AXL receptor tyrosine kinase in breast cancer : defining novel substrates and pathways involved in cell motility and invasion

Breast cancer is the most frequently diagnosed cancer in women where its progression to the metastatic stage poses a threat to the life of patients. The metastatic disease represents the central clinical challenge of solid tumor oncology such that mechanisms and pathways underlying the metastatic process must be better defined. The aberrant expression of the receptor tyrosine kinase (RTK) AXL has been linked clinically to metastasis and acquisition of drug resistance. AXL is a member of the TAM subfamily and functions in several biological processes such as dampening the immune response, clearing apoptotic cells and promoting cell survival. Despite its preferential upregulation in triple negative/basal B cell lines, studies have shown AXL expression in the clinic to be subtype independent. AXL can be activated by its ligand GAS6 or by a crosstalk with other RTKs. Upon its activation, AXL induces downstream signaling resulting in the activation of canonical signaling intermediates including MAPKs, AKT and PI 3-kinases. However, the specific signaling pathways engaged by AXL to confer such enhanced pro-invasion power are not known and the goal of this thesis is to identify AXL-specific substrates and downstream pathways that are behind AXL’s significant role in maintaining an EMT state and reinforced mesenchymal phenotype in cancer cells. In search of upstream regulators of ELMO/DOCK1 complex involved in RAC activation, we reported ELMO scaffolds as direct substrates and binding partners of AXL. Through proteomics and mutagenesis approaches, we revealed phosphorylation of ELMO1/2 by AXL kinase on a conserved carboxyl-terminal tyrosine residue. In breast cancer cells, GAS6-dependent activation of AXL led to endogenous ELMO2 phosphorylation on Tyr-713 and AXL/ELMO complex formation. In addition, GAS6-induced RAC activation in breast cancer cells was dependent on ELMO2 expression and phosphorylation. Our work in chapter 2 defines a new mechanism by which AXL promotes cell proliferation and invasion and identifies inhibition of ELMO/DOCK pathway as a potential therapeutic target to stop AXL-induced metastases. While it still remains elusive how AXL signals to induce its pro-invasive phenotype, our work strove to identify specific substrates and signaling pathways that are significantly modulated upon AXL activation using a quantitative phosphoproteomics approach. By generating GAS6-induced AXL phosphoproteome, we found that AXL robustly modulates, among many different significant biological processes and pathways, the phosphorylation of a network of focal adhesion (FA) proteins culminating in faster FA disassembly. Interestingly, we found AXL modulation of FA pathway to be unique to AXL in comparison with other RTKs such as EGFR. NEDD9 FA protein was identified to be a direct substrate of AXL, where its phosphorylation modulates its complex formation with CRKII/DOCK3, and this subsequently orchestrates the AXL-mediated phosphorylation of the pseudo-kinase PEAK1. Our data revealed a distinct mechanism by which PEAK1 complexes with CSK kinase, mediating PXN phosphorylation and AXL-induced FA turnover. Using in vivo assays such as tail-vein metastasis assay and tumor growth assay, we revealed that gene inactivation of PEAK1 by CRISPR CAS9 decreased tumor growth and metastasis. Furthermore, our work in chapter 3 uncovers an unexpected and unique robust contribution of AXL signaling to FA dynamics revealing a long sought-after mechanism underlying AXL pro-invasive activity. This in-depth understanding of AXL regulated signaling networks identifies PEAK1 as a new therapeutic target in AXL positive tumors. In conclusion, this thesis identified, for the first time, AXL phosphoproteome and AXL specific downstream signaling pathways that may justify AXL’s role as a promoter of metastasis and drug resistance. Our work reveals novel therapeutic drug targets that may hold a great potential if used in combinational therapeutics with AXL inhibition to prevent metastasis of AXL positive tumors.

Keyphrases: Cell signaling, Breast Cancer, Receptor tyrosine kinase, Cell Migration and Invasion