Pharmacological Inhibition of KIT Activates MET Signaling in Gastrointestinal Stromal Tumors

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Noah A Cohen - , Memorial Sloan-Kettering Cancer Center (Author)
  • Shan Zeng - , Memorial Sloan-Kettering Cancer Center (Author)
  • Adrian M Seifert - , Department of Visceral, Thoracic and Vascular Surgery, National Center for Tumor Diseases (Partners: UKD, MFD, HZDR, DKFZ), Memorial Sloan-Kettering Cancer Center (Author)
  • Teresa S Kim - , Memorial Sloan-Kettering Cancer Center (Author)
  • Eric C Sorenson - , Memorial Sloan-Kettering Cancer Center (Author)
  • Jonathan B Greer - , Memorial Sloan-Kettering Cancer Center (Author)
  • Michael J Beckman - , Memorial Sloan-Kettering Cancer Center (Author)
  • Juan A Santamaria-Barria - , Memorial Sloan-Kettering Cancer Center (Author)
  • Megan H Crawley - , Memorial Sloan-Kettering Cancer Center (Author)
  • Benjamin L Green - , Memorial Sloan-Kettering Cancer Center (Author)
  • Ferdinand Rossi - , Memorial Sloan-Kettering Cancer Center (Author)
  • Peter Besmer - , Memorial Sloan-Kettering Cancer Center (Author)
  • Cristina R Antonescu - , Memorial Sloan-Kettering Cancer Center (Author)
  • Ronald P DeMatteo - , Memorial Sloan-Kettering Cancer Center (Author)

Abstract

Gastrointestinal stromal tumors (GIST) are the most common adult sarcomas and the oncogenic driver is usually a KIT or PDGFRA mutation. Although GISTs are often initially sensitive to imatinib or other tyrosine kinase inhibitors, resistance generally develops, necessitating backup strategies for therapy. In this study, we determined that a subset of human GIST specimens that acquired imatinib resistance acquired expression of activated forms of the MET oncogene. MET activation also developed after imatinib therapy in a mouse model of GIST (KitV558del/+ mice), where it was associated with increased tumor hypoxia. MET activation also occurred in imatinib-sensitive human GIST cell lines after imatinib treatment in vitro. MET inhibition by crizotinib or RNA interference was cytotoxic to an imatinib-resistant human GIST cell population. Moreover, combining crizotinib and imatinib was more effective than imatinib alone in imatinib-sensitive GIST models. Finally, cabozantinib, a dual MET and KIT small-molecule inhibitor, was markedly more effective than imatinib in multiple preclinical models of imatinib-sensitive and imatinib-resistant GIST. Collectively, our findings showed that activation of compensatory MET signaling by KIT inhibition may contribute to tumor resistance. Furthermore, our work offered a preclinical proof of concept for MET inhibition by cabozantinib as an effective strategy for GIST treatment.

Details

Original languageEnglish
Pages (from-to)2061-70
Number of pages10
JournalCancer research
Volume75
Issue number10
Publication statusPublished - 15 May 2015
Peer-reviewedYes

External IDs

PubMedCentral PMC4467991
Scopus 84942857701
ORCID /0000-0002-5329-3164/work/147141107

Keywords

Keywords

  • Anilides/pharmacology, Animals, Antineoplastic Agents/pharmacology, Benzamides/pharmacology, Cell Line, Tumor, Gastrointestinal Neoplasms/drug therapy, Gastrointestinal Stromal Tumors/drug therapy, Humans, Imatinib Mesylate, Indoles/pharmacology, Inhibitory Concentration 50, Mice, Inbred C57BL, Mice, Inbred NOD, Mice, SCID, Piperazines/pharmacology, Proto-Oncogene Proteins c-kit/antagonists & inhibitors, Proto-Oncogene Proteins c-met/metabolism, Pyridines/pharmacology, Pyrimidines/pharmacology, Pyrroles/pharmacology, Signal Transduction, Sunitinib, Tumor Burden/drug effects, Xenograft Model Antitumor Assays