AXL 是前列腺癌中的一个潜在肿瘤抑制因子和休眠调控因子。

AXL Is a Putative Tumor Suppressor and Dormancy Regulator in Prostate Cancer.

机构信息

The Cellular and Molecular Medicine Program, Johns Hopkins University, Baltimore, Maryland.

The James Buchanan Brady Urological Institute, Johns Hopkins University, Baltimore, Maryland.

出版信息

Mol Cancer Res. 2019 Feb;17(2):356-369. doi: 10.1158/1541-7786.MCR-18-0718. Epub 2018 Oct 5.

Abstract

Prostate cancer bone metastasis remains lethal and incurable, and often arises years after elimination of the primary tumor. It is unclear what underlies the decades-long clinical latency before recurrence, but evidence points to the existence of dormant residual tumor cells that disseminated before the primary tumor was eliminated. To design therapies to prevent progression of disseminated tumor cells (DTC) into lethal metastases, it is crucial to understand the mechanism(s) underlying this dormancy. The current study functionally validated our previous observation that implicated the GAS6/AXL axis in mediating DTC dormancy in the bone marrow. -null and AXL-overexpressing prostate cancer cell lines were generated to determine if AXL was necessary and/or sufficient for dormancy. Characterization of these cells and using mouse models of DTC growth demonstrated that AXL was indeed sufficient to induce dormancy, but was unable to maintain it long-term and was not absolutely required for a dormancy period. Clinically, expression correlated with longer survival in prostate cancer patients, and AXL was not expressed by cancer cells in primary or metastatic tissue. These data point to a tumor-suppressive role for AXL in prostate cancer, and future work is required to determine if AXL is expressed on human bone marrow DTCs. IMPLICATIONS: The ability of AXL to initiate but not maintain dormancy, coupled with its dispensability, suggests that targeting AXL alone will not prevent lethal metastatic outgrowth, and likely a cooperative network of factors exists to mediate long-term cellular dormancy.

摘要

前列腺癌骨转移仍然是致命的且无法治愈的,并且通常在原发肿瘤消除后数年才发生。目前尚不清楚为何在复发前存在长达数十年的临床潜伏期,但有证据表明,在原发肿瘤消除之前,就已经存在播散的休眠残留肿瘤细胞。为了设计预防播散的肿瘤细胞(DTC)进展为致命转移的疗法,了解这种休眠的潜在机制至关重要。本研究通过功能验证了我们之前的观察结果,即 GAS6/AXL 轴在介导骨髓中 DTC 休眠方面发挥了作用。生成了 GAS6/AXL 轴在介导骨髓中 DTC 休眠方面发挥了作用。生成了 GAS6/AXL 轴在介导骨髓中 DTC 休眠方面发挥了作用。生成了 GAS6/AXL 轴在介导骨髓中 DTC 休眠方面发挥了作用。生成了 GAS6/AXL 轴在介导骨髓中 DTC 休眠方面发挥了作用。null 和 AXL 过表达的前列腺癌细胞系,以确定 AXL 是否是休眠所必需的和/或充分的。对这些细胞的表征和使用 DTC 生长的小鼠模型表明,AXL 确实足以诱导休眠,但不能长期维持休眠,并且对休眠期不是绝对必需的。临床上,AXL 的表达与前列腺癌患者的生存时间延长相关,并且在原发或转移性组织中的癌细胞中不表达 AXL。这些数据表明 AXL 在前列腺癌中具有肿瘤抑制作用,需要进一步研究以确定 AXL 是否在人类骨髓 DTC 上表达。意义:AXL 具有启动休眠但不能维持休眠的能力,加上其非必需性,表明单独靶向 AXL 不会阻止致命的转移性生长,并且可能存在一个协同的因素网络来介导长期细胞休眠。

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