Targeting ROR1 in combination with pemetrexed in malignant mesothelioma cells

Noriko Miyake1, Nobuaki Ochi2, Hiromichi Yamane2

  • 1General Medical Center Research Unit, Kawasaki Medical School, 2-6-1 Nakasange, Kita-ku, Okayama 700-8505, Japan.

Abstract

Insights

Inhibiting Receptor tyrosine kinase-like orphan receptor 1 (ROR1) shows anti-cancer effects in malignant mesothelioma (MM) cells. Combination therapy with ROR1 inhibition and pemetrexed offers a promising treatment strategy for advanced MM.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Receptor tyrosine kinase-like orphan receptor 1 (ROR1) is frequently overexpressed in various cancers.
  • The therapeutic potential of targeting ROR1 in malignant mesothelioma (MM) remains largely unexplored.

Purpose of the Study:

  • To investigate the efficacy of ROR1 inhibition as a therapeutic strategy in MM.
  • To evaluate the impact of ROR1 targeting on MM cell proliferation, apoptosis, and key signaling pathways.

Main Methods:

  • Utilized siRNA to inhibit ROR1 expression in MM cell lines.
  • Assessed effects on cell growth, colony formation, and apoptosis.
  • Analyzed mRNA and protein expression levels of ROR1 and downstream targets.
  • Performed cluster analysis on transcriptomic data from the Gene Expression Omnibus repository.

Main Results:

  • ROR1 inhibition demonstrated anti-proliferative and apoptotic effects in three out of four MM cell lines, suppressing AKT and STAT3 activation.
  • While growth inhibition was minimal in one cell line (H28), colony formation was significantly reduced.
  • Downregulation of thymidylate synthase, a pemetrexed target, was observed in ROR1-inhibited cells.
  • A combination of pemetrexed and ROR1 inhibition proved effective in multiple MM cell lines.

Conclusions:

  • ROR1 is a potential therapeutic target in malignant mesothelioma.
  • Targeting ROR1, particularly in combination with pemetrexed, offers a novel therapeutic avenue for advanced MM treatment.