Targeting FGFR Pathway in Human Hepatocellular Carcinoma: Expressing pFGFR and pMET for Antitumor Activity

Jae-Cheol Jo1, Eun Kyoung Choi2, Jae-Sik Shin2

  • 1Innovative Cancer Research, ASAN Institute for Life Science, Asan Medical Center, Seoul, Republic of Korea. Department of Oncology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. Department of Hematology and Oncology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.

Insights

Hepatocellular carcinoma (HCC) cells resistant to MET inhibitors can be treated with FGFR inhibitors. Targeting the FGFR pathway with AZD4547 shows promise for treating HCC patients with specific molecular markers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • The MET receptor tyrosine kinase is crucial for hepatocellular carcinoma (HCC) progression.
  • MET inhibitors are potential personalized treatments for HCC, but resistance mechanisms require elucidation.
  • FGFR signaling may play a role in HCC cell survival and resistance to MET inhibition.

Purpose of the Study:

  • To investigate the mechanisms of resistance to MET inhibitors in HCC.
  • To explore the role of FGFR signaling in HCC cell survival and MET inhibitor resistance.
  • To evaluate the efficacy of FGFR inhibition in overcoming MET inhibitor resistance in HCC.

Main Methods:

  • Assessing HCC cell sensitivity to MET inhibitor PHA665752 based on FGFR phosphorylation status.
  • Treating HCC cells with PHA665752 and pan-FGFR inhibitor AZD4547.
  • Silencing FGFR1 and FGFR2 using RNA interference (RNAi) in HCC cells.
  • Analyzing effects on cell growth, colony formation, and apoptosis (caspase-3 cleavage).
  • Evaluating treatment responses in primary HCC patient-derived cells.

Main Results:

  • HCC cells with both phospho-FGFR and phospho-MET showed resistance to PHA665752.
  • AZD4547 treatment inhibited colony formation and induced apoptosis in resistant HCC cells.
  • Silencing FGFR1/FGFR2 in HCC cells restored sensitivity to PHA665752.
  • AZD4547 induced cell death in primary HCC cells resistant to PHA665752.
  • AZD4547 abrogated downstream signaling pathways involved in HCC cell growth and survival.

Conclusions:

  • The FGFR pathway is critical for HCC cell survival, particularly in the context of MET signaling.
  • FGFR inhibition, using AZD4547, can overcome resistance to MET inhibitors in HCC.
  • Targeting the FGFR pathway with AZD4547 may offer a therapeutic strategy for HCC patients with specific molecular profiles (phospho-FGFR and phospho-MET).

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