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Published on: December 26, 2016
Targeting MET Dysregulation in Cancer
Gonzalo Recondo1, Jianwei Che2,3, Pasi A Jänne4,5
1Lowe Center for Thoracic Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.
Abstract:
Aberrant MET signaling can drive tumorigenesis in several cancer types through a variety of molecular mechanisms including MET gene amplification, mutation, rearrangement, and overexpression. Improvements in biomarker discovery and testing have more recently enabled the selection of patients with MET-dependent cancers for treatment with potent, specific, and novel MET-targeting therapies. We review the known oncologic processes that activate MET, discuss therapeutic strategies for MET-dependent malignancies, and highlight emerging challenges in acquired drug resistance in these cancers. SIGNIFICANCE: Increasing evidence supports the use of MET-targeting therapies in biomarker-selected cancers that harbor molecular alterations in MET. Diverse mechanisms of resistance to MET inhibitors will require the development of novel strategies to delay and overcome drug resistance.
Insights
Aberrant MET signaling drives cancer via genetic alterations. MET-targeting therapies show promise in biomarker-selected patients, but acquired drug resistance presents challenges.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Aberrant MET signaling, driven by MET gene amplification, mutation, rearrangement, or overexpression, is implicated in tumorigenesis across various cancer types.
- Advances in biomarker discovery and testing facilitate patient selection for MET-targeted therapies in MET-dependent cancers.
Purpose of the Study:
- To review oncologic processes activating MET.
- To discuss therapeutic strategies for MET-dependent malignancies.
- To highlight challenges in acquired drug resistance to MET inhibitors.
Main Methods:
- Literature review of oncologic processes activating MET.
- Analysis of current therapeutic strategies for MET-dependent cancers.
- Examination of emerging challenges in acquired drug resistance.
Main Results:
- MET signaling alterations are key drivers of tumorigenesis in multiple cancers.
- Biomarker-guided selection enables effective use of novel MET-targeting therapies.
- Acquired drug resistance is an emerging challenge requiring new therapeutic strategies.
Conclusions:
- Growing evidence supports MET-targeting therapies in biomarker-selected cancers with MET alterations.
- Diverse resistance mechanisms necessitate the development of novel strategies to overcome drug resistance and improve patient outcomes.
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