Antony Jane, Tan Tuan Zea, Kelly Zoe, Low Jeffrey, Choolani Mahesh, Recchi Chiara, Gabra Hani, Thiery Jean Paul, Huang Ruby Yun-Ju
Cancer Science Institute of Singapore, National University of Singapore, Singapore 117599, Singapore. NUS Graduate School for Integrative Sciences and Engineering, National University of Singapore, Singapore 117456, Singapore. Department of Surgery and Cancer, Imperial College London, London W120NN, U.K.
Cancer Science Institute of Singapore, National University of Singapore, Singapore 117599, Singapore.
Sci Signal. 2016 Oct 4;9(448):ra97. doi: 10.1126/scisignal.aaf8175.
Ovarian cancer is a complex disease with heterogeneity among the gene expression molecular subtypes (GEMS) between patients. Patients with tumors of a mesenchymal ("Mes") subtype have a poorer prognosis than patients with tumors of an epithelial ("Epi") subtype. We evaluated GEMS of ovarian cancer patients for molecular signaling profiles and assessed how the differences in these profiles could be leveraged to improve patient clinical outcome. Kinome enrichment analysis identified AXL as a particularly abundant kinase in Mes-subtype tumor tissue and cell lines. In Mes cells, upon activation by its ligand GAS6, AXL coclustered with and transactivated the receptor tyrosine kinases (RTKs) cMET, EGFR, and HER2, producing sustained extracellular signal-regulated kinase (ERK) activation. In Epi-A cells, AXL was less abundant and induced a transient activation of ERK without evidence of RTK transactivation. AXL-RTK crosstalk also stimulated sustained activation of the transcription factor FRA1, which correlated with the induction of the epithelial-mesenchymal transition (EMT)-associated transcription factor SLUG and stimulation of motility exclusively in Mes-subtype cells. The AXL inhibitor R428 attenuated RTK and ERK activation and reduced cell motility in Mes cells in culture and reduced tumor growth in a chick chorioallantoic membrane model. A higher concentration of R428 was needed to inhibit ERK activation and cell motility in Epi-A cells. Silencing AXL in Mes-subtype cells reversed the mesenchymal phenotype in culture and abolished tumor formation in an orthotopic xenograft mouse model. Thus, AXL-targeted therapy may improve clinical outcome for patients with Mes-subtype ovarian cancer.
卵巢癌是一种复杂的疾病,患者之间的基因表达分子亚型(GEMS)存在异质性。间充质(“Mes”)亚型肿瘤患者的预后比上皮(“Epi”)亚型肿瘤患者更差。我们评估了卵巢癌患者的GEMS的分子信号谱,并评估了如何利用这些谱的差异来改善患者的临床结局。激酶组富集分析确定AXL是Mes亚型肿瘤组织和细胞系中特别丰富的激酶。在Mes细胞中,在其配体GAS6激活后,AXL与受体酪氨酸激酶(RTK)cMET、EGFR和HER2共聚集并反式激活,产生持续的细胞外信号调节激酶(ERK)激活。在Epi-A细胞中,AXL含量较低,诱导ERK短暂激活,而没有RTK反式激活的证据。AXL-RTK串扰还刺激转录因子FRA1的持续激活,这与上皮-间质转化(EMT)相关转录因子SLUG的诱导以及仅在Mes亚型细胞中的运动性刺激相关。AXL抑制剂R428减弱了培养的Mes细胞中的RTK和ERK激活,并降低了细胞运动性,在鸡胚绒毛尿囊膜模型中降低了肿瘤生长。抑制Epi-A细胞中的ERK激活和细胞运动性需要更高浓度的R428。在Mes亚型细胞中沉默AXL可在培养中逆转间充质表型,并在原位异种移植小鼠模型中消除肿瘤形成。因此,靶向AXL的治疗可能改善Mes亚型卵巢癌患者的临床结局。