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Targeting focal adhesion kinase in cancer cells and the tumor microenvironment
James M Murphy1, Yelitza A R Rodriguez1, Kyuho Jeong1
1Department of Biochemistry and Molecular Biology, University of South Alabama, College of Medicine, Mobile, AL, 36688, USA.
Abstract:
Focal adhesion kinase (FAK) is an integrin-associated protein tyrosine kinase that is frequently overexpressed in advanced human cancers. Recent studies have demonstrated that aside from FAK's catalytic activity in cancer cells, its cellular localization is also critical for regulating the transcription of chemokines that promote a favorable tumor microenvironment (TME) by suppressing destructive host immunity. In addition to the protumor roles of FAK in cancer cells, FAK activity within cells of the TME may also support tumor growth and metastasis through various mechanisms, including increased angiogenesis and vascular permeability and effects related to fibrosis in the stroma. Small molecule FAK inhibitors have demonstrated efficacy in alleviating tumor growth and metastasis, and some are currently in clinical development phases. However, several preclinical trials have shown increased benefits from dual therapies using FAK inhibitors in combination with other chemotherapies or with immune cell activators. This review will discuss the role of nuclear FAK as a driver for tumor cell survival as well as potential therapeutic strategies to target FAK in both tumors and the TME.
Insights
Focal adhesion kinase (FAK) is crucial in cancer progression and tumor microenvironment regulation. Targeting FAK, especially its nuclear role, offers promising therapeutic strategies, potentially combined with other treatments.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Focal adhesion kinase (FAK) is a protein tyrosine kinase often overexpressed in advanced cancers.
- FAK's role extends beyond catalytic activity to regulating chemokine transcription and tumor microenvironment (TME) modulation.
- FAK activity in cancer cells and the TME supports tumor growth, metastasis, angiogenesis, and fibrosis.
Purpose of the Study:
- To review the multifaceted roles of FAK in cancer.
- To highlight the significance of FAK's cellular localization, particularly nuclear FAK, in tumor cell survival.
- To discuss therapeutic strategies targeting FAK in both tumor cells and the TME.
Main Methods:
- Literature review of recent studies on FAK function in cancer.
- Analysis of FAK's role in regulating chemokine transcription and TME.
- Evaluation of FAK inhibitors and combination therapies.
Main Results:
- FAK overexpression is linked to advanced human cancers.
- FAK localization influences chemokine transcription, impacting host immunity and TME.
- FAK activity promotes angiogenesis, vascular permeability, and stromal fibrosis.
- Small molecule FAK inhibitors show efficacy in preclinical models.
- Combination therapies with FAK inhibitors demonstrate enhanced benefits.
Conclusions:
- Nuclear FAK acts as a driver of tumor cell survival.
- Targeting FAK in tumors and the TME presents a viable therapeutic avenue.
- Combination strategies involving FAK inhibitors hold significant therapeutic potential.
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