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Dryad

Opportunities for targeted therapies: trametinib as a therapeutic approach to canine oral squamous cell carcinomas

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Oct 18, 2024 version files 8.31 MB

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Abstract

Oral tumors are relatively common in dogs, and canine oral squamous cell carcinoma (COSCC) is the most prevalent oral malignancy of epithelial origin. COSCC is locally aggressive with up to 20% of patients showing regional or distant metastasis at the time of diagnosis. The treatment of choice depends on stage of progression and may include wide surgical excision, chemotherapy, radiation therapy or any combination thereof. Although long-term remission is possible, treatments are associated with significant morbidity and can negatively impact functionality and quality of life. As a result, many dog owners reject treatment entirely, and some patients are left with palliative care alone. OSCC tumors have significant upregulation of the RAS-RAF-MEK-MAPK signaling axis, and we had previously hypothesized that small-molecule inhibitors that target RAS signaling might effectively inhibit tumor growth and progression. Here, we demonstrate that the MEK inhibitor trametinib, an FDA-approved drug for human cancers, significantly blocks the growth of several aggressive COSCC cell lines derived from patient tumor samples. Given the limited treatment options currently available, and the high rate of owner rejection of these options, these findings provide new hope that more palatable treatment options may soon enter the veterinary clinic.