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MET

Marker AliasHepatocyte growth factor receptor (HGFr) • RCCP2 • c-Met, cMet, CMET • oncogene MET • met proto-oncogene • met proto-oncogene tyrosine kinase • HGF-SF receptor
Gene Location7q31
Expression Locationintracellular • cytoplasm • plasma membrane
Marker DescriptionMet, a proto-oncogene, is a transmembrane protein receptor tyrosine kinase (RTK) for hepatocyte growth factor (HGF) (Seol DW, etal, Oncogene, 24 Feb 2000;19(9):1132-1137). The hepatocyte growth factor/scatter factor (HGF/SF) plays an important regulatory role in cell motility, morphogenesis and proliferation.

The Met receptor tyrosine kinase regulates a complex array of cellular behaviors involved in invasive growth, that are essential for normal development and wound repair, but are frequently co-opted by tumors to promote their own growth, motility, and invasion. Met receptor levels are governed in part by Cbl-mediated ubiquitination and degradation; uncoupling of Met from Cbl-mediated ubiquitination promotes its transforming activity.

C-Met contains an external semaphoring (sema)-like domain, a cytoplasmatic juxtamembrane domain, a TK domain, and multiple tyrosines that bind to adapter molecules. C-Met mediates the signals for a variety of physiologic processes associated with oncogenesis, including migration, invasion, cell proliferation, apoptosis and angiogenesis. A number of c-Met activating mutations, many of which are located in the tyrosine kinase domain, have been detected in various solid tumors and have been implicated in invasion and metastasis of tumor cells.

c-Met activation results in beta-catenin accumulation in the nucleus and increases in activation of Tcf, thus impacting the Wnt/beta-catenin signal pathway.

Met is overexpressed in a variety of human tumors, and this aberrant expression correlates with poor patient prognosis. Various malignancies exhibit constitutively dysregulated c-Met activity, either through overexpression of the c-Met kinase, activating mutations in c-Met, or increased autocrine or paracrine secretion of the c-Met ligand, hepatocyte growth factor/scatter factor (HGF/SF). It is known that stimulation of c-Met via its natural ligand, HGF/SF, results in many of biological and biochemical effects in the cell. Activation of c-Met signaling can lead to scattering, angiogenesis, proliferation, enhanced cell motility, invasion, and eventual metastasis (Ma PC, etal, Cancer Metastasis Rev, Dec 2003;22(4):309-25). High constitutive activation of the c-Met RTK has been correlated with poor clinical prognosis. Among RTK, c-Met is most frequently mutated or abnormally activated in late stage human malignancies, and is a critical regulator of tumor progression, invasive growth, and angiogenesis.

Investigators at UC Davis Cancer Center (Sacramento, CA) identified a novel mechanism for c-Met degradation in addition to Cbl-mediated ubiquitination. A transmembrane leucine-rich repeats and immunoglobulin-like domain protein, LRIG1, interacted with c-Met independent of stimulation by hepatocyte growth factor (HGF). Overexpression of LRIG1 destabilized endogenous c-Met independent of Cbl in breast cancer cells and impaired their response to HGF. LRIG1 knockdown increased c-Met protein half-life, and opposed the synergy of c-Met and HEr2/neu in driving cellular invasion. These results suggest LRIG1 is a novel suppressor of c-Met function via promoting receptor degradation in an HGF and Cbl-independent manner (Shattuck DL, etal, Molecular and Cellular Biology, March 2007;27(5):1934-46).

