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Discovery and Function of the HGF/MET and the MSP/RON Kinase Signaling Pathways in Cancer
Silvia Benvenuti, Melissa Milan and Paolo M. Comoglio
Candiolo Cancer Institute, Italy
1.1 Introduction
MET and RON oncogenes encoding two related tyrosine kinase receptors are among the most important genes involved in the control of the invasive growth genetic program. Under physiological conditions, such as embryonic development and organ regeneration, the invasive growth program controls the normal tissue development by coordinating, in time and space, several biological events including cellular proliferation, disruption of intercellular junctions, migration through the extracellular matrix (ECM), and protection from programmed cell death (apoptosis). In transformed tissues, MET or RON deregulation results in cancer formation and metastatic dissemination. Upon either ligand stimulation or constitutive receptor activation, cancer cells are induced to leave the primary tumor, degrade the basal membrane, move towards different organs and generate metastasis (1,2). The two sibling receptors exert a dual role: they are necessary oncogenes for those tumors that rely on MET activity for growth and survival (oncogene addiction) and adjuvant, pro-metastatic genes for other tumors, where MET activation is a secondary event that exacerbates the malignant properties of already transformed cells (oncogene expedience). In this complex scenario, MET and RON become very attractive candidates for targeted therapeutic intervention.
1.2 MET Tyrosine Kinase Receptor and its Ligand HGF: Structure
MET oncogene, positioned on chromosome 7q21-31, is composed of 21 exons encoding a transmembrane tyrosine kinase receptor made of a disulphide-linked heterodimer (190 kDa), which originates from the proteolytic cleavage, in the post-Golgi compartment, of a single chain precursor. The heterodimer is formed by a single-pass transmembrane ß chain (145 kDa) and a completely extracellular a chain (45 kDa). The extracellular portion contains a SEMA (semaphorin) domain, an atypical motif made by over 500 amino acids, which has a low affinity binding activity for the ligand and is involved in receptor dimerization; a plexin, SEMA and integrin cysteine-rich (PSI) domain, which encompasses about 50 residues and contains 4 disulphide bonds; and 4 immunoglobulin-plexin-transcription structures (IPT domain), a characteristic protein-protein interaction region. A single pass hydrophobic membrane-spanning domain is followed by the intracellular portion made of a juxtamembrane section followed by a catalytic site and a C-terminal regulatory tail (Figure 1.1). The juxtamembrane segment is essential for receptor down-regulation (2). It contains a serine residue (Ser985) that, upon phosphorylation, is responsible for inhibition of receptor kinase activity, and a tyrosine (Tyr1003) capable of binding the E3-ubiquiting ligase CBL (cellular homologue of Cas NS-1 oncogene), that promotes receptor degradation (3,4). The catalytic site contains two tyrosines (Tyr1234 and Tyr1235) that regulate the enzymatic activity. Finally, the C-terminal tail encompasses two tyrosines (Tyr1349 and Tyr1356) that, when phosphorylated, generate a docking site able to recruit a vast cohort of intracellular molecules and adaptor proteins responsible for transducing the signaling triggered by the ligand-receptor interaction (5).The latter two tyrosines have shown to be essential and sufficient to execute MET physiological functions (5), and to elicit MET oncogenic potential (6).
Figure 1.1 MET tyrosine kinase receptor and its ligand HGF: structure.MET is a transmembrane tyrosine kinase receptor made of a disulphide-linked heterodimer formed by a single-pass transmembrane ß chain and a completely extracellular a chain. The extracellular portion contains a SEMA domain, involved in ligand binding and receptors dimerization; a PSI domain, encompassing four disulphide bonds; and four IPT domains, a protein-protein interaction region. A single pass transmembrane domain is followed by the intracellular portion made of a juxtamembrane section, a catalytic site and a C-terminal regulatory tail. The juxtamembrane segment contains a serine (serine 985) and a tyrosine (tyrosine 1003) responsible to inhibit receptor kinase activity and promote receptor down-regulation. The catalytic site contains the 'catalytic' tyrosines 1234 and 1235 that regulate the enzymatic activity, while the C-terminal tail encompasses the 'docking' tyrosines 1349 and 1356 that, upon phosphorylation, generate a docking site able to recruit a vast cohort of intracellular adaptors and molecules responsible of triggering the signal transduction cascade.HGF: hepatocyte growth factor; HL: hairpin loop; IPT: immunoglobulin-plexin transcription domain; K: kringle; PSI: plexin-semaphorin-integrin domain; SEMA: semaphorin domain; SPH: serine-protease domain.
