remains less understood.
- Distinct RTKs may activate different downstream signaling pathways in various CRC subtypes.
Purpose of the Study:
- To investigate if RTK overexpression, independent of mutations, contributes to CRC.
- To determine if specific RTKs (ErbB2, ErbB3, c-Met) are overexpressed in CRC.
- To explore the downstream signaling pathways (AKT, MAPK) activated by RTK overexpression and their role in CRC cell survival.
Main Methods:
- Immunohistochemistry was used to assess the expression levels of ErbB2, ErbB3, and c-Met in colorectal cancer patient samples.
- Specific RTK inhibitors (Lapatinib for ErbB2, PHA-665752 for c-Met) were employed to evaluate the necessity of constitutive RTK activation for cancer cell survival.
- Downstream signaling pathway activation (AKT and MAPK) was analyzed in relation to RTK overexpression patterns.
Main Results:
- Differential overexpression of ErbB2, ErbB3, and c-Met was observed in colorectal cancer patient samples, leading to constitutive activation of RTK signaling.
- Inhibition of ErbB2 and c-Met demonstrated that constitutive RTK signaling is essential for colorectal cancer cell survival.
- The pattern of RTK overexpression correlated with the activation of distinct downstream AKT and/or MAPK pathways.
Conclusions:
- RTK overexpression is a significant factor in colorectal cancer pathogenesis, complementing mutation-driven models.
- Targeting specific overexpressed RTKs is crucial for colorectal cancer cell survival.
- RTK expression profiles can predict downstream pathway activation, informing personalized therapeutic strategies for CRC patients.
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