Scientists at University of Central Florida (Orlando, FL) investigated if Cbl and Grb2 are required for receptor internalization of c-Met. C-Met receptor internalization is clathrin-dependent and is followed by lysosomal degradation. Cbl binds c-Met directly at phosphotyrosine 1003, and also binds c-Met indirectly via Grb2 at phosphotyrosine 1356 in the multi-substrate binding domain. Direct binding of Cbl to c-Met is critical for receptor degradation but not internalization. C-Met receptor internalization was reduced by Grb2 specific siRNA, dominant-negative Grb2 mutants, and point mutations of c-Met that prevented Grb2 binding. The multi-adaptor Gab1 was not required in this process. Cbl mutant deficient in E3 ubiquitin ligase activity, or ubiquitin mutant deficient in conjugation, also impaired c-Met internalization. However, Cbl mutant that cannot bind c-Met directly did not affect c-Met internalization. A chimeric protein, Cbl-Grb2, rescued the impaired c-Met endocytosis in cells depleted of endogenous Grb2. These results suggest a critical role of Cbl ubiquitin ligase activity in clathrin-dependent c-Met internalization, and provide an intermediate linkage role of Grb2 in the process (Li N, etal, J Biol Chem, 8 June 2007; 282(23):16764-75).
Pathway
ApplicationsTreatment
Diagnosis/Prognosis
Treatment Investigators at Amgen generated a novel c-Met soluble receptor that effectively blocks HGF-induced activation of c-Met and inhibits the growth of tumor xenografts, further supporting Met as an oncology therapeutic target. Human and murine soluble c-Met receptor (extracellular domain)-Fc fusions were expressed in CHO cells and their effects were evaluated on HGF-induced phosphorylation and invasion in vitro, and on the growth of CT26 (murine colon carcinoma) and HGF-dependent U-87 MG (human glioblastoma carcinoma) xenografts in CD-1 NU/NU mice. Human and mouse HGF bound equally well to both human and mouse c-Met, and this binding led to inhibition of c-Met phosphorylation in human and mouse cells and to a dose-dependent inhibition of human or mouse HGF stimulated cellular invasion of normal murine mammary gland cells. Human c-Met-Fc effectively blocked HGF-induced activation of c-Met. Systemic administration of human c-Met-Fc regressed U-87 MG tumors, and murine c-Met-Fc inhibited growth of CT26 syngeneic tumor model. The half-life for both c-Met-Fc fusions was 27 to 45 hours following SC and intraperitoneal administration, and overall c-Met-Fc was well tolerated (Coxon A, etal, AACR07, Abs. 2087A ).
Diagnostic/Research Products
Cancer Indicationprostate cancer
Cancer Indication Description

C-met is usually overexpressed in prostate cancer (Chau CM, etal, AACR98, Abs. 1444:211)

Cancer Indicationbreast cancer
Cancer Indication Description

C-met is overexpressed in a lesser degree in breast cancer and may lead to invasiveness (Chau CM, etal, AACR98, Abs. 1444:211).

Cancer Indicationkidney cancer
Cancer Indication Description

Germline missense mutations in the c-MET receptor are implicated in hereditary papillary renal cell carcinoma (RCC).

Scientists at Nagasaki University School of Medicine and Nagasaki Hospital, in Japan, investigated the role of 2 phosphorylation tyrosine sites on c-Met in tumor progression of renal cell carcinoma (RCC). In the RCC cell line ACHN, phosphorylation at Y1234/Y1235 was maximal at 30 minutes upon hepatocyte growth factor (HGF) stimulation followed by rapid inactivation, whereas phosphorylation at Y1349 was detected at 120 minutes post-stimulation. Median rates (range) of cancer cells immunopositive for pY1234/pY1235 HGFr/c-Met and pY1349 HGFr/c-Met in the tumor sections were 0% (0-5.2%) and 14.3% (0-64.3%), respectively. Phosphorylation at Y1349 was associated with high pathologic tumor stage, metastasis, and high grade carcinoma. Phosphorylation at Y1349 was an independent predictor of cause-specific survival in multivariate Cox analysis. These results suggest c-Met is important in RCC progression, and phosphorylation at Y1349 may be predictive of metastasis and survival in patients with RCC (Miyata Y, etal, Clinical Cancer Research, 15 August 2006; 12:4876-81).

Cancer Indicationlung cancer
Cancer Indication Description

Scientists at University of Chicago investigated the contribution of c-Met activation to reactive oxygen species generation and motility of small cell lung cancer (sclc) cells. When c-Met overexpressing sclc cell line H69 was stimulated with hepatocyte growth factor (HGF), reactive oxygen species increased, whereas c-Met nonexpressing cell line H446 showed no response. Reactive oxygen species production was higher in cell lines harboring juxtamembrane-mutated variants, R988C and T1010I, compared to those with wildtype (wt) c-Met. Pyrrolidine dithiocarbamate and c-Met inhibitor, SU11274, inhibited the reactive oxygen species response and abrogated HGF-induced proliferation and motility in a cooperative manner. Hydrogen peroxide induced phosphorylation of c-Met and downstream phosphorylation of Akt, ERK1/2, and paxillin in sclc cell lines. These results suggest that c-Met and downstream pathways leading to reactive oxygen species production may provide therapeutic intervention strategies (Jagadeeswaran R, etal, Am J Physiol Lung Cell Mol Physiol 2007;292:L1488-94).

