Mitogen-activated protein kinase inhibition reduces mucin 2 production and mucinous tumor growth

Ashok K Dilly1, Xinxin Song1, Herbert J Zeh1

  • 1Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.

Insights

Targeting the MAPK pathway with MEK inhibitors like RDEA119 effectively reduced mucin 2 (MUC2) production and pseudomyxoma peritonei (PMP) tumor growth, improving survival in preclinical models.

Area of Science:

  • Oncology
  • Molecular Biology
  • Gastroenterology

Background:

  • Pseudomyxoma peritonei (PMP) is a rare malignancy characterized by excessive mucin 2 (MUC2) accumulation in the peritoneum.
  • The mitogen-activated protein kinase (MAPK) signaling pathway is upregulated in PMP and influences MUC2 production.

Purpose of the Study:

  • To investigate the therapeutic potential of inhibiting the MAPK pathway to reduce MUC2 production and PMP tumor growth.
  • To evaluate the efficacy and safety of RDEA119, a MEK1/2 inhibitor, in preclinical PMP models.

Main Methods:

  • RDEA119 was tested in MUC2-secreting LS174T cells, human PMP explant tissue, and an intraperitoneal murine xenograft model.
  • Inhibition of ERK1/2 phosphorylation, MUC2 mRNA and protein expression, and downstream signaling pathways were assessed.

Main Results:

  • RDEA119 significantly reduced MUC2 production and ERK1/2 phosphorylation in vitro.
  • In vivo, RDEA119 treatment inhibited PMP tumor growth, downregulated phosphorylated ERK1/2 and nuclear factor κB p65 signaling, and reduced AP1 binding to the MUC2 promoter.
  • This led to a significant improvement in survival in the xenograft model.

Conclusions:

  • Targeted inhibition of the MAPK pathway using MEK inhibitors is a promising therapeutic strategy for PMP.
  • RDEA119 demonstrates preclinical efficacy in reducing MUC2 production and PMP tumor burden, supporting its potential use in PMP treatment.

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