Molecular basis of protein S deficiency
THROMBOSIS AND HAEMOSTASIS
Authors: De Frutos, Pablo Garcia; Fuentes-Prior, Pablo; Hurtado, Begona; Sala, Nuria
Abstract
Protein S deficiency (PSD) has been the most difficult to study among the classical inherited thrombophilic factors. This is in part due to the peculiar biology of protein S (PS), which has an anticoagulant role but no enzymatic activity,and because it interacts with plasma components that function in both haemostasis and inflammation.Clinically,it also has been difficult to define and standardise valuable assays to determine PS status and implication in thrombosis. Despite these drawbacks, at present heterozygous PS deficiency is well established as an autosomal dominant trait associated with an increased risk of thrombosis from data on familial and population studies. Almost two hundred mutations have been characterised in PROS1, and approximately 30% of them have been characterised in vitro,clarifying the mechanisms leading to PSD. Furthermore, recent studies on the presence of large deletions in PROS1 have increased the number of PSD associated to PROS1 mutations. Finally, the discovery of new functions for PS, both in the anticoagulant system as well as in the interaction with cellular components through receptor tyrosine kinases, is broadening the importance of this molecule in the context of biomedicine
Expression and role of TYRO3 and AXL as potential therapeutical targets in leiomyosarcoma
BRITISH JOURNAL OF CANCER
Authors: Dantas-Barbosa, Carmela; Lesluyes, Tom; Le Loarer, Francois; Chibon, Frederic; Treilleux, Isabelle; Coindre, Jean-Michel; Meeus, Pierre; Brahmi, Mehdi; Bally, Olivia; Ray-Coquard, Isabelle; Sunyach, Marie-Pierre; Le Cesne, Axel; Mir, Olivier; Bonvalot, Sylvie; Toulmonde, Maud; Italiano, Antoine; Saintigny, Pierre; Jean-Denis, Myriam; Ducimetiere, Francoise; Ranchere, Dominique; El Sayadi, Hiba; Alberti, Laurent; Blay, Jean-Yves
Abstract
Background: Leiomyosarcoma (LMS) are 15% of adult sarcomas and remain seldom curable in metastatic phase. The TAM receptors and their ligands are overexpressed or activated in multiple malignancies, including LMS. Methods: The TAM receptor and ligand expression was evaluated in LMS cell lines and 358 sarcoma samples by either gene expression or immunohistochemistry. TYRO3 and AXL were knocked down. Crizotinib and foretinib were investigated in vitro. Results: High expression of TYRO3 and AXL was detected in LMS cell lines. TYRO3 or AXL gene knockdown reduced cell proliferation/colony formation. Crizotinib and foretinib decreased TYRO3 and AXL phosphorylation, apoptosis, G2/arrest and reduced colony formation. Immunohistochemistry performed in 107 sarcomas showed higher expression of TYRO3 and GAS6 in LMS vs other sarcomas and nuclear TYRO3 only in LMS. Microarray gene expression performed in 251 sarcomas revealed significantly higher expression of TYRO3 and GAS6 in LMS than other sarcomas. Leiomyosarcoma patients with high expression of GAS6 or PROS1 present a significantly worse PFS. Conclusions: Leiomyosarcoma patients, especially those whom develop metastasis, express higher levels of TYRO3 and GAS6. Crizotinib and foretinib showed effective antitumour activity in LMS through TYRO3 and AXL deactivation indicating that clinical trials using TYRO3 and AXL inhibitors are warranted in advanced LMS.