MET high affinity ligand is known as the scatter factor (SF) or hepatocyte growth factor (HGF). SF is a factor capable of inducing scatter of epithelial cells, a complex phenomenon that consists of a first step in which cells dissociate one from another and a second phase in which the released cells begin to move (7,8). While HGF is a potent growth stimulator for primary hepatocytes kept in culture (9), the two molecules were later shown to be identical (10). SF/HGF belongs to the plasminogen family of peptidases; it contains an amino terminal hairpin loop (HL), followed by four Kringle domains, flanked by an activation portion and a serine-protease domain (SPH) devoid of proteolytic activity (Figure 1.1). This ligand, synthesized and secreted as a single chain inactive precursor (pro-HGF) by stromal cells (i.e. fibroblasts), is present in the extracellular environment of almost all tissues. Its activation occurs locally upon proteolytic cleavage by proteases that cleave the bond between Arg494 and Val495.
To date, several proteases (present either in the serum or within cells) have been proposed as HGF/SF activators, including HGF activator (HGFA) (11), plasma kallikrein and coagulation factors XIIa and XIa (12), matriptase and hepsin (13,14), TMPRSS2 (15), TMPRSS13 (16), urokinase-type plasminogen activator (uPA), and tissue-type plasminogen activator (tPA) (17). Among them, HGFA and matriptase, synthesized in turn as inactive precursors, show the most efficient pro-HGF/SF processing activity (18). Mature HGF is a heterodimer made of a 69 kDa a chain and a 34 kDa ß chain linked by a disulfide bond. HGF contains two binding sites with differential affinity for the MET receptor: a high-affinity site located within the a chain and a low affinity site in the ß chain. The low affinity site in the ß chain becomes accessible only after pro-HGF activation, which is essential for receptor dimerization and subsequent activation. Cells of mesenchymal origin are the primary producers and source of HGF in the pericellular environment, which acts on cells expressing the MET receptor (cells of epithelial origin) in a paracrine manner.
1.2.1 The Invasive growth Program
Cancer is a multistep process that results from the accumulation of somatic genetic alterations, which either inactivate tumor suppressor genes (i.e. p53, pRB or APC) or activate dominant proto-oncogenes (i.e. RAS or PI3K) (19,20). These aberrant events release cells from proliferative control and allow primary tumor formation. The initial tumor growth is followed by invasive dissemination and ultimately metastasis, which is the cause of almost all cancer-related deaths. The ability of neoplastic cells to invade the surrounding tissues, survive in foreign environments, and settle at distant sites, defines a genetic program known as invasive growth. The invasive growth program also occurs under physiological conditions. Throughout embryogenesis, invasive growth orchestrates complex events such as gastrulation (responsible of originating the mesoderm from the embryonic epithelium), morphogenesis of epithelia, angiogenesis, nervous system formation and myoblasts migration (21). In adult life, invasive growth is necessary in normal tissues during acute injury repair (23,24) when cells at the wound edge reprogram themselves and start rapidly dividing prior to migrating towards the cut edge to regenerate the lacking tissue.
The invasive growth program consists of several stages, each of them occurring in a specific time and place, all harmoniously orchestrated to allow germ layers in the embryo, and tissues in the adult, to re-organize. All these events require cells to proliferate, migrate, overcome apoptosis, invade the surrounding tissues and re-organize themselves into new three-dimensional structures. Epithelial-mesenchymal transition (EMT) is the mechanism behind the earlier phases of the invasive growth program. During EMT, cells release junctions that maintain the epithelial monolayer structure, change their polarity by means of cytoskeleton rearrangements and attain the ability to move within the extracellular environment. Ultimately, the cells lose their epithelial phenotype to acquire a mesenchymal one. All these events, necessary during embryogenesis for correct...