Targeting MERTK on tumour cells and macrophages: a potential intervention for sporadic and NF2-related meningioma and schwannoma tumours

Oncogene. 2024 Oct;43(41):3049-3061. doi: 10.1038/s41388-024-03131-z. Epub 2024 Aug 23.

Abstract

Meningioma and schwannoma are common tumours of the nervous system. They occur sporadically or as part of the hereditary NF2-related schwannomatosis syndrome. There is an unmet need for new effective drug treatments for both tumour types. In this paper, we demonstrate overexpression/activation of TAM (TYRO3/AXL/MERTK) receptors (TAMs) and overexpression/release of ligand GAS6 in patient-derived meningioma tumour cells and tissue. For the first time, we reveal the formation of MERTK/TYRO3 heterocomplexes in meningioma and schwannoma tissue. We demonstrate the dependence of AXL and TYRO3 expression on MERTK in both tumour types, as well as interdependency of MERTK and AXL expression in meningioma. We show that MERTK and AXL contribute to increased proliferation and survival of meningioma and schwannoma cells, which we inhibited in vitro using the MERTK/FLT3 inhibitor UNC2025 and the AXL inhibitor BGB324. UNC2025 was effective in both tumour types with superior efficacy over BGB324. Finally, we found that TAMs are expressed by tumour-associated macrophages in meningioma and schwannoma tumours and that UNC2025 strongly depleted macrophages in both tumour types.

MeSH terms

  • Adenine / analogs & derivatives
  • Axl Receptor Tyrosine Kinase*
  • Benzocycloheptenes / pharmacology
  • Cell Line, Tumor
  • Cell Proliferation
  • Humans
  • Intercellular Signaling Peptides and Proteins / genetics
  • Intercellular Signaling Peptides and Proteins / metabolism
  • Macrophages* / metabolism
  • Macrophages* / pathology
  • Meningeal Neoplasms* / drug therapy
  • Meningeal Neoplasms* / genetics
  • Meningeal Neoplasms* / metabolism
  • Meningeal Neoplasms* / pathology
  • Meningioma* / genetics
  • Meningioma* / metabolism
  • Meningioma* / pathology
  • Neurilemmoma* / genetics
  • Neurilemmoma* / metabolism
  • Neurilemmoma* / pathology
  • Neurofibromatosis 2 / genetics
  • Neurofibromatosis 2 / metabolism
  • Neurofibromatosis 2 / pathology
  • Neurofibromin 2 / genetics
  • Neurofibromin 2 / metabolism
  • Piperazines
  • Proto-Oncogene Proteins* / antagonists & inhibitors
  • Proto-Oncogene Proteins* / genetics
  • Proto-Oncogene Proteins* / metabolism
  • Receptor Protein-Tyrosine Kinases* / genetics
  • Receptor Protein-Tyrosine Kinases* / metabolism
  • Triazoles
  • c-Mer Tyrosine Kinase* / genetics
  • c-Mer Tyrosine Kinase* / metabolism

Substances

  • c-Mer Tyrosine Kinase
  • MERTK protein, human
  • Receptor Protein-Tyrosine Kinases
  • Axl Receptor Tyrosine Kinase
  • Proto-Oncogene Proteins
  • growth arrest-specific protein 6
  • Neurofibromin 2
  • UNC2025
  • bemcentinib
  • NF2 protein, human
  • TYRO3 protein, human
  • AXL protein, human
  • Intercellular Signaling Peptides and Proteins
  • Benzocycloheptenes
  • Adenine
  • Piperazines
  • Triazoles