The role of HGF and c-MET in Gastric Cancer Andre Marcio Murad MD, PhD Chief, Oncology Department. Hospital das Clinicas Federal University of Minas Gerais Belo Horizonte, MG – Brazil Disclosure: Andre Marcio Murad MD, PhD - AMGEN Rilomet-1 Phase III Trial Steering Commitee Member and Clinical Investigator Normally, only stem cells and progenitor cells express MET, which allows these cells to grow invasively in order to generate new tissues in an embryo or regenerate damaged tissues in an adult. However, cancer stem cells are thought to hijack the ability of normal stem cells to express MET, and thus become the cause of cancer persistence and spread to other sites in the body. Hepatocyte growth factor (HGF)/MET signaling pathway transduces invasive growth signals from mesenchymal to epithelial cells. ©2011 by American Society of Clinical Oncology Appleman L J JCO 2011;29:4837-4838 C-Met/HGF and tumors Rilotumumab: an Investigational, Fully Human Monoclonal Antibody HGF/SF Rilotumumab (AMG 102) MET PIP3 PIP2 X Ras PI3K AKT Gab1 Rac1 cdc42 ERK X X Survival Birchmeier C, et al. Nat Rev Mol Cell Biol. 2003;4:915–925. Ma PC, et al. Cancer Metastasis Rev. 2003;22:309–325. Garbay C, et al. Biochem Pharmacol. 2000;60:1165–1169. Aznar S, Lacal JC. Cancer Lett. 2001;165:1–10. MEK Raf Gab1 Shp2 Migration Invasion Proliferation Thank you!