Ontario Cancer Institute and Princess Margaret Hospital, University Health Network, Ontario, Canada.
Neoplasia. 2009 Dec;11(12):1292-300. doi: 10.1593/neo.09622.
Complete resection of early-stage non-small cell lung cancer (NSCLC) is potentially curative, yet approximately 50% of patients are at risk for developing metastatic recurrence. Met, the receptor for hepatocyte growth factor (HGF) is a receptor tyrosine kinase with demonstrated roles in regulating cellular proliferation, motility, morphogenesis, and apoptosis. Met receptor and its ligand, HGF, are commonly overexpressed in NSCLC, and their overexpression has been associated with poor prognosis, which could potentially involve a paracrine and/or autocrine activation loop. However, there is as yet no direct evidence that HGF-Met signaling directly promotes metastasis in NSCLC cells. Using retroviral transduction, we overexpressed the human c-met and hgf complementary DNA, alone or in combination in the NCI-H460 human large cell carcinoma cell line. The HGF/Met co-overexpressing (H460-HGF/Met) cells demonstrated enhanced tumorigenicity in xenograft SCID mice. When these cells are implanted orthotopically into the lungs of nude rats, only the H460-HGF/Met cells showed higher spontaneous metastases to distant organs including bone, brain, and kidney. These results provide evidence that autocrine overactivation of the Met- HGF loop enhances systemic metastases in NSCLC. Targeted interference of this loop may potentially be an effective adjuvant therapy to improve survival of early-stage NSCLC patients.
早期非小细胞肺癌 (NSCLC) 的完全切除具有潜在的治愈性,但约 50%的患者有发生转移性复发的风险。Met 是肝细胞生长因子 (HGF) 的受体,是一种受体酪氨酸激酶,其在调节细胞增殖、运动、形态发生和凋亡方面具有明确的作用。Met 受体及其配体 HGF 在 NSCLC 中通常过表达,其过表达与预后不良有关,这可能涉及旁分泌和/或自分泌激活环。然而,目前尚无直接证据表明 HGF-Met 信号直接促进 NSCLC 细胞的转移。我们使用逆转录病毒转导,单独或组合过表达人 c-met 和 hgf cDNA,在 NCI-H460 人大细胞癌细胞系中。HGF/Met 共过表达 (H460-HGF/Met) 细胞在异种移植 SCID 小鼠中表现出增强的致瘤性。当这些细胞原位植入裸鼠的肺部时,只有 H460-HGF/Met 细胞显示出更高的自发转移到远处器官,包括骨骼、大脑和肾脏。这些结果提供了证据,证明 Met-HGF 环的自分泌过度激活增强了 NSCLC 的全身转移。靶向干预该环可能是提高早期 NSCLC 患者生存率的有效辅助治疗方法。