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Published on: August 11, 2017
The Met receptor tyrosine kinase: a key player in oncogenesis and drug resistance
Christiane R Maroun1, Tracey Rowlands1
1Mirati Therapeutics, 7150 Frederick-Banting, Suite 200, Montreal, Quebec H4S 2A1, Canada.
Abstract:
The Met receptor tyrosine kinase (RTK) is an attractive oncology therapeutic target. Met and its ligand, HGF, play a central role in signaling pathways that are exploited during the oncogenic process, including regulation of cell proliferation, invasion, angiogenesis, and cancer stem cell regulation. Elevated Met and HGF as well as numerous Met genetic alterations have been reported in human cancers and correlate with poor outcome. Alterations of pathways that regulate Met, such as the ubiquitin ligase c-Cbl are also likely to activate Met in the oncogenic setting. Moreover, interactive crosstalk between Met and other receptors such as EGFR, HER2 and VEGFR, underlies a key role for Met in resistance to other RTK-targeted therapies. A large body of preclinical and clinical data exists that supports the use of either antibodies or small molecule inhibitors that target Met or HGF as oncology therapeutics. The prognostic potential of Met expression has been suggested from studies in numerous cancers including lung, renal, liver, head and neck, stomach, and breast. Clinical trials using Met inhibitors indicate that the level of Met expression is a determinant of trial outcome, a finding that is actively under investigation in multiple clinical scenarios. Research in Met prognostics and predictors of drug response is now shifting toward more sophisticated methodologies suitable for development as validated and effective biomarkers that can be partnered with therapeutics to improve patient survival.
Insights
The Met receptor tyrosine kinase (RTK) is a key target in cancer therapy. Targeting Met or its ligand HGF shows promise for improving patient survival through novel therapeutics and biomarkers.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- The Met receptor tyrosine kinase (RTK) and its ligand, hepatocyte growth factor (HGF), are crucial in cancer progression, influencing cell proliferation, invasion, angiogenesis, and cancer stem cell regulation.
- Elevated Met/HGF levels and genetic alterations are linked to poor prognosis in various human cancers.
- Met signaling crosstalks with other receptor tyrosine kinases (RTKs) like EGFR, HER2, and VEGFR, contributing to resistance against targeted therapies.
Purpose of the Study:
- To review the therapeutic potential of targeting the Met pathway in oncology.
- To highlight the prognostic significance of Met expression in diverse cancers.
- To discuss the role of Met in therapeutic resistance and the development of predictive biomarkers.
Main Methods:
- Review of preclinical and clinical data on Met and HGF inhibitors (antibodies and small molecules).
- Analysis of studies investigating the prognostic value of Met expression across multiple cancer types.
- Examination of clinical trial outcomes related to Met inhibitor efficacy and patient response.
Main Results:
- Extensive data supports Met/HGF-targeted therapies as viable oncology treatments.
- Met expression levels are increasingly recognized as determinants of clinical trial outcomes.
- Met signaling plays a significant role in acquired resistance to other RTK-targeted therapies.
Conclusions:
- Targeting Met or HGF presents a promising therapeutic strategy for various cancers.
- Met expression serves as a potential prognostic and predictive biomarker for guiding treatment decisions.
- Future research focuses on advanced methodologies for developing validated Met-based biomarkers to enhance patient survival in conjunction with targeted therapeutics.
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