TAMing resistance to multi-targeted kinase inhibitors through Axl and Met inhibition

D J Pinato1, S Chowdhury2, J Stebbing1

  • 1Department of Surgery and Cancer, Imperial College London, Hammersmith Hospital Campus, London, UK.

Oncogene
|October 6, 2015
PubMed

Insights

The study reveals how Axl and Met activation drives resistance to sunitinib in renal cell carcinoma (RCC). This research supports developing Axl and Met inhibitors like cabozantinib for targeted therapy resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • TAM receptor tyrosine kinases (Axl) and Met are linked to cancer progression and metastasis.
  • Axl and Met are increasingly recognized as drivers of adaptive resistance to targeted cancer therapies.
  • Understanding resistance mechanisms is crucial for improving cancer treatment outcomes.

Purpose of the Study:

  • To elucidate the mechanisms by which Axl and Met activation contribute to acquired resistance to sunitinib in renal cell carcinoma (RCC).
  • To provide a preclinical rationale for targeting Axl and Met in sunitinib-resistant RCC.

Main Methods:

  • The study by Zhou et al. investigated the molecular links between Axl and Met signaling pathways.
  • Preclinical models of sunitinib-resistant RCC were utilized to examine resistance mechanisms.
  • The research focused on the role of epithelial-to-mesenchymal transition in mediating resistance.

Main Results:

  • Axl and Met activation were identified as key mediators of acquired resistance to sunitinib in RCC.
  • The study demonstrated that these receptor tyrosine kinases promote cancer hallmarks like angiogenesis and invasion.
  • Upregulation of epithelial-to-mesenchymal transition was linked to Axl and Met-driven resistance.

Conclusions:

  • Axl and Met signaling pathways play a critical role in the development of resistance to sunitinib in RCC.
  • Targeting Axl and Met, potentially with inhibitors like cabozantinib, is a promising strategy for overcoming anti-angiogenic therapy resistance in RCC.
  • Further clinical investigation of Axl and Met inhibitors is warranted for patients with resistant RCC.

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