Protein kinase C-θ regulates KIT expression and proliferation in gastrointestinal stromal tumors
Protein kinase C-θ regulates KIT expression and proliferation in gastrointestinal stromal tumors
Oncogenic KIT or PDGFRA receptor tyrosine kinase mutations are compelling therapeutic targets in gastrointestinal stromal tumors (GISTs), and the KIT/PDGFRA kinase inhibitor, imatinib, is standard of care for patients with metastatic GIST. However, most of these patients eventually develop clinical resistance to imatinib and other KIT/PDGFRA kinase inhibitors and there is an urgent need to identify novel therapeutic strategies. We reported previously that protein kinase C-theta (PKCtheta) is activated in GIST, irrespective of KIT or PDGFRA mutational status, and is expressed at levels unprecedented in other mesenchymal tumors, therefore serving as a diagnostic marker of GIST. Herein, we characterize biological functions of PKCtheta in imatinib-sensitive and imatinib-resistant GISTs, showing that lentivirus-mediated PKCtheta knockdown is accompanied by inhibition of KIT expression in three KIT+/PKCtheta+ GIST cell lines, but not in a comparator KIT+/PKCtheta- Ewing's sarcoma cell line. PKCtheta knockdown in the KIT+ GISTs was associated with inhibition of the phosphatidylinositol-3-kinase/AKT signaling pathway, upregulation of the cyclin-dependent kinase inhibitors p21 and p27, antiproliferative effects due to G(1) arrest and induction of apoptosis, comparable to the effects seen after direct knockdown of KIT expression by KIT short-hairpin RNA. These novel findings highlight that PKCtheta warrants clinical evaluation as a potential therapeutic target in GISTs, including those cases containing mutations that confer resistance to KIT/PDGFRA kinase inhibitors.
- Harvard University United States
- Dana-Farber Cancer Institute United States
- Brigham and Women's Faulkner Hospital United States
Base Sequence, Gastrointestinal Stromal Tumors, Cell Cycle, Molecular Sequence Data, Apoptosis, Piperazines, Isoenzymes, Proto-Oncogene Proteins c-kit, Pyrimidines, Protein Kinase C-theta, Cell Line, Tumor, Benzamides, Imatinib Mesylate, Humans, Phosphorylation, RNA, Small Interfering, Protein Kinase C, Cell Proliferation, Signal Transduction
Base Sequence, Gastrointestinal Stromal Tumors, Cell Cycle, Molecular Sequence Data, Apoptosis, Piperazines, Isoenzymes, Proto-Oncogene Proteins c-kit, Pyrimidines, Protein Kinase C-theta, Cell Line, Tumor, Benzamides, Imatinib Mesylate, Humans, Phosphorylation, RNA, Small Interfering, Protein Kinase C, Cell Proliferation, Signal Transduction
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