Molecular Pathways: Endothelial Cell FAK-A Target for Cancer Treatment
Marina Roy-Luzarraga1, Kairbaan Hodivala-Dilke2
1Adhesion and Angiogenesis Laboratory, Centre for Tumor Biology, Barts Cancer Institute, Queen Mary University of London, London, United Kingdom.
Abstract:
The nonreceptor protein tyrosine kinase, focal adhesion kinase (FAK, also known as PTK2), is a key mediator of signal transduction downstream of integrins and growth factor receptors in a variety of cells, including endothelial cells. FAK is upregulated in several advanced-stage solid tumors and has been described to promote tumor progression and metastasis through effects on both tumor cells and stromal cells. This observation has led to the development of several FAK inhibitors, some of which have entered clinical trials (GSK2256098, VS-4718, VS-6062, VS-6063, and BI853520). Resistance to chemotherapy is a serious limitation of cancer treatment and, until recently, most studies were restricted to tumor cells, excluding the possible roles performed by the tumor microenvironment. A recent report identified endothelial cell FAK (EC-FAK) as a major regulator of chemosensitivity. By dysregulating endothelial cell-derived paracrine (also known as angiocrine) signals, loss of FAK solely in the endothelial cell compartment is able to induce chemosensitization to DNA-damaging therapies in the malignant cell compartment and thereby reduce tumor growth. Herein, we summarize the roles of EC-FAK in cancer and development and review the status of FAK-targeting anticancer strategies. Clin Cancer Res; 22(15); 3718-24. ©2016 AACR.
Insights
Focal adhesion kinase (FAK) in endothelial cells regulates chemotherapy response. Inhibiting FAK in these cells can sensitize tumors to DNA-damaging therapies, reducing tumor growth.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Focal adhesion kinase (FAK, PTK2) is a nonreceptor protein tyrosine kinase crucial for signal transduction.
- FAK is upregulated in advanced solid tumors, promoting progression and metastasis.
- FAK inhibitors are under clinical investigation for cancer treatment.
Purpose of the Study:
- To summarize the roles of endothelial cell FAK (EC-FAK) in cancer and development.
- To review the current status of FAK-targeting anticancer strategies.
- To highlight EC-FAK's role in regulating chemosensitivity.
Main Methods:
- Review of existing literature on FAK in cancer and endothelial cells.
- Analysis of FAK's role in tumor microenvironment and signal transduction.
- Summary of clinical trial data for FAK inhibitors.
Main Results:
- Endothelial cell FAK (EC-FAK) is identified as a key regulator of chemosensitivity.
- Loss of EC-FAK dysregulates angiocrine signals, leading to tumor cell chemosensitization.
- Reduced tumor growth is observed when EC-FAK is inhibited, sensitizing malignant cells to DNA-damaging therapies.
Conclusions:
- EC-FAK plays a significant role in cancer progression and response to therapy.
- Targeting EC-FAK presents a novel strategy to enhance chemosensitivity.
- FAK inhibitors targeting endothelial cells may improve efficacy of DNA-damaging cancer therapies.
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