c-MET as a Potential Resistance Mechanism to Everolimus in Breast Cancer: From a Case Report to Patient Cohort

Valentin Van den Bossche1, Gaspard Jadot1, Guillaume Grisay1

  • 1Medical Oncology Unit, Hopital de Jolimont, Rue Ferrer 159, 7100, Haine Saint Paul, Belgium.

Targeted Oncology
|February 6, 2020
PubMed
Abstract

Insights

Increased c-MET expression in breast cancer patients correlates with resistance to everolimus. Targeting c-MET with cabozantinib shows promise, suggesting c-MET as a predictive biomarker for everolimus efficacy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Translational Research

Background:

  • Everolimus is a targeted therapy for breast cancer.
  • Understanding resistance mechanisms is crucial for optimizing treatment.
  • c-MET signaling is implicated in various cancers.

Observation:

  • A patient with breast cancer developed high c-MET expression after progression on everolimus.
  • This patient showed a significant response to cabozantinib, a c-MET inhibitor.
  • In a cohort study, baseline c-MET positivity was linked to aggressive tumor features.

Findings:

  • c-MET expression increased during everolimus treatment, indicating a role in resistance.
  • c-MET-positive breast cancer patients had shorter progression-free survival and lower response rates to everolimus.
  • Baseline c-MET expression was associated with higher tumor grade, visceral metastases, and lower endocrine sensitivity.

Implications:

  • c-MET may serve as a predictive biomarker for everolimus efficacy in breast cancer.
  • Inhibition of c-MET, potentially with cabozantinib, warrants further investigation in breast cancer treatment.
  • This study opens avenues for personalized treatment strategies based on c-MET status.