ALK is frequently phosphorylated in Merkel cell carcinoma and associates with longer survival

Merkel cell carcinoma (MCC) is a rare skin cancer with only limited therapeutic options for advanced disease. We previously showed that oncogene ALK is frequently expressed at the RNA level in MCC and further that ALK positivity by immunohistochemistry is frequent and correlates strongly with Merkel...

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Veröffentlicht in:PloS one 2021-05, Vol.16 (5), p.e0252099-e0252099
Hauptverfasser: Jaatinen, Jenni, Veija, Tuukka, Salmikangas, Marko, Böhling, Tom, Sihto, Harri, Koljonen, Virve
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container_title PloS one
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creator Jaatinen, Jenni
Veija, Tuukka
Salmikangas, Marko
Böhling, Tom
Sihto, Harri
Koljonen, Virve
description Merkel cell carcinoma (MCC) is a rare skin cancer with only limited therapeutic options for advanced disease. We previously showed that oncogene ALK is frequently expressed at the RNA level in MCC and further that ALK positivity by immunohistochemistry is frequent and correlates strongly with Merkel cell polyomavirus (MCPyV) positivity. In this study, we investigated whether ALK receptor is active in MCC tumor samples and MCC cell lines, and whether ALK would be a prospective treatment target in MCC. We utilized tissue microarrays constructed from 136 primary MCC tumor samples as well as nine previously established MCC cell lines to determine the presence of ALK and phosphorylated ALK (p-ALK) via immunohistochemistry. Almost half of the analyzed MCC tumors displayed ALK phosphorylation (47.8%). Analysis of MCC tumor samples revealed that the presence of p-ALK correlated to MCPyV positivity, younger age, nonexistence of metastases at diagnosis and ultimately to better MCC-specific survival. In contrast to MCC tumor samples only two out of nine MCC cell lines showed only low ALK phosphorylation by immunohistochemistry. Our study reveals clear disparity in ALK activity between patient derived tumors and cell line samples and therefore, more advanced disease models such as xenografts are necessary to resolve whether ALK is a useful treatment target in MCC.
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We previously showed that oncogene ALK is frequently expressed at the RNA level in MCC and further that ALK positivity by immunohistochemistry is frequent and correlates strongly with Merkel cell polyomavirus (MCPyV) positivity. In this study, we investigated whether ALK receptor is active in MCC tumor samples and MCC cell lines, and whether ALK would be a prospective treatment target in MCC. We utilized tissue microarrays constructed from 136 primary MCC tumor samples as well as nine previously established MCC cell lines to determine the presence of ALK and phosphorylated ALK (p-ALK) via immunohistochemistry. Almost half of the analyzed MCC tumors displayed ALK phosphorylation (47.8%). Analysis of MCC tumor samples revealed that the presence of p-ALK correlated to MCPyV positivity, younger age, nonexistence of metastases at diagnosis and ultimately to better MCC-specific survival. 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We previously showed that oncogene ALK is frequently expressed at the RNA level in MCC and further that ALK positivity by immunohistochemistry is frequent and correlates strongly with Merkel cell polyomavirus (MCPyV) positivity. In this study, we investigated whether ALK receptor is active in MCC tumor samples and MCC cell lines, and whether ALK would be a prospective treatment target in MCC. We utilized tissue microarrays constructed from 136 primary MCC tumor samples as well as nine previously established MCC cell lines to determine the presence of ALK and phosphorylated ALK (p-ALK) via immunohistochemistry. Almost half of the analyzed MCC tumors displayed ALK phosphorylation (47.8%). Analysis of MCC tumor samples revealed that the presence of p-ALK correlated to MCPyV positivity, younger age, nonexistence of metastases at diagnosis and ultimately to better MCC-specific survival. In contrast to MCC tumor samples only two out of nine MCC cell lines showed only low ALK phosphorylation by immunohistochemistry. Our study reveals clear disparity in ALK activity between patient derived tumors and cell line samples and therefore, more advanced disease models such as xenografts are necessary to resolve whether ALK is a useful treatment target in MCC.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>34029351</pmid><doi>10.1371/journal.pone.0252099</doi><tpages>e0252099</tpages><orcidid>https://orcid.org/0000-0001-9603-793X</orcidid><orcidid>https://orcid.org/0000-0001-5265-5509</orcidid><oa>free_for_read</oa></addata></record>
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subjects 1-Phosphatidylinositol 3-kinase
AKT protein
Biology and Life Sciences
Biotechnology
Care and treatment
Cell cycle
Extracellular signal-regulated kinase
Fusion protein
Gene expression
Immunotherapy
Kinases
Lung cancer
Lung carcinoma
Lymphoma
MAP kinase
Medical prognosis
Medicine and Health Sciences
Merkel cell carcinoma
Metabolic pathways
Metastasis
Pathology
Phosphorylation
Proteins
Receptor mechanisms
Receptors
Research and Analysis Methods
Skin cancer
Statistical analysis
Statistical methods
Survival
Tabulation
Therapeutic targets
Tumors
Tyrosine
title ALK is frequently phosphorylated in Merkel cell carcinoma and associates with longer survival
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