Yan Feng, MD, Praveena S. Thiagarajan, PhD, Patrick C. Ma, MD 

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MET Signaling: Novel Targeted Inhibition and Its Clinical Development in Lung Cancer  Yan Feng, MD, Praveena S. Thiagarajan, PhD, Patrick C. Ma, MD  Journal of Thoracic Oncology  Volume 7, Issue 2, Pages 459-467 (February 2012) DOI: 10.1097/JTO.0b013e3182417e44 Copyright © 2012 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 1 MET receptor signaling and strategies of therapeutic inhibition in lung cancer. The natural ligand for MET is hepatocyte growth factor (HGF), also called scatter factor (SF). Aberrant HGF stimulation of MET in human cancer can occur by aberrant autocrine (intratumoral), paracrine (mircoenvironmental), or endocrine (circulatory) loop signal activation. Upon HGF binding to the Sema domain, MET dimerizes leading to autophosphorylation of intracellular tyrosine residues Y1230/Y1234/Y1235 followed by the phosphorylation of Y1349 and Y1356 near the carboxyl terminal portion. MET activation results in the recruitment and activation of downstream adaptor proteins and kinase targets resulting in a multitude of effects such as increased cell proliferation, cell cycle progression, scattering, motility, survival, extracellular matrix remodeling, and changes in metabolism. Thus, MET signaling contributes to tumor growth, scattering, motility, invasiveness, and metastasis, thereby playing important roles in mediating tumor addiction/dependence and tumor expedience. Therapeutic intervention strategies to block and inhibit MET receptor oncogenic signaling cascade include blocking ligand-receptor interaction, preventing receptor dimerization, blocking MET kinase intrinsic activity, and inhibiting specific downstream signal transducers. PI3K, phosphatidylinositol 3-kinase; GRB2, growth factor receptor-bound protein 2; GAB1, Grb2-associated adaptor protein1; STAT 3/5, signal transducer and activator of transcription 3/5; mTOR, mammalian target of rapamycin; SOS, son of sevenless; SHP2, SRC homology protein tyrosine phosphatase 2; SHC, SRC homology domain; PLC-γ, phospholipase c-γ; RAS, rat sarcoma oncogene homolog; MAPK, mitogen-activated protein kinase; RAC1, Ras-related C3 botulinum toxin substrate 1; RHO, Ras homologos; PAX, paxillin; FAK, focal adhesion kinase. Journal of Thoracic Oncology 2012 7, 459-467DOI: (10.1097/JTO.0b013e3182417e44) Copyright © 2012 International Association for the Study of Lung Cancer Terms and Conditions