Loss of the
tumor suppressor
merlin causes development of the
tumors of the nervous system, such as
schwannomas,
meningiomas, and
ependymomas occurring spontaneously or as part of a
hereditary disease Neurofibromatosis Type 2 (NF2). Current
therapies, (radio) surgery, are not always effective. Therefore, there is a need for
drug treatments for these
tumors.
Schwannomas are the most frequent of
merlin-deficient
tumors and are hallmark for NF2. Using our in vitro human
schwannoma model, we demonstrated that
merlin-deficiency leads to increased proliferation, cell-matrix adhesion, and survival. Increased proliferation due to strong activation of
extracellular-signal-regulated kinase 1/2 (ERK1/2) is caused by overexpression/activation of
platelet-derived growth factor receptor-β (PDGFR-β) and ErbB2/3 which we successfully blocked with
AZD6244,
sorafenib, or
lapatinib.
Schwannoma basal proliferation is, however, only partly dependent on PDGFR-β and is completely independent of ErbB2/3. Moreover, the mechanisms underlying pathological cell-matrix adhesion and survival of
schwannoma cells are still not fully understood. Here, we demonstrate that
insulin-like growth factor-I receptor (IGF-IR) is strongly overexpressed and activated in human primary
schwannoma cells.
IGF-I and -II are overexpressed and released from
schwannoma cells. We show that ERK1/2 is relevant for
IGF-I-mediated increase in proliferation and cell-matrix adhesion, c-Jun N-terminal
kinases for increased proliferation and AKT for survival. We demonstrate new mechanisms involved in increased basal proliferation, cell-matrix adhesion, and survival of
schwannoma cells. We identified therapeutic targets IGF-IR and downstream PI3K for treatment of
schwannoma and other
merlin-deficient
tumors and show usefulness of small molecule inhibitors in our model. PI3K is relevant for both IGF-IR and previously described PDGFR-β signaling in
schwannoma.