Targeting MERTK and AXL in EGFR Mutant Non-Small Cell Lung Cancer

Dan Yan1, H Shelton Earp2,3, Deborah DeRyckere1

  • 1Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Department of Pediatrics, Emory University, Atlanta, GA 30322, USA.

Cancers
|November 27, 2021
PubMed

Insights

MERTK and AXL receptor tyrosine kinases are highly expressed in non-small cell lung cancer (NSCLC), promoting tumor growth and resistance. Targeting these TAM kinases offers a promising therapeutic strategy for NSCLC, especially with EGFR mutations.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • MERTK and AXL are TAM family receptor tyrosine kinases.
  • Abnormal expression observed in 69% (MERTK) and 93% (AXL) of non-small cell lung cancers (NSCLCs).
  • Expression linked to survival advantage, metastasis, drug resistance, and disease progression in NSCLC.

Purpose of the Study:

  • Review the physiologic and oncologic roles of MERTK and AXL.
  • Highlight the potential of targeting MERTK and AXL in NSCLC treatment.
  • Focus on NSCLCs with activating EGFR mutations.

Main Methods:

  • Literature review of MERTK and AXL functions in NSCLC.
  • Analysis of TAM receptor roles in the tumor microenvironment.
  • Exploration of therapeutic targeting strategies.

Main Results:

  • MERTK and AXL expression significantly impacts NSCLC progression.
  • TAM receptors contribute to an immunosuppressive tumor microenvironment.
  • Targeting MERTK/AXL is a viable strategy for NSCLC therapy.

Conclusions:

  • MERTK and AXL are critical oncogenic drivers in NSCLC.
  • Targeting TAM kinases presents a therapeutic opportunity.
  • EGFR-mutated NSCLCs may benefit from MERTK/AXL inhibition.

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