Abstract
Fibroblast Growth Factors (FGFs) play a vital role in development and tissue
regeneration. There are at least 23 distinct members of the FGF family that bind to at
least four tyrosine kinase receptors known as FGF Receptors (FGFRs). FGF/FGFR
signalling plays an important role in variety of processes and is tightly regulated.
However, some cancer cells hijack the control of FGFR pathway, causing deregulation
of FGFR signalling. FGF and their receptors, such as FGFR1 and 2, have been
involved in susceptibility of breast cancer and progression as well as in a number of
other cancers. Cervical cancer (CC) is one of the most commonly diagnosed cancers
in women worldwide. One of the main causative agents of CC is the human
papillomavirus (HPV). However, not all females infected with HPV develop CC
demonstrating that other factors might be important. Although some studies have
emphasised the possible involvement of FGFR signalling in CC, the aetiology and the
molecular mechanisms related to CC and FGFR signalling remain poorly understood.
The main aim of this study was to investigate FGFR signalling in cervical cancer cell
lines (HeLa, SiHa and CaSki cell lines; CCCLs). A detailed understanding of the
mechanism correlated to CC will make possible to use specific FGFR inhibitors that
are currently in clinical trial, for CC treatment either on its own or in conjunction with
the existing treatment, in order to increase success rates. In addition, FGFR signalling
could be of early prognostic value.
In order to examine gene and protein expression of FGFRs and associated ligands in
CCCLs, PCR and immunocytochemistry were performed. Downstream extracellular
signal-regulated protein kinase (ERK) signalling in CCCLs was investigated using
Western blotting. Functional FGFR studies carried out through cell proliferation,
migration and apoptosis assays. The above experiments were performed using
stimulated and unstimulated CC cells in the presence and absence of FGFR inhibitors
PD173074 and SU5402. RNAi mediated FGFR1 and FGFR2 knockdown was also
performed to further assess function.
The human CCCLs expressed FGFR1, FGFR2, FGFR4, FGF2, FGF4 and FGF7
mRNA and protein, with 'b' and 'c' isoforms of FGFR1 and FGFR2 confirmed using
gene expression analysis. The FGFR1 and FGFR2 protein in CCCLs was localised
within the nucleus with a distinct speckled arrangement. Importantly, ELISA revealed
that all CCCLs secreted FGF2 ligand only, but not FGF4 and FGF7 suggesting that
FGFR was activated in a paracrine manner. Activation of the ERK pathway occurred
in response to FGF2, 4 and 7 exposures in all three CCCLs and the activation was
eradicated in the presence of PD173074 or SU5402 inhibitor, suggesting that the
effect is specific to FGFR signalling. Functional studies revealed that FGFR signalling
enhanced cell proliferation and migration. Furthermore, knockdown of FGFR1 and
FGFR2 by RNA interference or blockade using PD173074 inhibited cell proliferation,
cell migration and also promoted the apoptosis CC cells. Drug resistant CCCLs (HeLa,
CaSki and SiHa) were established following long-term exposure to PD17307.
Collectively, this work supports an association between CC progression and FGFR
signalling, laying the foundations for developing FGFR inhibitors for CC therapy. The
drug resistant CCCLs will be valuable for further investigations into the mechanisms
involved in acquired drug resistance.
| Original language | English |
|---|---|
| Qualification | Doctor of Philosophy (PhD) |
| Awarding Institution |
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| Supervisors/Advisors |
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| Publication status | Accepted/In press - Mar 2020 |
| Externally published | Yes |
Bibliographical note
Physical Location: Online onlyKeywords
- cervical cancer
- FGF
- FGFR
- FGFR signalling
- HPV
- drug resistance
- Biological sciences
PhD type
- Standard route