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Foretinib (GSK1363089) induces p53-dependent apoptosis in endometrial cancer
Yuhei Kogata1, Tomohito Tanaka1, Yoshihiro J Ono1
1Department of Obstetrics and Gynecology, Osaka Medical College, Takatsuki, Japan.
Objective:
Foretinib (GSK1363089 or XL880), which is an oral multikinase inhibitor developed to primarily target the hepatocyte growth factor (HGF)/Met signaling pathway, has shown anti-tumor effects against some cancers in preclinical and clinical studies.
Results:
HGF/Met signaling in endometrial cancer cell lines was stimulated in an autocrine manner, and was essential for cell survival. Inhibiting the HGF/Met signaling with foretinib induced p53-dependent apoptosis in endometrial cancer cell lines in vitro. Foretinib also showed significant anti-cancer effects in vivo in experiments using cell tumor xenografts. p53 mutations were observed in 37 (10.8%) of 344 endometrial cancer specimens.
Conclusion:
The HGF/Met-MAPK/PI3K pathway in endometrial cancer is activated by HGF in an autocrine manner. Foretinib induces an anti-cancer effect through the anti-phosphorylation of Met, which results in the induction of p53-dependent apoptosis; foretinib was found to exert greater anti-cancer activity in endometrial cancer specimens with wild-type p53 than in specimens with p53 mutations. Our immunochemical analysis revealed that foretinib-induced p53-dependent apoptosis can be expected to have therapeutic potential in approximately 90% of endometrial cancer patients.
Methods:
We evaluated the HGF/Met signaling pathway in endometrial cancer cell lines and assessed the anti-cancer effects of foretinib using in vitro and in vivo experimental models. Furthermore, endometrial cancer specimens were subjected to an immunohistochemical analysis.
Insights
Foretinib effectively targets the HGF/Met pathway in endometrial cancer, inducing p53-dependent apoptosis. This multikinase inhibitor shows therapeutic potential for most patients, particularly those with wild-type p53.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Hepatocyte growth factor (HGF)/Met signaling is crucial for endometrial cancer cell survival.
- This pathway is often activated in an autocrine manner in endometrial cancer.
- Foretinib is an oral multikinase inhibitor targeting the HGF/Met pathway.
Purpose of the Study:
- To evaluate the role of HGF/Met signaling in endometrial cancer.
- To assess the anti-cancer effects of foretinib in endometrial cancer.
- To determine the predictive value of p53 status for foretinib efficacy.
Main Methods:
- In vitro and in vivo studies using endometrial cancer cell lines and xenografts.
- Evaluation of HGF/Met signaling pathway.
- Immunohistochemical analysis of endometrial cancer specimens.
Main Results:
- HGF/Met signaling is essential for endometrial cancer cell survival.
- Foretinib inhibits HGF/Met signaling, inducing p53-dependent apoptosis.
- Foretinib demonstrated significant anti-cancer effects in vitro and in vivo.
- p53 mutations were found in 10.8% of endometrial cancer specimens.
Conclusions:
- The HGF/Met-MAPK/PI3K pathway is activated by HGF in an autocrine manner in endometrial cancer.
- Foretinib induces p53-dependent apoptosis by inhibiting Met phosphorylation.
- Foretinib exhibits greater efficacy in endometrial cancers with wild-type p53.
- Therapeutic potential for foretinib-induced apoptosis is estimated in approximately 90% of endometrial cancer patients.
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