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Structures and expression profiles of Gas6 and Axl. (A) The growth arrest specific 6 (Gas6) protein belongs in the family of vitamin K-dependent proteins. Gas6 consists of a gamma-carboxyglutamic acid (Gla) domain, four epidermal growth factor (EGF)-like domains, and two laminin G (LG)-like domains. Axl belongs in the Tyro3, Axl, MerTK (TAM) subfamily of the receptor tyrosine kinases. Axl consists of immunoglobulin-like (IgL) domains, two fibronectin domains, and a kinase domain. (B) Axl is expressed in a number of tumor types. The Gas6/Axl signaling promotes tumor cell survival, proliferation, migration, invasion, angiogenesis, therapeutic resistance, and immune evasion. (C) Gas6 and Axl are expressed by host stromal cells, including endothelial cells, fibroblasts, osteoblasts, monocytes, platelets, natural killer (NK) cells, dendritic cells (DCs), and macrophages.

Structures and expression profiles of Gas6 and Axl. (A) The growth arrest specific 6 (Gas6) protein belongs in the family of vitamin K-dependent proteins. Gas6 consists of a gamma-carboxyglutamic acid (Gla) domain, four epidermal growth factor (EGF)-like domains, and two laminin G (LG)-like domains. Axl belongs in the Tyro3, Axl, MerTK (TAM) subfamily of the receptor tyrosine kinases. Axl consists of immunoglobulin-like (IgL) domains, two fibronectin domains, and a kinase domain. (B) Axl is expressed in a number of tumor types. The Gas6/Axl signaling promotes tumor cell survival, proliferation, migration, invasion, angiogenesis, therapeutic resistance, and immune evasion. (C) Gas6 and Axl are expressed by host stromal cells, including endothelial cells, fibroblasts, osteoblasts, monocytes, platelets, natural killer (NK) cells, dendritic cells (DCs), and macrophages.

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Receptor tyrosine kinases have been shown to dysregulate a number of pathways associated with tumor development, progression, and metastasis. Axl is a receptor tyrosine kinase expressed in many cancer types and has been associated with therapy resistance and poor clinical prognosis and outcomes. In addition, Axl and its ligand growth arrest specifi...

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... One of the hallmarks of cancer is the immunosuppression of the TME. Indeed, the GAS6/AXL signaling pathway has been implicated in the promotion of immunosuppressive TMEs and immune evasion (62). Furthermore, AXL and MERTK receptors are expressed by TAMs and lead to secretion of immunosuppressive cytokines. ...
... CD44 functions as a receptor for multiple ECM components, as well as a cofactor for growth factors and cytokines, thus, acting as a signaling platform that integrates cellular microenvironmental cues with growth factor and cytokine signals and transduces signals to regulate cell-matrix adhesion, cell migration, proliferation, differentiation, and survival. Liu well known that AXL is expressed by a variety of host cells found in the TME, including several immune cell types, fibroblasts, osteoclasts, and endothelial cells (62). Our data instead, points to AXL being a potentially relevant player in EGFR-mutant TMEs. ...
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Lung cancer is the leading cause of cancer deaths. Lethal pulmonary adenocarcinomas (ADC) present with frequent mutations in the EGFR. Genetically engineered murine models of lung cancer expedited comprehension of the molecular mechanisms driving tumorigenesis and drug response. Here, we systematically analyzed the evolution of tumor heterogeneity in the context of dynamic interactions occurring with the intermingled tumor microenvironment (TME) by high-resolution transcriptomics. Our effort identified vulnerable tumor-specific epithelial cells, as well as their cross-talk with niche components (endothelial cells, fibroblasts, and tumor-infiltrating immune cells), whose symbiotic interface shapes tumor aggressiveness and is almost completely abolished by treatment with Unesbulin, a tubulin binding agent that reduces B cell–specific Moloneymurine leukemia virus integration site 1 (BMI-1) activity. Simultaneousmagnetic resonance imaging (MRI) analysis demonstrated decreased tumor growth, setting the stage for future investigations into the potential of novel therapeutic strategies for EGFR-mutant ADCs. Significance: Targeting the TME is an attractive strategy for treatment of solid tumors. Here we revealed how EGFR-mutant landscapes are affected at the single-cell resolution level during Unesbulin treatment. This novel drug, by targeting cancer cells and their interactions with crucial TME components, could be envisioned for future therapeutic advancements.