Investigators at Merck Research Laboratories (Boston, MA) evaluated non-small cell lung cancer (nsclc) cell lines for c-Met gene amplification, receptor expression, pathway activation, and sensitivity to c-Met specific shRNA. The c-Met gene was amplified in 2 cell lines, EBC-1 and H1993, with the receptor overexpressed and constitutively phosphorylated. Gene amplification and receptor overexpression was not detected in 7 other cell lines in which c-Met was phosphorylated only upon stimulation by hepatocyte growth factor (HGF). The phosphorylation of beta-catenin and p120-catenin were strongly upregulated in EBC-1 and H1993 cells. C-Met knockdown by shRNA inhibited cell growth, induced G1-S arrest and apoptosis in these cells. C-Met specific shRNA did not affect the other 7 cell lines. These results suggest the subset of nsclc with c-Met amplification may respond to c-Met targeted therapies (Lutterbach B, etal, Cancer Research, 1 March 2007;67:2081-8).

Investigators at Genentech (South San Francisco, CA) identified a c-Met deletion that plays a role in ligand-dependent activation in lung cancer. This deletion led to loss of Cbl E3-ligase binding site in the juxtamembrane domain via somatic intronic mutations that result in an alternatively spliced transcript. Ubiquitinylation of the mutant receptor was decreased and receptor downregulation was delayed resulting in elevated c-Met expression in primary tumors. Phosphorylation of c-Met and downstream MAPK activation was therefore sustained upon stimulation by hepatocyte growth factor (HGF). The deletion mutant also led to higher HGF-mediated cell proliferation and in vivo tumor growth. An HGF-competitive c-Met antagonist inhibited mutant c-Met activation and tumor cell proliferation. These results indicate a role of c-Met in lung cancer and identified its deletion mutant as a novel mechanism in the modulation of receptor expression (Kong-Beltran M, etal, Cancer Res, 1 January 2006;66:283-9).

According to investigators at the University of Chicago Medical Center (Chicago, IL), Dana-Farber Cancer Institute and Brigham and Women's Hospital, Harvard Medical School (Boston, MA), BioSource International (Camarillo, CA), and Pfizer (San Diego, CA), c-Met is overexpressed, activated, and/or mutated in non-small cell lung cancer (nsclc) cell lines and tumor tissues. All of 23 nsclc tumor tissues and 8 out of 9 cell lines expressed c-Met. Overexpression was detected in 61% of tumors with adenocarcinoma being the most prevalent at 67%. Phosphorylation of c-Met at Y1003 and Y1230/1234/1235 was detected preferentially in the tumor’s invasive fronts. Mutations of c-Met at E168D, L299F, S323G, and N375S were localized in the semaphoring domain, and R988C, R988C/T1010I, and S1058P were in the juxtamembrane domain. Alternative splice variants omitting the entire juxtamembrane domain were also found in nsclc cell lines and adenocarcinoma tissues. Downregulation of c-Met expression by siRNA to 50-60% inhibited phosphorylation of c-Met and Akt, and reduced cell viability to 57.1 ± 7.2% in cell lines. SU11274, a c-Met inhibitor, similarly inhibited viability in these cells. It also abrogated hepatocyte growth factor (HGF)-induced phosphorylation of c-Met and downstream signaling. These results suggest c-Met inhibition as a potential therapeutic strategy for nsclc (Ma PC, etal, Cancer Res, 15 February 2005;65:1479-88).

Because c-met is frequently overexpressed in lung cancer and there is a strong correlation between c-met overexpression and decreased patient survival, the HGF/c-met signaling pathway is a potential target for tumor control. The c-met protein was down regulated by 40-60% in two lung cancer cell lines, 201-T and 128-88T (Stabile LA, etal, AACR03, Abs. R774).

