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Updated: Apr 1, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
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.
Abstract:
TAM (Tyro3-Axl-Mer) receptor tyrosine kinases and Met are implicated in several hallmarks of cancer progression including sustained angiogenesis, enhanced motility, tissue invasion and acquisition of metastatic potential through the upregulation of epithelial-to-mesenchymal transition. Increasing evidence has confirmed Axl and Met as emerging central drivers of adaptive resistance to targeted therapies across a wide variety of cancers. In this issue of Oncogene, Zhou et al. describe the mechanisms linking Axl and Met activation to acquired resistance to sunitinib in renal cell carcinoma (RCC), providing a pre-clinical rationale for the development of Axl and Met inhibitors including cabozantinib in anti-angiogenic resistant RCC.
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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