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Updated: Aug 31, 2025

Author Spotlight: Unveiling Transmembrane Protein Family-Related Markers in Gastric Cancer and Implications for Targeted Therapies
Published on: September 15, 2023
Sensitivity towards HDAC inhibition is associated with RTK/MAPK pathway activation in gastric cancer
Therese Seidlitz1, Tim Schmäche1,2,3,4, Fernando Garcίa5
1Department of Visceral, Thoracic and Vascular Surgery, Medical Faculty and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Abstract:
Gastric cancer ranks the fifth most common and third leading cause of cancer-related deaths worldwide. Alterations in the RTK/MAPK, WNT, cell adhesion, TP53, TGFβ, NOTCH, and NFκB signaling pathways could be identified as main oncogenic drivers. A combination of altered pathways can be associated with molecular subtypes of gastric cancer. In order to generate model systems to study the impact of different pathway alterations in a defined genetic background, we generated three murine organoid models: a RAS-activated (KrasG12D , Tp53R172H ), a WNT-activated (Apcfl/fl , Tp53R172H ), and a diffuse (Cdh1fl/fl , Apcfl/fl ) model. These organoid models were morphologically and phenotypically diverse, differed in proteome expression signatures and possessed individual drug sensitivities. A differential vulnerability to RTK/MAPK pathway interference based on the different mitogenic drivers and according to the level of dependence on the pathway could be uncovered. Furthermore, an association between RTK/MAPK pathway activity and susceptibility to HDAC inhibition was observed. This finding was further validated in patient-derived organoids from gastric adenocarcinoma, thus identifying a novel treatment approach for RTK/MAPK pathway altered gastric cancer patients.
Insights
Researchers developed three gastric cancer organoid models to study pathway alterations. They discovered a new treatment approach targeting the RTK/MAPK pathway, showing promise for gastric adenocarcinoma patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Gastric cancer is a leading cause of death globally, driven by complex signaling pathway alterations.
- Understanding these pathways is crucial for developing effective targeted therapies.
- Existing model systems may not fully capture the heterogeneity of gastric cancer.
Purpose of the Study:
- To create and characterize novel murine organoid models representing key gastric cancer signaling pathways.
- To investigate the impact of specific pathway alterations on organoid phenotype, proteome, and drug sensitivity.
- To identify novel therapeutic vulnerabilities in gastric cancer, particularly related to RTK/MAPK signaling.
Main Methods:
- Generation of three distinct murine organoid models with defined genetic alterations (RAS-activated, WNT-activated, diffuse).
- Morphological, phenotypic, and proteomic characterization of the organoid models.
- Assessment of differential drug sensitivities and pathway dependencies, including RTK/MAPK interference and HDAC inhibition.
- Validation of findings in patient-derived gastric adenocarcinoma organoids.
Main Results:
- The three organoid models exhibited distinct morphological and proteomic profiles, reflecting their genetic backgrounds.
- A differential sensitivity to RTK/MAPK pathway inhibition was observed, dependent on specific oncogenic drivers.
- An association between RTK/MAPK pathway activity and susceptibility to histone deacetylase (HDAC) inhibition was identified.
- This association was successfully validated in patient-derived organoids, suggesting a new therapeutic strategy.
Conclusions:
- Murine organoid models provide valuable systems for studying gastric cancer heterogeneity and pathway interactions.
- Targeting the RTK/MAPK pathway, in conjunction with HDAC inhibition, represents a potential novel treatment approach for specific gastric cancer subtypes.
- Further research and clinical validation are warranted to translate these findings into patient care.
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