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ROR1 is upregulated in endometrial cancer and represents a novel therapeutic target
Dongli Liu1, Kate Gunther1, Luis A Enriquez1
1Gynaecological Cancer Research Group, Lowy Cancer Research Centre, School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
Abstract:
ROR1 and ROR2 are receptor tyrosine kinases with altered expression in a range of cancers. Silencing ROR1 or ROR2 in different tumour types has been shown to inhibit proliferation and decrease metastatic potential. The aim of this study was to investigate the role of ROR1 and ROR2 in endometrial cancer via immunohistochemistry (IHC) in a large endometrial cancer patient cohort (n = 499) and through in vitro analysis in endometrial cancer cell lines. Correlation was assessed between ROR1/2 expression and clinicopathological parameters. Kaplan Meier curves were produced for 5-year progression free survival (PFS) and overall survival (OS) with low/moderate versus high ROR1/2 intensity. Cox multivariate regression was applied to analyse the effect of selected covariates on the PFS and OS. The effect of ROR1 and/or ROR2 modulation on cell proliferation, adhesion, migration and invasion was analysed in two endometrial cancer cell lines (KLE and MFE-296). We observed a significant decrease in OS and PFS in patients with high ROR1 expression. ROR1 silencing and ROR2 overexpression significantly inhibited proliferation of KLE endometrial cancer cells and decreased migration. This study supports the oncogenic role of ROR1 in endometrial cancer, and warrants investigation of future application of ROR1-targeting therapies in endometrial cancer patients.
Insights
High ROR1 expression correlates with poorer survival in endometrial cancer patients. Silencing ROR1 and overexpressing ROR2 inhibited cancer cell proliferation and migration, suggesting ROR1 as a therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Receptor tyrosine kinases ROR1 and ROR2 are implicated in various cancers.
- Altered expression of ROR1/2 is observed in multiple tumor types.
- Previous studies indicate ROR1/2 inhibition reduces tumor proliferation and metastasis.
Purpose of the Study:
- To investigate the role of ROR1 and ROR2 in endometrial cancer.
- To correlate ROR1/2 expression with clinicopathological parameters and patient survival.
- To analyze the in vitro effects of ROR1/2 modulation on endometrial cancer cell behavior.
Main Methods:
- Immunohistochemistry (IHC) on a cohort of 499 endometrial cancer patients.
- Kaplan Meier survival analysis (5-year PFS and OS) and Cox multivariate regression.
- In vitro studies on KLE and MFE-296 endometrial cancer cell lines assessing proliferation, adhesion, migration, and invasion.
Main Results:
- High ROR1 expression was significantly associated with decreased overall survival (OS) and progression-free survival (PFS).
- ROR1 silencing and ROR2 overexpression inhibited proliferation in KLE endometrial cancer cells.
- Modulation of ROR1/2 affected cancer cell migration, with ROR1 silencing decreasing it.
Conclusions:
- ROR1 plays a significant oncogenic role in endometrial cancer.
- High ROR1 expression is a negative prognostic marker for endometrial cancer patients.
- ROR1-targeting therapies warrant further investigation for endometrial cancer treatment.
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