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Implication of the Receptor Tyrosine Kinase AXL in Head and Neck Cancer Progression
Anne von Mässenhausen1,2,3, Johannes Brägelmann4,5,6, Hannah Billig7,8
1Section of Prostate Cancer Research, University Hospital of Bonn, 53127 Bonn, Germany. anne.vonmaessenhausen@gmail.com.
Abstract:
Head and neck squamous cell carcinoma (HNSCC) remains a clinical challenge and identification of novel therapeutic targets is necessary. The receptor tyrosine kinase AXL has been implicated in several tumor entities and a selective AXL small molecule inhibitor (BGB324) is currently being tested in clinical trials for patients suffering from non-small cell lung cancer or acute myeloid leukemia. Our study investigates AXL expression during HNSCC progression and its use as a potential therapeutic target in HNSCC. AXL protein expression was determined in a HNSCC cohort (n = 364) using immunohistochemical staining. For functional validation, AXL was either overexpressed or inhibited with BGB324 in HNSCC cell lines to assess proliferation, migration and invasion. We found AXL protein expression increasing during tumor progression with highest expression levels in recurrent tumors. In HNSCC cell lines in vitro, AXL overexpression increased migration as well as invasion. Both properties could be reduced through treatment with BGB324. In contrast, proliferation was neither affected by AXL overexpression nor by inhibition with BGB324. Our patient-derived data and in vitro results show that, in HNSCC, AXL is important for the progression to more advanced tumor stages. Moreover, they suggest that AXL could be a target for precision medicine approaches in this dismal tumor entity.
Insights
AXL protein expression increases with head and neck squamous cell carcinoma (HNSCC) progression, driving tumor cell migration and invasion. Inhibiting AXL with BGB324 may offer a precision medicine strategy for HNSCC.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Head and neck squamous cell carcinoma (HNSCC) presents significant clinical challenges.
- Identifying novel therapeutic targets is crucial for improving HNSCC patient outcomes.
- The receptor tyrosine kinase AXL is implicated in various cancers.
Purpose of the Study:
- To investigate AXL protein expression during HNSCC progression.
- To evaluate AXL as a potential therapeutic target in HNSCC.
- To assess the functional role of AXL in HNSCC cell migration, invasion, and proliferation.
Main Methods:
- AXL protein expression was quantified in a cohort of 364 HNSCC patients using immunohistochemical staining.
- AXL was overexpressed or inhibited using the small molecule inhibitor BGB324 in HNSCC cell lines.
- Functional assays assessed the impact of AXL modulation on cell proliferation, migration, and invasion.
Main Results:
- AXL protein expression was found to increase during tumor progression, with the highest levels observed in recurrent tumors.
- AXL overexpression in HNSCC cell lines enhanced cell migration and invasion.
- Treatment with BGB324 significantly reduced AXL-mediated migration and invasion.
- Cell proliferation was not significantly affected by either AXL overexpression or BGB324 inhibition.
Conclusions:
- AXL plays a significant role in the progression of HNSCC to more advanced stages.
- AXL is a potential therapeutic target for precision medicine approaches in HNSCC.
- Targeting AXL may offer a novel strategy for treating this challenging cancer entity.
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