Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Torino, Italy.
Department of Oncology, University of Turin, Torino, Italy.
Int J Cancer. 2018 Oct 1;143(7):1774-1785. doi: 10.1002/ijc.31550. Epub 2018 May 10.
MET, a master gene sustaining "invasive growth," is a relevant target for cancer precision therapy. In the vast majority of tumors, wild-type MET behaves as a "stress-response" gene and relies on the ligand (HGF) to sustain cell "scattering," invasive growth and apoptosis protection (oncogene "expedience"). In this context, concomitant targeting of MET and HGF could be crucial to reach effective inhibition. To test this hypothesis, we combined an anti-MET antibody (MvDN30) inducing "shedding" (i.e., removal of MET from the cell surface), with a "decoy" (i.e., the soluble extracellular domain of the MET receptor) endowed with HGF-sequestering ability. To avoid antibody/decoy interaction-and subsequent neutralization-we identified a single aminoacid in the extracellular domain of MET-lysine 842-that is critical for MvDN30 binding and engineered the corresponding recombinant decoyMET (K842E). DecoyMET retains the ability to bind HGF with high affinity and inhibits HGF-induced MET phosphorylation. In HGF-dependent cellular models, MvDN30 antibody and decoyMET used in combination cooperate in restraining invasive growth, and synergize in blocking cancer cell "scattering." The antibody and the decoy unbridle apoptosis of colon cancer stem cells grown in vitro as spheroids. In a preclinical model, built by orthotopic transplantation of a human pancreatic carcinoma in SCID mice engineered to express human HGF, concomitant treatment with antibody and decoy significantly reduces metastatic spread. The data reported indicate that vertical targeting of the MET/HGF axis results in powerful inhibition of ligand-dependent MET activation, providing proof of concept in favor of combined target therapy of MET "expedience."
MET 是维持“侵袭性生长”的主基因,是癌症精准治疗的相关靶点。在绝大多数肿瘤中,野生型 MET 表现为“应激反应”基因,依赖配体(HGF)维持细胞“散射”、侵袭性生长和凋亡保护(原癌基因“权宜之计”)。在这种情况下,同时针对 MET 和 HGF 可能是达到有效抑制的关键。为了验证这一假设,我们将一种抗 MET 抗体(MvDN30)与一种具有 HGF 隔离能力的“诱饵”(即 MET 受体的可溶性细胞外结构域)相结合,该抗体诱导“脱落”(即从细胞表面去除 MET)。为了避免抗体/诱饵相互作用及随后的中和,我们在 MET 的细胞外结构域中鉴定出一个关键的氨基酸(赖氨酸 842),它对 MvDN30 结合至关重要,并对相应的重组诱饵 MET(K842E)进行了工程设计。诱饵 MET 保留与 HGF 高亲和力结合的能力,并抑制 HGF 诱导的 MET 磷酸化。在 HGF 依赖性细胞模型中,MvDN30 抗体和诱饵 MET 联合使用可协同抑制侵袭性生长,并协同阻断癌细胞“散射”。该抗体和诱饵可释放体外培养的结肠癌干细胞球体中的细胞凋亡。在一个临床前模型中,通过将人胰腺癌细胞原位移植到表达人 HGF 的 SCID 小鼠中构建,同时用抗体和诱饵治疗可显著减少转移扩散。报告的数据表明,MET/HGF 轴的垂直靶向导致配体依赖性 MET 激活的强大抑制,为 MET“权宜之计”联合靶向治疗提供了支持。