Phosphorylation of focal adhesion proteins, such as paxillin, p125FAK, and PYK2, occurs in response to c-Met stimulation in lung cancer cells (Ma PC, etal, Cancer Metastasis Rev, Dec 2003;22(4):309-25).

Cancer Indication ovarian cancer
Cancer Indication Description

C-met protein was overexpressed in 63 of 95 (66%) serous and 19 of 24 (79%) mucinous human ovarian carcinomas. Overexpression of c-met protein significantly correlated with poor prognosis using either all serous carcinomas, or Stage III serous carcinomas. Both c-met mRNA and protein were upregulated in 13 of 20 (65%) human ovarian carcinoma cell lines as compared to 0 of 8 normal human ovarian surface epithelial (HOSE) cell cultures. Levels of activated c-met protein were increased in the majority of these ovarian carcinoma cell lines and were significantly correlated to the total c-met expression (r = 0.81). Based on these findings total c-met is overexpressed in the majority of malignant ovarian epithelial cells both in vivo and in vitro, and the level of activated c-met protein is significantly correlated to the level of total c-met protein in vitro (Koon EC, etal, AACR03, Abs. R1357).

Cancer Indication melanoma, malignant
Cancer Indication Description

Expression of c-met tyrosine kinase receptor is biologically and prognostically relevant for primary cutaneous malignant melanomas. Experimental data suggest a putative roleof c-met in melanomagenesis and progression of cutaneous malignant melanoma. C-met expression was evaluted in a cohort of 62 primary cutaneous malignant melanoma patients diagnosed and primarily treated at the same institution. Membranous and cytoplasmic pattern of c-met expression was significantly associated with presence of vertical growth phase, thick tumors, ulceration, high mitotic index, lymphatic and vascular invasion, and nodal and combined (nodal and/or visceral) metastases, and also proved to be a significant prognostic factor for overall survival in univariate analysis (Cruz J, etal, Oncology 2003;65(1):72-82).

Cancer Indicationpancreatic cancer
Cancer Indication Description

Expression levels of HGF/SF and c-Met were examined in a panel of 10 cell lines to assess their role in regulating the invasiveness of pancreatic cancer cells. Expression of HGF/SF was absent in all cell lines and c-Met was overexpressed at varying levels in 9 of the 10 cell lines. These results suggest that pancreatic cancer cells respond to HGF/SF through a paracrine signaling pathway. To test the responsiveness of these cells lines to HGF/SF, transwell migration assays were performed using CFPAC-1 (c-Met positive) and MiaPaCa-2 (c-Met negative) cells. Media containing HGF/SF had greater than a three-fold effect on CFPAC-1 migration, while MiaPaCa-2 was not significantly affected. Analysis of the gene expression profiles of HGF/SF-treated CFPAC-1 and MiaPaCa-2 cells produced 22 genes specifically upregulated in CFPAC-1 (c-Met positive) cells. These genes represent potential mediators of HGF/SF signaling and include K-ras, ROCK1, Lyn, TRAF5 and ARNO all of which have been shown to play roles in cell motility and migration. In addition, HGF/SF treated CFPAC-1 cells showed significant downregulation of 42 genes. Interestingly, several of the downregulated genes are known negative regulators of cell migration such as APC and the tight junction protein, ZO-1. These data provide important new insight into the cell response downstream of HGF/SF and c-Met and may provide new targets for drug development in pancreatic and other tumors (Warner SL, etal, AACR02, Abs. LB42).

