Abstract

Study of the c-Met-HGF axis in non-small cell lung cancer (NSCLC) has focused on the roles of c-MET signaling in neoplastic epithelial cells and the secretion of its ligand hepatocyte growth factor (HGF) by tumor stromal cells. However, there is increasing evidence that some leukocyte sub-sets also express c-MET raising the possibility of an immunomodulatory role for this axis. Consequently, the role of the c-MET- HGF axis in immunoncology is an active area of ongoing research. This review summarizes current knowledge of c-MET expression in NSCLC, the prognostic significance of these findings and the mechanisms by which the c-MET-HGF axis might act in NSCLC, focusing on the emerging evidence for an immunoregulatory role.

Highlights

  • NON-IMMUNOLOGICAL ROLES FOR THE c-MET-hepatocyte growth factor (HGF) AXIS IN NON-SMALL CELL LUNG CANCER c-MET is a tyrosine kinase receptor with an extracellular α-chain and a transmembrane β-chain joined by disulphide bonds

  • This review summarizes current knowledge of c-MET expression in non-small cell lung cancer (NSCLC), the prognostic significance of these findings and the mechanisms by which the c-MET-HGF axis might act in NSCLC, focusing on the emerging evidence for an immunoregulatory role

  • In addition selective inhibition or SiRNA knockdown of c-MET decreased the viability of non-small cell lung cancer (NSCLC) cells demonstrating the direct effects of c-MET in promoting tumor growth [7]

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Summary

INTRODUCTION

NON-IMMUNOLOGICAL ROLES FOR THE c-MET-HGF AXIS IN NON-SMALL CELL LUNG CANCER c-MET is a tyrosine kinase receptor with an extracellular α-chain and a transmembrane β-chain joined by disulphide bonds. In lung adenocarcinomas various missense mutations and alternatively spliced products have been identified These include Exon-14 splice mutations that result in reduced receptor degradation and prolonged activation of the c-MET receptor, and have been reported to occur in 3% of lung adenocarcinoma and 2.3% other lung tumors [8]. Immunological Roles for MET-HGF in NSCLC selected reports of clinical responses to c-MET inhibitors in clinical settings in patients with splice mutations or amplification of the c-MET receptor [8,9,10,11]. The association between tumor production of HGF and NSCLC survival is summarized (Table 1) These observational studies are limited in their conclusions due to their retrospective nature and it is difficult to directly compare the different methodologies used, these studies highlight that there may be a trend toward increased c-MET

Findings
SUMMARY
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