A Small Molecule Targeting the Intracellular Tyrosine Kinase Domain of ROR1 (KAN0441571C) Induced Significant
Amineh Ghaderi1, Mohammad-Ali Okhovat1, Jemina Lehto2
1Department of Oncology-Pathology, BioClinicum, Karolinska University Hospital Solna, Karolinska Institutet, 171 64 Stockholm, Sweden.
Abstract:
The ROR1 receptor tyrosine kinase is expressed in embryonic tissues but is absent in normal adult tissues. ROR1 is of importance in oncogenesis and is overexpressed in several cancers, such as NSCLC. In this study, we evaluated ROR1 expression in NSCLC patients (N = 287) and the cytotoxic effects of a small molecule ROR1 inhibitor (KAN0441571C) in NSCLC cell lines. ROR1 expression in tumor cells was more frequent in non-squamous (87%) than in squamous (57%) carcinomas patients, while 21% of neuroendocrine tumors expressed ROR1 (p = 0.0001). A significantly higher proportion of p53 negative patients in the ROR1+ group than in the p53 positive non-squamous NSCLC patients (p = 0.03) was noted. KAN0441571C dephosphorylated ROR1 and induced apoptosis (Annexin V/PI) in a time- and dose-dependent manner in five ROR1+ NSCLC cell lines and was superior compared to erlotinib (EGFR inhibitor). Apoptosis was confirmed by the downregulation of MCL-1 and BCL-2, as well as PARP and caspase 3 cleavage. The non-canonical Wnt pathway was involved. The combination of KAN0441571C and erlotinib showed a synergistic apoptotic effect. KAN0441571C also inhibited proliferative (cell cycle analyses, colony formation assay) and migratory (scratch wound healing assay) functions. Targeting NSCLC cells by a combination of ROR1 and EGFR inhibitors may represent a novel promising approach for the treatment of NSCLC patients.
Insights
Receptor tyrosine kinase ROR1 is overexpressed in non-small cell lung cancer (NSCLC). A novel inhibitor, KAN0441571C, effectively reduced NSCLC cell proliferation and induced apoptosis, showing promise for targeted therapy.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Receptor tyrosine kinase ROR1 is crucial in oncogenesis and overexpressed in non-small cell lung cancer (NSCLC).
- ROR1 expression varies across NSCLC subtypes, being more prevalent in non-squamous carcinomas and linked to p53 status.
Purpose of the Study:
- To evaluate ROR1 expression in NSCLC patients.
- To investigate the cytotoxic effects of the small molecule ROR1 inhibitor KAN0441571C in NSCLC cell lines.
- To explore the potential of combining ROR1 and EGFR inhibitors for NSCLC treatment.
Main Methods:
- ROR1 expression analysis in 287 NSCLC patients.
- In vitro assessment of KAN0441571C's effects on ROR1 phosphorylation, apoptosis, proliferation, and migration in NSCLC cell lines.
- Comparative analysis with erlotinib and combination studies.
Main Results:
- KAN0441571C effectively dephosphorylated ROR1 and induced apoptosis in ROR1-positive NSCLC cell lines in a dose- and time-dependent manner.
- KAN0441571C demonstrated superior efficacy to erlotinib and synergized with erlotinib to induce apoptosis.
- KAN0441571C inhibited NSCLC cell proliferation and migration, involving the non-canonical Wnt pathway.
Conclusions:
- KAN0441571C is a potent ROR1 inhibitor with significant anti-cancer effects in NSCLC models.
- Combined inhibition of ROR1 and EGFR represents a promising therapeutic strategy for NSCLC.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against...
The Intrinsic Apoptotic Pathway
Receptor Tyrosine Kinases
The Extrinsic Apoptotic Pathway
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Inhibition of Cdk Activity