Cancer Indicationlymphoma
Cancer Indication Description

Investigators at Academic Medical Center (Amsterdam, the Netherlands) examined c-Met expression and signaling in the pathogenesis of B-cell malignancies. They had previously shown that c-Met signaling controlled survival and proliferation in multiple myeloma. In a panel of 110 B-cell malignancies, c-Met expression was largely confined to diffuse large B-cell lymphoma (30%) and multiple myeloma (48%). The c-Met gene was not amplified in diffuse large B-cell lymphoma. Mutation R1166Q in tyrosine kinase domain was detected in 1 patient sample whereas mutation R988C in the juxtamembrane domain was detected in 4 patient samples. R988C mutation enhanced tumorigenesis. Hepatocyte growth factor (HGF) induced MEK-dependent activation of ERK, and PI3K-dependent phosphorylation of PKB, GSK3, and FOXO3a, and alpha4/beta1 integrin-mediated adhesion to VCAM-1 and fibronectin. In the tumor microenvironment, diffuse large B-cell lymphoma cells produced serine protease HGF activator, that in turn autocatalyzed the activation of HGF that was secreted by macrophages. These results suggest that c-Met signaling and secretion of serine protease HGF activator by diffuse large B-cell lymphoma may contribute to lymphomagenesis (Tjin EPM, etal, Blood, 15 January 2006;107(2):760-8).

Cancer Indicationmultiple myeloma
Cancer Indication Description

In a panel of 110 B-cell malignancies, c-Met expression was present in 48% of multiple myeloma cases (Tjin EPM, etal, Blood, 15 January 2006;107(2):760-8).

Cancer Indicationmesothelioma
Cancer Indication Description

Investigators at University of Chicago Medical Center (Chicago, IL), National Cancer Research Institute (Genoa, Italy), University of Minnesota Medical School (Minneapolis, MN), and Dana-Farber Cancer Institute, Harvard Medical School (Boston, MA) studied the role of c-Met in malignant pleural mesothelioma. C-Met was overexpressed and activated in most mesothelioma cell lines tested. Its expression in malignant pleural mesothelioma was 82% higher than that in normal tissues. Circulating hepatocyte growth factor (HGF) was 2-fold higher in serum of patients with mesothelioma than in healthy controls. In various mesothelioma cell lines, HGF stimulated cell growth and activation of Akt and ERK1/2 differentially. SU11274, a c-Met inhibitor, inhibited cell growth in these cell lines except H2052, H2452, and nonmalignant MeT-5A. SU11274 and c-Met specific siRNA inhibited migration of H28 cells that strongly expressed c-Met. Abrogation of HGF induced c-Met and downstream signaling was detected in mesothelioma cells. Mutations within the semaphorin domain (N375S, M431V, and N454I), the juxtamembrane domain (T1010I and G1085X), and exon 10 deletion in c-Met, were detected in some of the 43 malignant pleural mesothelioma tissues and 7 cell lines tested. Relative to H28 cells with wild type (wt) c-Met and nonmalignant MeT-5A cells, SU11274 reduced cell growth most robustly in H513 and H2596 cell lines with T1010I mutation. These results suggest c-Met is an important target for therapy against malignant pleural mesothelioma (Jagadeeswaran R, etal, Cancer Research, 1 January, 2006; 66:352-61).

Cancer Indicationsoft-tissue sarcoma
Cancer Indication Description

Investigators at Memorial Sloan-Kettering Cancer Center (New York, NY), Dana-Farber Cancer Institute (Boston, MA), and Johns Hopkins Hospital (Baltimore, MD) examined if c-Met is a transcriptional target of ASPS-TFE3. TFE3 is a basic helix-loop-helix leucine zipper transcriptional factor. Expression of oncogenic TFE3 fusion proteins defines a subset of pediatric renal adenocarcinoma. In alveolar soft part sarcoma (ASPS), the expression of fusion protein ASPS-TFE3 is common. C-Met is over-expressed in ASPS relative to other types of primitive sarcoma. ASPS-TFE3 bound to and activated c-Met promoter. Two other TFE3 proteins fused with pre-mRNA splicing factors, PSF-TFE3 and NonO-TFE3, also bound to c-Met promoter. ASPS-TFE3 induced c-Met expression, resulting in c-Met autophosphorylation and downstream signaling in response to hepatocyte growth factor (HGF). In cancer cell lines expressing TFE3-fusion proteins, c-Met specific RNAi and c-Met inhibitor, PHA665752, abolished HGF-dependent c-Met activation, decreased cell growth, and induced loss of HGF-dependent phenotypes. These results suggest when oncogenic TFE3 fusion proteins upregulated c-Met transcription, cancer cells became dependent on c-Met signaling. Both c-Met and signaling pathways upregulated by oncogenic fusion proteins may represent potential therapeutic targets for ASPS (Tsuda M, etal, Cancer Research, 1 February, 2007;67:919-29).

