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Updated: Apr 25, 2026

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Published on: May 14, 2016
AXL inhibition sensitizes mesenchymal cancer cells to antimitotic drugs
Catherine Wilson1, Xiaofen Ye1, Thinh Pham2
1Department of Discovery Oncology, Genentech, South San Francisco, California.
Abstract:
Molecularly targeted drug therapies have revolutionized cancer treatment; however, resistance remains a major limitation to their overall efficacy. Epithelial-to-mesenchymal transition (EMT) has been linked to acquired resistance to tyrosine kinase inhibitors (TKI), independent of mutational resistance mechanisms. AXL is a receptor tyrosine kinase associated with EMT that has been implicated in drug resistance and has emerged as a candidate therapeutic target. Across 643 human cancer cell lines that were analyzed, elevated AXL was strongly associated with a mesenchymal phenotype, particularly in triple-negative breast cancer and non-small cell lung cancer. In an unbiased screen of small-molecule inhibitors of cancer-relevant processes, we discovered that AXL inhibition was specifically synergistic with antimitotic agents in killing cancer cells that had undergone EMT and demonstrated associated TKI resistance. However, we did not find that AXL inhibition alone could overcome acquired resistance to EGFR TKIs in the EMT setting, as previously reported. These findings reveal a novel cotreatment strategy for tumors displaying mesenchymal features that otherwise render them treatment refractory.
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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