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Oncogenic Gene Fusion Detection Using Anchored Multiplex Polymerase Chain Reaction Followed by Next Generation Sequencing
Published on: July 5, 2019
Targeting MET Amplification as a New Oncogenic Driver
Hisato Kawakami1, Isamu Okamoto2, Wataru Okamoto3
1Department of Medical Oncology, Kinki University Faculty of Medicine, 377-2 Ohno-higashi, Osaka-Sayama, Osaka 589-8511, Japan. kawakami_h@dotd.med.kindai.ac.jp.
Abstract:
Certain genetically defined cancers are dependent on a single overactive oncogene for their proliferation and survival, a phenomenon known as "oncogene addiction". A new generation of drugs that selectively target such "driver oncogenes" manifests a clinical efficacy greater than that of conventional chemotherapy in appropriate genetically defined patients. MET is a proto-oncogene that encodes a receptor tyrosine kinase, and aberrant activation of MET signaling occurs in a subset of advanced cancers as result of various genetic alterations including gene amplification, polysomy, and gene mutation. Our preclinical studies have shown that inhibition of MET signaling either with the small-molecule MET inhibitor crizotinib or by RNA interference targeted to MET mRNA resulted in marked antitumor effects in cancer cell lines with MET amplification both in vitro and in vivo. Furthermore, patients with non-small cell lung cancer or gastric cancer positive for MET amplification have shown a pronounced clinical response to crizotinib. Accumulating preclinical and clinical evidence thus suggests that MET amplification is an "oncogenic driver" and therefore a valid target for treatment. However, the prevalence of MET amplification has not been fully determined, possibly in part because of the difficulty in evaluating gene amplification. In this review, we provide a rationale for targeting this genetic alteration in cancer therapy.
Insights
Targeting MET amplification, a key driver in certain cancers, shows significant promise. Crizotinib demonstrates efficacy in preclinical models and clinical trials for MET-amplified cancers, supporting its role in precision medicine.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Many cancers rely on specific oncogenes for growth, a concept termed "oncogene addiction".
- MET signaling pathway dysregulation, through amplification, mutation, or polysomy, drives a subset of advanced cancers.
- Targeting driver oncogenes offers a promising avenue for precision cancer therapy.
Purpose of the Study:
- To review the rationale for targeting MET amplification in cancer therapy.
- To highlight MET amplification as an oncogenic driver.
- To discuss the potential of MET inhibitors in treating MET-amplified cancers.
Main Methods:
- Preclinical studies involving MET inhibition via crizotinib and RNA interference in MET-amplified cancer cell lines.
- In vitro and in vivo experiments to assess antitumor effects.
- Clinical evaluation of patient responses to crizotinib in MET-amplified non-small cell lung and gastric cancers.
Main Results:
- Inhibition of MET signaling led to significant antitumor effects in MET-amplified cancer cell lines.
- Patients with MET-amplified non-small cell lung cancer and gastric cancer showed marked clinical responses to crizotinib.
- Crizotinib demonstrates clinical efficacy in genetically defined cancer patients with MET amplification.
Conclusions:
- MET amplification is a validated oncogenic driver and a therapeutic target.
- MET inhibitors like crizotinib show significant promise for treating MET-amplified cancers.
- Further research is needed to determine the prevalence of MET amplification due to evaluation challenges.
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