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RON kinase: A target for treatment of cancer-induced bone destruction and osteoporosis
Kelsi Andrade1, Jaime Fornetti1, Ling Zhao1
1Department of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT 84112, USA.
Abstract:
Bone destruction occurs in aging and numerous diseases, including osteoporosis and cancer. Many cancer patients have bone osteolysis that is refractory to state-of-the-art treatments, which block osteoclast activity with bisphosphonates or by inhibiting the receptor activator of nuclear factor κB ligand (RANKL) pathway. We previously showed that macrophage-stimulating protein (MSP) signaling, which is elevated in about 40% of breast cancers, promotes osteolytic bone metastasis by activation of the MSP signaling pathway in tumor cells or in the bone microenvironment. We show that MSP signals through its receptor, RON tyrosine kinase, expressed on host cells, to activate osteoclasts directly by a previously undescribed pathway that is complementary to RANKL signaling and converges on proto-oncogene, non-receptor tyrosine kinase SRC (SRC). Genetic or pharmacologic inhibition of RON kinase blocked cancer-mediated bone destruction and osteoporosis in several mouse models. Furthermore, the RON kinase inhibitor BMS-777607/ASLAN002 altered markers of bone turnover in a first-in-human clinical cancer study, indicating the inhibitor's potential for normalizing bone loss in patients. These findings uncover a new therapeutic target for pathogenic bone loss and provide a rationale for treatment of bone destruction in various diseases with RON inhibitors.
Insights
Macrophage-stimulating protein (MSP) signaling via RON kinase directly activates osteoclasts, promoting bone destruction in cancer and osteoporosis. Inhibiting RON kinase offers a new therapeutic strategy for bone loss diseases.
Area of Science:
- Oncology
- Bone Biology
- Molecular Signaling
Background:
- Bone destruction, or osteolysis, is a hallmark of aging and diseases like osteoporosis and cancer, often proving resistant to current treatments.
- Existing therapies target osteoclast activity by inhibiting bisphosphonates or the receptor activator of nuclear factor κB ligand (RANKL) pathway.
- Macrophage-stimulating protein (MSP) signaling, prevalent in breast cancer, exacerbates osteolytic bone metastasis through tumor cell or bone microenvironment activation.
Purpose of the Study:
- To elucidate the mechanism by which MSP signaling contributes to osteolytic bone metastasis.
- To identify novel therapeutic targets for treating bone destruction associated with aging and disease.
- To investigate the efficacy of targeting the MSP-RON signaling pathway in preclinical models and human studies.
Main Methods:
- Investigated MSP signaling through its receptor, RON tyrosine kinase, on host cells.
- Examined the direct activation of osteoclasts via a novel pathway involving RON and SRC (proto-oncogene, non-receptor tyrosine kinase).
- Utilized genetic and pharmacologic inhibition of RON kinase in mouse models of cancer-mediated bone destruction and osteoporosis.
- Assessed the effects of the RON kinase inhibitor BMS-777607/ASLAN002 on bone turnover markers in a human clinical trial.
Main Results:
- MSP signals through RON tyrosine kinase on host cells to directly activate osteoclasts, a pathway complementary to RANKL signaling and converging on SRC.
- Genetic or pharmacologic inhibition of RON kinase effectively blocked cancer-induced bone destruction and osteoporosis in multiple mouse models.
- The RON kinase inhibitor BMS-777607/ASLAN002 demonstrated potential by altering bone turnover markers in a human clinical cancer study.
Conclusions:
- Uncovered a novel MSP-RON-SRC signaling axis that directly drives osteoclast activation and pathogenic bone loss.
- Demonstrated that RON kinase is a viable therapeutic target for combating bone destruction in various diseases, including osteoporosis and cancer metastasis.
- Provided a strong rationale for developing and utilizing RON inhibitors for the treatment of bone loss conditions.
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