Novel treatment strategy for NRAS-mutated melanoma through a selective inhibitor of CD147/VEGFR-2 interaction

Alexandra Landras1, Coralie Reger de Moura1,2, Bruno O Villoutreix3

  • 1Inserm, UMR_S976, Université de Paris, F-75010, Paris, France.

Oncogene
|February 26, 2022
PubMed

Insights

A new drug targeting CD147 (a protein overexpressed in melanoma) shows promise for treating NRAS-mutant melanomas resistant to MEK inhibitors. Combining CD147 inhibition with MEK inhibitors may offer a novel therapeutic strategy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Over 70% of NRAS-mutant melanomas exhibit resistance to MEK inhibitors, necessitating alternative treatment strategies.
  • CD147, a cell surface receptor, is frequently overexpressed in various cancers, including melanoma, and correlates with poor patient prognosis.

Purpose of the Study:

  • To evaluate the therapeutic potential of CD147i, a specific inhibitor of the CD147/VEGFR-2 interaction, against NRAS-mutant melanoma.
  • To investigate the efficacy of combining CD147i with MEK inhibitors (MEKi) in preclinical models of NRAS-mutant melanoma.

Main Methods:

  • Assessment of CD147i's effect on malignant properties of NRAS-mutant melanoma cells ex vivo and in vivo.
  • Evaluation of combination therapy with CD147i and MEKi in patient-derived xenografts (PDXs) resistant to MEKi.
  • Mechanistic studies to elucidate the signaling pathways affected by CD147i, focusing on the STAT3 pathway.

Main Results:

  • CD147i significantly inhibited the malignant characteristics of NRAS-mutant melanomas in both ex vivo and in vivo settings.
  • Combination therapy of CD147i and MEKi resensitized MEKi-resistant NRAS-mutant xenografts, leading to reduced proliferation and tumor regression.
  • The therapeutic effects of CD147i were found to be mediated through the modulation of the STAT3 signaling pathway.

Conclusions:

  • Inhibition of the CD147/VEGFR-2 interaction represents a viable therapeutic approach for NRAS-mutant melanoma.
  • Combining CD147i with MEKi offers a promising new strategy to overcome MEK inhibitor resistance in NRAS-mutant melanoma.
  • These findings provide a proof of concept for targeting CD147/VEGFR-2 interaction as a therapeutic opportunity in melanoma.