The Receptor Tyrosine Kinase RON and Its Isoforms as Therapeutic Targets in Ewing Sarcoma

Philipp Berning1, Carolin Hennemann2,3, Claudia Tulotta4

  • 1Department of Medicine A, Hematology, Oncology and Pneumology, University Hospital Münster, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.

Cancers
|April 11, 2020
PubMed

Insights

This study reveals the receptor tyrosine kinase (RTK) RON's role in Ewing sarcoma metastasis. Targeting RON and insulin-like growth factor-1 receptor (IGF1R) shows promise, but specific RON isoforms present challenges.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Receptor tyrosine kinase (RTK) RON is implicated in carcinoma metastasis and is a therapeutic target.
  • RON's role in sarcomas, particularly pediatric types, is largely uncharacterized.
  • RON confers resistance to insulin-like growth factor-1 receptor (IGF1R) targeting in Ewing sarcoma.

Purpose of the Study:

  • To investigate the function of RON in pediatric sarcomas, specifically Ewing sarcoma.
  • To explore the crosstalk between RON and IGF1R signaling pathways.
  • To evaluate the efficacy of targeting RON and IGF1R in preclinical models.

Main Methods:

  • Utilized shRNA to silence RON in pediatric sarcoma cell lines and a zebrafish model.
  • Employed monoclonal antibodies IMC-RON8 (anti-RON) and IMC-A12 (anti-IGF1R) for targeted inhibition.
  • Analyzed signaling pathways and RON isoform expression via RT-PCR and in vivo/in vitro assays.

Main Results:

  • RON silencing impaired Ewing sarcoma cell functions in vitro and in vivo, including micrometastatic capacities.
  • Demonstrated unidirectional, IGF1-mediated cross-activation of RON.
  • Identified expression of a short-form RON isoform in childhood sarcomas, resistant to antibody targeting.
  • Observed increased short-form RON expression with DNA methyltransferase inhibitors, unlike in carcinomas.

Conclusions:

  • This study establishes a role for RON in the metastatic progression of Ewing sarcoma.
  • While RON functions may be conserved across carcinomas and sarcomas, specific isoform regulation necessitates further investigation for effective therapeutic strategies.
  • Highlights the need for tailored approaches to target RON effectively in different sarcoma subtypes.

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