» Articles » PMID: 26934559

CXCR4/CXCL12/CXCR7 Axis is Functional in Neuroendocrine Tumors and Signals on MTOR

Abstract

Objective: To evaluate the possible crosstalk between C-X-C chemokine receptor 4 (CXCR4)/C-X-C motif chemokine 12 (CXCL12)/C-X-C chemokine receptor 7 (CXCR7) axis with the mammalian target of rapamycin (mTOR) pathway in neuroendocrine tumors (NETs).

Methods: Sixty-one human NETs were included into the study. CXCR4/CXCL12/CXCR7 axis and mTOR pathway were assessed by qRT-PCR and immunohistochemistry (IHC). The effect of mTOR inhibitor, RAD001, was evaluated on CXCR4 pathway through proliferation and p-Erk and p-AKT induction.

Results: CXCR4/CXCL12/CXCR7 axis and p-mTOR were found to be active and correlated with grading, Ki67 index and tumor stage. mTOR pathway activation significantly correlated with poor prognosis. In human NET cells, CXCL12 induced mTOR signalling while AMD3100 (CXCR4-antagonist) impaired it. The mTOR-antagonist, RAD001, impaired the CXCL12-dependent induction of CXCR4 downstream effectors. Combination of AMD3100 and RAD001 potentiate cell growth inhibition.

Conclusions: CXCR4/CXCL12/CXCR7 axis is active in NETs and signals on mTOR. CXCR4 might be considered a prognostic factor in NETs. Combined treatment with AMD3100 and RAD001 may provide clinical benefits in NET patients with drug-resistant.

Citing Articles

CXCR4: From Signaling to Clinical Applications in Neuroendocrine Neoplasms.

Sanchis-Pascual D, Del Olmo-Garcia M, Prado-Wohlwend S, Zac-Romero C, Segura Huerta A, Hernandez-Gil J Cancers (Basel). 2024; 16(10).

PMID: 38791878 PMC: 11120359. DOI: 10.3390/cancers16101799.


Expression and clinical value of CXCR4 in high grade gastroenteropancreatic neuroendocrine neoplasms.

Pang C, Li Y, Shi M, Fan Z, Gao X, Meng Y Front Endocrinol (Lausanne). 2024; 15:1281622.

PMID: 38524630 PMC: 10960360. DOI: 10.3389/fendo.2024.1281622.


Mechanisms of Resistance in Gastroenteropancreatic Neuroendocrine Tumors.

Shi C, Morse M Cancers (Basel). 2022; 14(24).

PMID: 36551599 PMC: 9776394. DOI: 10.3390/cancers14246114.


Immunohistochemical expression of chemokine receptor in neuroendocrine neoplasms (CXCR4) of the gastrointestinal tract: a retrospective study of 71 cases.

Popa O, Taban S, Dema A, Plopeanu A, Barna R, Cornianu M Rom J Morphol Embryol. 2021; 62(1):151-157.

PMID: 34609417 PMC: 8597374. DOI: 10.47162/RJME.62.1.14.


CXCR4-Directed PET/CT in Patients with Newly Diagnosed Neuroendocrine Carcinomas.

Weich A, Werner R, Buck A, Hartrampf P, Serfling S, Scheurlen M Diagnostics (Basel). 2021; 11(4).

PMID: 33805264 PMC: 8067200. DOI: 10.3390/diagnostics11040605.


References
1.
Karges W, Adler G . [Clinical genetics of neuroendocrine tumors]. Med Klin (Munich). 2003; 98(12):712-6. DOI: 10.1007/s00063-003-1317-2. View

2.
Carew J, Kelly K, Nawrocki S . Mechanisms of mTOR inhibitor resistance in cancer therapy. Target Oncol. 2011; 6(1):17-27. DOI: 10.1007/s11523-011-0167-8. View

3.
Pavel M, Baudin E, Couvelard A, Krenning E, Oberg K, Steinmuller T . ENETS Consensus Guidelines for the management of patients with liver and other distant metastases from neuroendocrine neoplasms of foregut, midgut, hindgut, and unknown primary. Neuroendocrinology. 2012; 95(2):157-76. DOI: 10.1159/000335597. View

4.
Hashimoto I, Koizumi K, Tatematsu M, Minami T, Cho S, Takeno N . Blocking on the CXCR4/mTOR signalling pathway induces the anti-metastatic properties and autophagic cell death in peritoneal disseminated gastric cancer cells. Eur J Cancer. 2008; 44(7):1022-9. DOI: 10.1016/j.ejca.2008.02.043. View

5.
Faggiano A, Ramundo V, Dicitore A, Castiglioni S, Borghi M, Severino R . Everolimus is an active agent in medullary thyroid cancer: a clinical and in vitro study. J Cell Mol Med. 2011; 16(7):1563-72. PMC: 3823224. DOI: 10.1111/j.1582-4934.2011.01438.x. View