Cancer Indicationmelanoma, malignant
Cancer Indication Description

According to investigators at the University of Chicago Medical Center, c-Met was expressed in 6 of 7 melanoma cell lines by immunoblotting. Also, a new missense c-Met mutation N948S was identified in cell lines and R988C in tumor tissue in the juxtamembrane domain of c-Met. It was found that c-Met was expressed in 88% of melanoma samples and 15% of nevi, and that c-Met (pY1003) was activated in 21% of cases of human melanoma (Puri N, etal, Clin Cancer Res, 1 Apr 2007;13(7):2246-53; rsalgia@medicine.bsd.uchicago.edu).

Academic Programs • Investigators at the University of Pittsburgh studied the effects of suppressing c-Met expression in human non-small cell lung cancer (nsclc). Expression plasmids containing either 40bp of the sense or antisense sequences of the human c-met gene, targeting the translation start site, were constructed under control of the U6 small nuclear RNA promoter for delivery into tumor cells, as well as a control plasmid devoid of any c-Met sequence (empty vector). Two cell lines, 201-T and 128-88T, in which c-Met protein is downregulated by 40-60% were transiently transfected with the c-Met antisense versus empty vector control. Tumor cells treated with the c-met antisense construct showed decreased phosphorylation of c-Met when exposed to exogenous HGF using a tyrosine phosphorylation assay. When 201-T lung cancer cells were grown as subcutaneous xenografts in scid mice and treated by intratumoral cationic liposome-mediated transfer of the c-Met sense, antisense or empty plasmids, tumors treated with c-met antisense versus empty plasmid resulted in downregulation of c-Met protein expression, resulting in a 50% decrease in tumor growth over a 5-week treatment period, and an increased rate of apoptosis. Sense treatment showed little or no effect. Tumors injected with these plasmids expressed c-met sense or antisense RNA with an estimated 50% transfection efficiency. These results suggest that using the c-Met antisense plasmid may be an effective novel strategy to treat lung cancer. The combination of the c-Met antisense plasmid with a truncated HGF antagonist is currently under evaluation to inhibit the entire signaling pathway and achieve greater control of tumor growth (Stabile LA, etal, AACR03, Abs. R774; las22+@pitt.edu). • Investigators at Brigham and Women's Hospital and the Dana Farber Cancer Institute, Harvard Medical School (Boston, MA), are working to elucidate the function of c-Met in ovarian cancer cell growth, invasion and metastasis, and hypothesize that decreasing the levels of activated c-Met protein may modify the aggressive behavior of ovarian carcinoma cells. Therapies, which specifically target the activity of c-Met, may represent a viable therapeutic modality for patients with ovarian cancer expressing high levels of activated c-Met (Koon EC, etal, AACR03, Abs. R1357; ekoon@partners.org). • The National Cancer Institute''s Urologic Oncology Branch is seeking partners for a CRADA (USA Provisional Application # 61/041,523 filed 1 April 2008) to further develop, evaluate, or commercialize small molecule inhibitors of the c-Met signaling pathway. The invention describes novel small molecule inhibitors of c-Met signaling that selectively bind to c-Met and have an IC50 in the micromolar range. Thes small molecules belong to two different families. One family of small molecules reduces the level of c Met expression via receptor downregulation and blocks ATP binding. The other family of small molecules blocks ATP binding without inducing receptor downregulation. Further R&D involves preclinical cell-free and cell-based SAR studies to improve selectivity and potency; preclinical biologic studies in cultured cell and animal models; and PK and toxicology studies in animals. Contact John D. Hewes, PhD, NCI Technology Transfer Center (tel: 301-435-3121; hewesj@mail.nih.gov).
Government Research
OriginatorThe Met oncogene was cloned in 1984 by GF Vande Woude and colleagues at the Laboratory of Cellular and Molecular Biology, National Cancer Institute (NCI). Molecular cloning of the transforming gene from a chemically transformed human osteosarcoma-derived cell line enables the gene to be mapped to chromosome 7 (7p11.4-7qter) and by this criterion and by direct hybridization to be shown to be unrelated to known oncogenes (Cooper CS, etal, Nature, 6-11 Sep 1984;311(5981):29-33).
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