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AXL-Driven EMT State as a Targetable Conduit in Cancer
Jane Antony1,2,3, Ruby Yun-Ju Huang4,5,6
1Cancer Science Institute of Singapore, National University of Singapore, Singapore.
Abstract:
The receptor tyrosine kinase (RTK) AXL has been intrinsically linked to epithelial-mesenchymal transition (EMT) and promoting cell survival, anoikis resistance, invasion, and metastasis in several cancers. AXL signaling has been shown to directly affect the mesenchymal state and confer it with aggressive phenotype and drug resistance. Recently, the EMT gradient has also been shown to rewire the kinase signaling nodes that facilitate AXL-RTK cross-talk, protracted signaling, converging on ERK, and PI3K axes. The molecular mechanisms underplaying the regulation between the kinome and EMT require further elucidation to define targetable conduits. Therapeutically, as AXL inhibition has shown EMT reversal and resensitization to other tyrosine kinase inhibitors, mitotic inhibitors, and platinum-based therapy, there is a need to stratify patients based on AXL dependence. This review elucidates the role of AXL in EMT-mediated oncogenesis and highlights the reciprocal control between AXL signaling and the EMT state. In addition, we review the potential in inhibiting AXL for the development of different therapeutic strategies and inhibitors. Cancer Res; 77(14); 3725-32. ©2017 AACR.
Insights
The receptor tyrosine kinase AXL drives cancer progression and drug resistance by promoting epithelial-mesenchymal transition (EMT). Inhibiting AXL may reverse EMT and resensitize tumors to therapy, necessitating patient stratification for targeted treatments.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- The receptor tyrosine kinase (RTK) AXL is implicated in epithelial-mesenchymal transition (EMT), enhancing cancer cell survival, invasion, and metastasis.
- AXL signaling confers an aggressive phenotype and drug resistance by directly influencing the mesenchymal state.
- Recent findings reveal EMT-induced rewiring of kinase signaling nodes, facilitating AXL cross-talk and sustained signaling through ERK and PI3K pathways.
Purpose of the Study:
- To elucidate the molecular mechanisms regulating the interplay between the kinome and EMT.
- To highlight the reciprocal control between AXL signaling and the EMT state in oncogenesis.
- To review the therapeutic potential of AXL inhibition for developing novel cancer treatments.
Main Methods:
- Literature review of studies on AXL, EMT, and cancer signaling pathways.
- Analysis of molecular mechanisms underlying AXL-EMT crosstalk.
- Evaluation of therapeutic strategies targeting AXL.
Main Results:
- AXL plays a crucial role in EMT-mediated oncogenesis, promoting aggressive cancer phenotypes.
- AXL signaling contributes to resistance against various cancer therapies.
- AXL inhibition has demonstrated potential in reversing EMT and resensitizing cancer cells to treatments.
Conclusions:
- Understanding the AXL-EMT axis is critical for developing targeted cancer therapies.
- AXL inhibition represents a promising therapeutic strategy for overcoming drug resistance in various cancers.
- Patient stratification based on AXL dependence is essential for optimizing treatment outcomes.
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