Abstract

Chordomas are rare slow growing, malignant bone tumors of the axial skeleton with no approved medical treatment. As the majority of chordomas express cMET and its ligand, HGF, and crosstalks between EGFR and MET-signaling exist, we aimed to explore cMET activity in chordoma cell lines and clinical samples. We investigated nine chordoma patients and four chordoma cell lines for cMET expression. Two clival and two sacral chordoma cell lines were tested for chromosomal abnormalities of the MET gene locus; we studied the influence of HGF on the autocrine secretion and migration behavior, as well as protein expression and phosphorylation. Two MET/ALK inhibitors were investigated for their effects on cell viability, cell cycle, cyclin alterations, apoptosis, and downstream signaling pathways. Moderate and strong expression of membrane and cytoplasmic cMET in chordoma patients and cell lines used, as well as concentration-dependent increase in phospho cMET expression after HGF stimulation in all four chordoma cell lines was shown. U-CH2, MUG-Chor1, and UM-Chor1 are polysomic for MET. Chordoma cell lines secreted EGF, VEGF, IL-6, and MMP9 upon HGF-stimulation. Sacral cell lines showed a distinct HGF-induced migration. Both inhibitors dose-dependently inhibited cell growth, induce apoptosis and cell-cycle arrest, and suppress downstream pathways. Heterogeneous responses obtained in our in vitro setting indicate that cMET inhibitors alone or in combination with other drugs might particularly benefit patients with sacral chordomas.

Highlights

  • Chordomas are rare, malignant, locally destructive, slowly growing bone tumors that show an invasive growth behavior; prognosis is poor with a median survival of seven years after diagnosis

  • To figure out the cMET expression, immunohistochemical staining was performed on different chordoma cell lines as well as on patient samples

  • All four chordoma cell lines showed a moderate or strong expression of membrane and cytoplasmic cMET immunostaining (Fig. 1A). cMET was detected in all patient samples (5 sacral, 4 clival)

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Summary

Introduction

Malignant, locally destructive, slowly growing bone tumors that show an invasive growth behavior; prognosis is poor with a median survival of seven years after diagnosis. METsignaling regulates cell survival, migration, and ­proliferation[7]. Strong HGF and MET expression has been reported in a majority of clinical chordoma s­ amples[9,10]. The effects of the MET/ ALK inhibitors crizotinib and cabozantinib were investigated in terms of viability assessment, cell cycle arrest, cyclin alterations, apoptosis and analyses of downstream signaling pathways. These studies contribute to a better understanding of cMET and HGF in chordoma biology

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