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Inhibition of pressure-activated cancer cell adhesion by FAK-derived peptides
Bixi Zeng1,2,3, Dinesh Devadoss1,2, Shouye Wang1
1Department of Surgery, University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota, United States.
Abstract:
Forces within the surgical milieu or circulation activate cancer cell adhesion and potentiate metastasis through signaling requiring FAK-Akt1 interaction. Impeding FAK-Akt1 interaction might inhibit perioperative tumor dissemination, facilitating curative cancer surgery without global FAK or AKT inhibitor toxicity. Serial truncation and structurally designed mutants of FAK identified a seven amino acid, short helical structure within FAK that effectively competes with Akt1-FAK interaction. Adenoviral overexpression of this FAK-derived peptide inhibited pressure-induced FAK phosphorylation and AKT-FAK coimmunoprecipitation in human SW620 colon cancer cells briefly exposed to 15mmHg increased pressure, consistent with laparoscopic or post-surgical pressures. Adenoviral FAK-derived peptide expression prevented pressure-activation of SW620 adhesion not only to collagen-I-coated plates but also to murine surgical wounds. A scrambled peptide did not. Finally, we modeled operative shedding of tumor cells before irrigation and closure by transient cancer cell adhesion to murine surgical wounds before irrigation and closure. Thirty minute preincubation of SW620 cells at 15mmHg increased pressure impaired subsequent tumor free survival in mice exposed to cells expressing the scrambled peptide. The FAK-derived sequence prevented this. These results suggest that blocking FAK-Akt1 interaction may prevent perioperative tumor dissemination and that analogs or mimics of this 7 amino acid FAK-derived peptide could impair metastasis.
Insights
Blocking FAK-Akt1 interaction with a novel peptide may prevent cancer metastasis during surgery. This targeted approach inhibits tumor cell adhesion and dissemination, offering a safer alternative to broad FAK or AKT inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Surgical Innovation
Background:
- Cancer metastasis is often potentiated by surgical stress, involving FAK-Akt1 signaling and tumor cell adhesion.
- Current treatments targeting FAK or AKT can cause systemic toxicity, necessitating more specific interventions.
Purpose of the Study:
- To investigate if inhibiting FAK-Akt1 interaction can prevent perioperative tumor dissemination.
- To identify and utilize a specific peptide sequence that disrupts FAK-Akt1 binding.
Main Methods:
- Serial truncation and mutagenesis of FAK to identify a peptide that competes with Akt1.
- Adenoviral delivery of the FAK-derived peptide in SW620 colon cancer cells under increased pressure.
- Assessing cancer cell adhesion to collagen-I and murine surgical wounds.
- Evaluating tumor-free survival in mice after tumor cell exposure during simulated surgical conditions.
Main Results:
- The FAK-derived peptide successfully inhibited pressure-induced FAK phosphorylation and FAK-Akt1 co-immunoprecipitation.
- Adenoviral FAK-derived peptide expression prevented pressure-induced adhesion of SW620 cells to surfaces and surgical wounds.
- In vivo, the FAK-derived peptide significantly improved tumor-free survival in mice exposed to pressure-treated cancer cells.
Conclusions:
- Targeting the FAK-Akt1 interaction with a specific peptide can effectively inhibit perioperative tumor cell adhesion and metastasis.
- This peptide-based strategy offers a promising, targeted approach to reduce cancer spread during surgery without systemic toxicity.
- Analogs of this 7-amino acid FAK-derived peptide could be developed as novel anti-metastatic therapeutics.
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