Macquarie Medical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
Melanoma Institute Australia, Sydney, Australia.
Cancer Gene Ther. 2022 Oct;29(10):1384-1393. doi: 10.1038/s41417-022-00457-2. Epub 2022 Mar 29.
Uveal melanoma (UM) is a rare cancer arising from melanocytes in the uveal tract of the eye. Despite effective primary treatment, there is no approved therapy for metastatic UM and prognosis and survival remain poor. Over 90% of UM are driven by mutations affecting the Gα subunits encoded by the GNAQ and GNA11 genes. These mutations activate downstream and targetable signaling pathways, including the protein kinase C (PKC) cascade. PKC inhibitors have been used in clinical trials for metastatic UM but have shown limited efficacy. In this study, we examined the signaling and functional effects of two PKC inhibitors (AEB071 and IDE196) in a panel of UM cell models. In response to PKC inhibition, all UM cell lines showed potent suppression of PKC activity, but this was not sufficient to predict PKC inhibitor sensitivity and only two UM cell lines showed substantial PKC inhibitor-induced cell death. The differences in UM cell responses to PKC inhibition were not attributable to the degree or timing of PKC suppression or inhibition of the downstream mitogen-activated protein kinase (MAPK) or phosphatidylinositol-3-kinase (PI3K) pathways. Instead, UM cell show complex, PKC-independent signaling pathways that contribute to their survival and resistance to targeted therapies.
葡萄膜黑色素瘤(UM)是一种罕见的癌症,起源于眼睛葡萄膜中的黑色素细胞。尽管有有效的初始治疗方法,但对于转移性 UM 尚无批准的治疗方法,预后和生存率仍然很差。超过 90%的 UM 是由影响 GNAQ 和 GNA11 基因编码的 Gα亚基的突变驱动的。这些突变激活了下游可靶向的信号通路,包括蛋白激酶 C(PKC)级联反应。PKC 抑制剂已在转移性 UM 的临床试验中使用,但疗效有限。在这项研究中,我们研究了一组 UM 细胞模型中两种 PKC 抑制剂(AEB071 和 IDE196)的信号和功能效应。在 PKC 抑制作用下,所有 UM 细胞系均表现出强烈的 PKC 活性抑制,但这不足以预测 PKC 抑制剂的敏感性,只有两种 UM 细胞系显示出明显的 PKC 抑制剂诱导的细胞死亡。UM 细胞对 PKC 抑制的反应差异不是由于 PKC 抑制的程度或时间,也不是由于下游有丝分裂原激活蛋白激酶(MAPK)或磷脂酰肌醇-3-激酶(PI3K)通路的抑制所致。相反,UM 细胞表现出复杂的、与 PKC 无关的信号通路,这些信号通路有助于它们的存活和对靶向治疗的耐药性。
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