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Cellular Oncology
Article . 2022 . Peer-reviewed
License: CC BY
Data sources: Crossref
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Apollo
Article . 2023
Data sources: Apollo
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Apollo
Article . 2023
Data sources: Datacite
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WNT5A-ROR2 axis mediates VEGF dependence of BRAF mutant melanoma

Authors: Coupe, Nicholas; Guo, Lina; Bridges, Esther; Campo, Leticia; Espinosa, Olivia; Colling, Richard; Marshall, Andrea; +6 Authors

WNT5A-ROR2 axis mediates VEGF dependence of BRAF mutant melanoma

Abstract

Abstract Purpose Despite recent advances, approximately 50% of patient with metastatic melanoma eventually succumb to the disease. Patients with melanomas harboring a BRAF mutation (BRAFMut) have a worse prognosis than those with wildtype (BRAFWT) tumors. Unexpectedly, interim AVAST-M Phase III trial data reported benefit from adjuvant anti-VEGF bevacizumab only in the BRAFMut group. We sought to find mechanisms underpinning this sensitivity. Methods We investigated this finding in vitro and in vivo using melanoma cell lines and clones generated by BRAFV600E knock-in on a BRAFWT background. Results Compared with BRAFWT cells, isogenic BRAFV600E clones secreted more VEGF and exhibited accelerated growth rates as spheroids and xenografts, which were more vascular and proliferative. Recapitulating AVAST-M findings, bevacizumab affected only BRAFV600E xenografts, inducing significant tumor growth delay, reduced vascularity and increased necrosis. We identified 814 differentially expressed genes in isogenic BRAFV600E/BRAFWT clones. Of 61 genes concordantly deregulated in clinical melanomas ROR2 was one of the most upregulated by BRAFV600E. ROR2 was shown to be RAF-MEK regulated in BRAFV600E cells and its depletion suppressed VEGF secretion down to BRAFWT levels. The ROR2 ligand WNT5A was also overexpressed in BRAFMut melanomas, and in ROR2-overexpressing BRAFV600E cells MEK inhibition downregulated WNT5A and VEGF secretion. Conclusions These data implicate WNT5A-ROR2 in VEGF secretion, vascularity, adverse outcomes and bevacizumab sensitivity of BRAFMut melanomas, suggesting that this axis has potential therapeutic relevance.

Keywords

Mitogen-Activated Protein Kinase Kinases, Proto-Oncogene Proteins B-raf, Vascular Endothelial Growth Factor A, Receptor Tyrosine Kinase-like Orphan Receptors, Wnt-5a Protein, BRAF, Bevacizumab, Cell Line, Tumor, Mutation, Humans, Original Article, WNT5A, BRAF, MELANOMA, ROR2, WNT5A, Melanoma, ROR2

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
5
Top 10%
Average
Top 10%
Green
hybrid