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MERTK Is a Potential Therapeutic Target in Ewing Sarcoma
Sherri K Smart1,2, Tsz Y Yeung1,2, M Olivia Santos3
1Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA 30322, USA.
Abstract:
Outcomes are poor in patients with advanced or relapsed Ewing sarcoma (EWS) and current treatments have significant short- and long-term side effects. New, less toxic and more effective treatments are urgently needed. MER proto-oncogene tyrosine kinase (MERTK) promotes tumor cell survival, metastasis, and resistance to cytotoxic and targeted therapies in a variety of cancers. MERTK was ubiquitously expressed in five EWS cell lines and five patient samples. Moreover, data from CRISPR-based library screens indicated that EWS cell lines are particularly dependent on MERTK. Treatment with MRX-2843, a first-in-class, MERTK-selective tyrosine kinase inhibitor currently in clinical trials, decreased the phosphorylation of MERTK and downstream signaling in a dose-dependent manner in A673 and TC106 cells and provided potent anti-tumor activity against all five EWS cell lines, with IC50 values ranging from 178 to 297 nM. Inhibition of MERTK correlated with anti-tumor activity, suggesting MERTK inhibition as a therapeutic mechanism of MRX-2843. Combined treatment with MRX-2843 and BCL-2 inhibitors venetoclax or navitoclax provided enhanced therapeutic activity compared to single agents. These data highlight MERTK as a promising therapeutic target in EWS and provide rationale for the development of MRX-2843 for the treatment of EWS, especially in combination with BCL-2 inhibitors.
Insights
MER proto-oncogene tyrosine kinase (MERTK) is a promising target for Ewing sarcoma (EWS). Inhibiting MERTK with MRX-2843 shows potent anti-tumor activity and may improve outcomes for EWS patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Advanced or relapsed Ewing sarcoma (EWS) has poor outcomes and limited treatment options.
- Current EWS treatments have significant side effects.
- MER proto-oncogene tyrosine kinase (MERTK) is implicated in tumor cell survival and treatment resistance.
Purpose of the Study:
- To investigate MERTK as a therapeutic target in EWS.
- To evaluate the efficacy of MRX-2843, a MERTK inhibitor, in EWS models.
- To explore combination therapies involving MRX-2843.
Main Methods:
- Assessed MERTK expression in EWS cell lines and patient samples.
- Utilized CRISPR-based library screens to determine MERTK dependency in EWS.
- Treated EWS cells with MRX-2843 and evaluated MERTK signaling and cell viability.
- Tested combination therapies with MRX-2843 and BCL-2 inhibitors (venetoclax, navitoclax).
Main Results:
- MERTK was ubiquitously expressed in EWS cell lines and patient samples.
- EWS cells demonstrated significant dependency on MERTK.
- MRX-2843 potently inhibited MERTK signaling and exhibited strong anti-tumor activity (IC50: 178-297 nM).
- Combined MRX-2843 and BCL-2 inhibitors showed enhanced therapeutic effects.
Conclusions:
- MERTK is a viable therapeutic target for EWS.
- MRX-2843 demonstrates significant anti-EWS activity.
- Combination therapy with MRX-2843 and BCL-2 inhibitors warrants further investigation for EWS treatment.
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