... AXL is a tyrosine kinase receptor of the TAM kinase family and is overexpressed in many solid cancers, including RCC [99]. Along with its high-affinity ligand, the growth arrest-specific protein 6 (GAS6), AXL promotes tumour proliferation, survival, angiogenesis and invasion [100]. ROR2 is a member of the tyrosine kinase orphan receptor family that is important in embryologic development, albeit its role in adult tissue is unknown [101]. ...
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Simple Summary Renal cell carcinoma (RCC) is common, affecting over 400,000 patients globally each year. In limited stage disease and where surgery is a feasible therapeutic option, event free survival rates are high. In contrast, locally advanced disease is associated with frequent relapse, and up to 30% of patients present with metastatic disease. Standard of care treatments for metastatic disease include tyrosine kinase inhibitors (TKI) and immune checkpoint inhibitors (ICI), but clinical responses are variable and generally not durable. Novel cell-based immunotherapy approaches such as Chimeric Antigen Receptor T-cells (CAR-T) and T-cell receptor engineered T-cells (TCR-T) have shown efficacy in some blood cancers and are currently under evaluation in solid tumours including RCC. Here, we review the landscape of cellular immunotherapy for RCC in the context of currently available therapies and outline how advanced engineering solutions may further enhance this therapeutic approach. Abstract Renal cell carcinoma (RCC) affects over 400,000 patients globally each year, and 30% of patients present with metastatic disease. Current standard of care therapy for metastatic RCC involve TKIs and ICIs, including combinatorial strategies, but this offers only modest clinical benefit. Novel treatment approaches are warranted, and cell-based immunotherapies for RCC hold significant promise. These are currently being tested in the pre-clinical setting and in early phase clinical trials. Here, we review the landscape of cellular immunotherapy for RCC in the context of currently available therapies, with a particular focus on defining the current best antigenic targets, the range of cell therapy products being explored in RCC, and how advanced engineering solutions may further enhance these therapies in the RCC space.
... The Gas6/Axl signaling pathway regulates immune cell functions and has potential as a therapeutic target in cancer immunotherapy. 43 In endometrial cancer, GAS5 enhances the phagocytosis, antigen presentation, and cytotoxic T cell activation of tumorassociated macrophages and endometrial cancer cells by activating the miR-21-PTEN-AKT pathway and inhibiting YAP1. 44 In hepatocellular carcinoma, HGF exists in the immune microenvironment, stimulating tumor cell proliferation, migration, invasion, and promoting angiogenesis. ...
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... failure (Lee et al., 2012;Kim et al., 2013;Schnegg-Kaufmann et al., 2019). Research has shown that Gas6 is expressed in host stromal cells, including fibroblasts, macrophages, and DCs within the tumor microenvironment (Tanaka and Siemann, 2020). Apart from neoplastic cells, Gas6 is detected in both luminal and basal mammary epithelial cells throughout puberty and adulthood and plays a role in the procedure of bone formation (Shiozawa et al., 2010;Mills et al., 2018). ...
