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Published on: October 27, 2020
The TGFβ pathway stimulates ovarian cancer cell proliferation by increasing IGF1R levels
Elisenda Alsina-Sanchis1,2, Agnès Figueras1,2, Álvaro Lahiguera1,2
1Program Against Cancer Therapeutic Resistance (ProCURE), Institut Català D'Oncologia (ICO), Hospital Duran i Reynals, L'Hospitalet de Llobregat, Barcelona, Spain.
Abstract:
In a search for new therapeutic targets for treating epithelial ovarian cancer, we analyzed the Transforming Growth Factor Beta (TGFβ) signaling pathway in these tumors. Using a TMA with patient samples we found high Smad2 phosphorylation in ovarian cancer tumoral cells, independently of tumor subtype (high-grade serous or endometrioid). To evaluate the impact of TGFβ receptor inhibition on tumoral growth, we used different models of human ovarian cancer orthotopically grown in nude mice (OVAs). Treatment with a TGFβRI&II dual inhibitor, LY2109761, caused a significant reduction in tumor size in all these models, affecting cell proliferation rate. We identified Insulin Growth Factor (IGF)1 receptor as the signal positively regulated by TGFβ implicated in ovarian tumor cell proliferation. Inhibition of IGF1R activity by treatment with a blocker antibody (IMC-A12) or with a tyrosine kinase inhibitor (linsitinib) inhibited ovarian tumoral growth in vivo. When IGF1R levels were decreased by shRNA treatment, LY2109761 lost its capacity to block tumoral ovarian cell proliferation. At the molecular level TGFβ induced mRNA IGF1R levels. Overall, our results suggest an important role for the TGFβ signaling pathway in ovarian tumor cell growth through the control of IGF1R signaling pathway. Moreover, it identifies anti-TGFβ inhibitors as being of potential use in new therapies for ovarian cancer patients as an alternative to IGF1R inhibition.
Insights
Transforming Growth Factor Beta (TGFβ) signaling drives ovarian cancer growth by regulating Insulin Growth Factor (IGF)1 receptor. Inhibiting TGFβ shows promise for ovarian cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Signaling Pathways
Background:
- Epithelial ovarian cancer remains a significant health challenge.
- Identifying novel therapeutic targets is crucial for improving patient outcomes.
- The Transforming Growth Factor Beta (TGFβ) signaling pathway is implicated in various cancers.
Purpose of the Study:
- To investigate the role of the TGFβ signaling pathway in epithelial ovarian cancer.
- To evaluate the therapeutic potential of TGFβ pathway inhibition.
- To identify downstream targets of TGFβ involved in ovarian tumor proliferation.
Main Methods:
- Analysis of Smad2 phosphorylation in patient-derived ovarian cancer samples using tissue microarrays (TMA).
- In vivo studies using orthotopic ovarian cancer models in nude mice treated with TGFβ receptor inhibitors (LY2109761).
- Assessment of Insulin Growth Factor (IGF)1 receptor (IGF1R) involvement using pharmacological inhibitors (IMC-A12, linsitinib) and shRNA knockdown.
Main Results:
- High Smad2 phosphorylation was observed in ovarian cancer cells, irrespective of subtype.
- TGFβ receptor inhibition significantly reduced tumor growth and cell proliferation in vivo.
- TGFβ signaling positively regulates IGF1R, which is critical for ovarian tumor cell proliferation.
- Inhibition of IGF1R also suppressed ovarian tumor growth.
- LY2109761's anti-proliferative effect was abolished when IGF1R levels were reduced.
Conclusions:
- The TGFβ signaling pathway promotes ovarian cancer growth by controlling IGF1R signaling.
- Anti-TGFβ inhibitors represent a potential therapeutic strategy for ovarian cancer patients.
- Targeting the TGFβ/IGF1R axis offers a novel approach for ovarian cancer treatment.
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