1. AXL Is a Key Regulator of Inherent and Chemotherapy-Induced Invasion and Predicts a Poor Clinical Outcome in Early-Stage Colon Cancer
- Author
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Chee Wee Ong, Keara Redmond, Jaine K. Blayney, Samanda Greer, Philip D Dunne, Darragh G. McArt, Sandra Van Schaeybroeck, Tingting Wang, Supriya Srivastava, Manuel Salto-Tellez, Daniel B. Longley, Patrick G. Johnston, Kenneth Arthur, Murugan Kalimutho, and Maurice B Loughrey
- Subjects
Male ,Oncology ,Cancer Research ,medicine.medical_specialty ,Organoplatinum Compounds ,Colorectal cancer ,Gene Expression ,Antineoplastic Agents ,Kaplan-Meier Estimate ,Adenocarcinoma ,Mouse model of colorectal and intestinal cancer ,Biology ,medicine.disease_cause ,Article ,Metastasis ,Cell Movement ,Cell Line, Tumor ,Proto-Oncogene Proteins ,Internal medicine ,Biomarkers, Tumor ,medicine ,Humans ,Neoplasm Invasiveness ,Autocrine signalling ,Aged ,Neoplasm Staging ,Proportional Hazards Models ,Receptor Protein-Tyrosine Kinases ,Cancer ,Middle Aged ,Prognosis ,medicine.disease ,Axl Receptor Tyrosine Kinase ,Primary tumor ,Oxaliplatin ,Multivariate Analysis ,Disease Progression ,Female ,Fluorouracil ,KRAS ,Neoplasm Recurrence, Local ,Colorectal Neoplasms - Abstract
Purpose: Despite the use of 5-fluorouracil (5-FU)–based adjuvant treatments, a large proportion of patients with high-risk stage II/III colorectal cancer will relapse. Thus, novel therapeutic strategies are needed for early-stage colorectal cancer. Residual micrometastatic disease from the primary tumor is a major cause of patient relapse. Experimental Design: To model colorectal cancer tumor cell invasion/metastasis, we have generated invasive (KRASMT/KRASWT/+chr3/p53-null) colorectal cancer cell subpopulations. Receptor tyrosine kinase (RTK) screens were used to identify novel proteins that underpin the migratory/invasive phenotype. Migration/invasion was assessed using the XCELLigence system. Tumors from patients with early-stage colorectal cancer (N = 336) were examined for AXL expression. Results: Invasive colorectal cancer cell subpopulations showed a transition from an epithelial-to-mesenchymal like phenotype with significant increases in migration, invasion, colony-forming ability, and an attenuation of EGF receptor (EGFR)/HER2 autocrine signaling. RTK arrays showed significant increases in AXL levels in all invasive sublines. Importantly, 5-FU treatment resulted in significantly increased migration and invasion, and targeting AXL using pharmacologic inhibition or RNA interference (RNAi) approaches suppressed basal and 5-FU–induced migration and invasion. Significantly, high AXL mRNA and protein expression were found to be associated with poor overall survival in early-stage colorectal cancer tissues. Conclusions: We have identified AXL as a poor prognostic marker and important mediator of cell migration/invasiveness in colorectal cancer. These findings provide support for the further investigation of AXL as a novel prognostic biomarker and therapeutic target in colorectal cancer, in particular in the adjuvant disease in which EGFR/VEGF–targeted therapies have failed. Clin Cancer Res; 20(1); 164–75. ©2013 AACR.
- Published
- 2014
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