AXL inhibition sensitizes mesenchymal cancer cells to antimitotic drugs

Catherine Wilson1, Xiaofen Ye1, Thinh Pham2

  • 1Department of Discovery Oncology, Genentech, South San Francisco, California.

Cancer Research
|August 16, 2014
PubMed

Insights

Targeting AXL receptor with small molecules offers a new strategy to overcome cancer drug resistance. Combining AXL inhibitors with antimitotic agents shows promise for treating mesenchymal tumors resistant to tyrosine kinase inhibitors (TKIs).

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Molecularly targeted therapies have transformed cancer treatment but face limitations due to acquired drug resistance.
  • Epithelial-to-mesenchymal transition (EMT) is a key mechanism conferring resistance to tyrosine kinase inhibitors (TKIs).
  • AXL receptor tyrosine kinase is associated with EMT and implicated in drug resistance, making it a potential therapeutic target.

Purpose of the Study:

  • To investigate the role of AXL in acquired TKI resistance in cancer.
  • To identify novel therapeutic strategies to overcome EMT-mediated drug resistance.

Main Methods:

  • Analysis of AXL expression across 643 human cancer cell lines.
  • Screening of small-molecule inhibitors for synergistic effects with AXL inhibition.
  • Evaluation of AXL inhibition combined with antimitotic agents in EMT-resistant cancer cells.

Main Results:

  • Elevated AXL expression strongly correlated with a mesenchymal phenotype in various cancers, notably triple-negative breast and non-small cell lung cancer.
  • AXL inhibition demonstrated specific synergy with antimitotic agents in eliminating EMT-driven, TKI-resistant cancer cells.
  • AXL inhibition alone did not fully restore sensitivity to EGFR TKIs in EMT-resistant cells.

Conclusions:

  • AXL is a significant marker of mesenchymal phenotype and TKI resistance in cancer.
  • A novel cotreatment strategy involving AXL inhibition and antimitotic agents can overcome treatment refractoriness in mesenchymal tumors.
  • This approach offers a promising avenue for managing difficult-to-treat, resistant cancers.

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