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Background: Endometriosis (EM) is a long-lasting inflammatory disease that is difficult to treat and prevent. Existing research indicates the significance of immune infiltration in the progression of EM. Efferocytosis has an important immunomodulatory function. However, research on the identification and clinical significance of efferocytosis-related genes (EFRGs) in EM is sparse. Methods: The EFRDEGs (differentially expressed efferocytosis-related genes) linked to datasets associated with endometriosis were thoroughly examined utilizing the Gene Expression Omnibus (GEO) and GeneCards databases. The construction of the protein-protein interaction (PPI) and transcription factor (TF) regulatory network of EFRDEGs ensued. Subsequently, machine learning techniques including Univariate logistic regression, LASSO, and SVM classification were applied to filter and pinpoint diagnostic biomarkers. To establish and assess the diagnostic model, ROC analysis, multivariate regression analysis, nomogram, and calibration curve were employed. The CIBERSORT algorithm and single-cell RNA sequencing (scRNA-seq) were employed to explore immune cell infiltration, while the Comparative Toxicogenomics Database (CTD) was utilized for the identification of potential therapeutic drugs for endometriosis. Finally, immunohistochemistry (IHC) and reverse transcription quantitative polymerase chain reaction (RT-qPCR) were utilized to quantify the expression levels of biomarkers in clinical samples of endometriosis. Results: Our findings revealed 13 EFRDEGs associated with EM, and the LASSO and SVM regression model identified six hub genes (ARG2, GAS6, C3, PROS1, CLU, and FGL2). Among these, ARG2, GAS6, and C3 were confirmed as diagnostic biomarkers through multivariate logistic regression analysis. The ROC curve analysis of GSE37837 (AUC = 0.627) and GSE6374 (AUC = 0.635), along with calibration and DCA curve assessments, demonstrated that the nomogram built on these three biomarkers exhibited a commendable predictive capacity for the disease. Notably, the ratio of nine immune cell types exhibited significant differences between eutopic and ectopic endometrial samples, with scRNA-seq highlighting M0 Macrophages, Fibroblasts, and CD8 Tex cells as the cell populations undergoing the most substantial changes in the three biomarkers. Additionally, our study predicted seven potential medications for EM. Finally, the expression levels of the three biomarkers in clinical samples were validated through RT-qPCR and IHC, consistently aligning with the results obtained from the public database. Conclusion: we identified three biomarkers and constructed a diagnostic model for EM in this study, these findings provide valuable insights for subsequent mechanistic research and clinical applications in the field of endometriosis.
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... In addition, the Gas 6/AXL signalling pathway is essential for cell invasion, cell migration and angiogenesis, highlighting AXL 28,29 . Aside from the Gas 6/AXL signalling pathway, research has revealed that genetic and pharmacological AXL inhibition can affect downstream signalling pathways such as PI3K-AKT, AK-STAT, etc 30 , which are crucial for the survival, migration, invasion, and angiogenesis of tumour cells 28 . Combining AXL inhibitors and PI3K/AKT pathway inhibitors can promote the inhibition of PI3K/AKT pathway inhibitors, which increases the rate of apoptosis and slows down the growth and proliferation of tumour cells [31][32][33] . ...
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... According to Wu et al., CD4+ exhausted T cells with high CD200/PD-1 expression levels exhibited higher expression of EMT transcription factors, including CDH11, DCN, ZEB1, ZEB2, TWIST1, and SNAI1, relative to other CD4+ T cell subclusters. In fact, this ability to induce EMT-related genes can be harvested by malignant bladder cancer cells to facilitate cancer progression, and this occurs through the GAS6-AXL axis-a signaling pathway previously implicated in tumor cell proliferation, EMT, and immune evasion [94]. Because GAS6 has the capacity to stimulate AXL-mediated chemotaxis, malignant bladder cancer cells can utilize GAS6-AXL signaling to recruit PD1hi CD200hi CD4+ exhausted T cells and indirectly promote EMT. ...
... Furthermore, bladder cancer cells have the capacity to upregulate GAS6 expression by modifying m6A via METTL3 activity. This prevents m6A from being able to suppress GAS6-mediated effects, thereby promoting the transcription of EMT-related genes and inducing cancer progression [94,95]. ...
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... La sobreexpresión de AXL en cáncer ha convertido a este receptor en una diana terapéutica debido a su participación vías de proliferación, migración, angiogénesis e invasión de células cancerígenas (Tanaka & Siemann, 2020). ...
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