Abstract. Neural precursor cell-expressed developmentally downregulated protein 9 (NEDD9) is a promoter for various cellular functions that result in tumorigenesis. The aim of the present study was to analyse the serum levels of NEDD9 in melanoma patients in order to evaluate its prognostic, predictive and diagnostic value. Data from 112 melanoma patients were retrospectively analyzed and ELISA assays were used to measure serum NEDD9 concentration. The median serum NEDD9 levels of the patients were significantly higher compared with those of the controls. Serum NEDD9 was not found to be associated with any of the clinicopathological parameters, and was also not found to be prognostic for survival in melanoma. Therefore, serum NEDD9 may be of diagnostic value in melanoma, but its usefulness in prognosis remains controversial. The important role of NEDD9 in tumor angiogenesis necessitates efforts to elucidate its interactions with the tumor microenvironment and its potential as a therapeutic target for malignancies.
IntroductionThe Crk-associated substrate (Cas) family comprises four non-catalytic scaffolding proteins (NEDD9/HEF1/CAS-L, BCAR1/p130Cas, EFS/Sin, and HEPL/CASS4) that mediate the cell cycle, survival, migration/chemotaxis, apoptosis, differentiation and cell attachment (1-6). The Cas proteins have been thoroughly investigated, and even mildly overexpressed levels of these proteins have been found to be correlated with poor survival, resistance to chemotherapy and metastasis in malignancies such as melanoma, lung cancer, glioblastoma, and breast cancer. These proteins have not only been associated with cancer, but they have also been reported to be associated with other non-malignant conditions, including polycystic kidney disease (7).Neural precursor cell-expressed developmentally downregulated protein (NEDD9) interacts with novel SH2-containing protein family scaffold proteins and the adaptor proteins SHC and GRB2 via its C-terminal domain, and mediates the communication between receptor tyrosine kinases and integrins, so that receptors, such as T-cell, B-cell and integrin receptors, send upstream activation signals. Subsequently, focal adhesion kinase (FAK) and the Src and ABL families of kinases are activated and they, in turn, phosphorylate NEDD9 substrate domain even more extensively, which provides multiple binding sites, i.e., Y189, Y317 and Y279, for downstream effectors. FAK phosphorylation of the DYDY motif in the NEDD9 C-terminal generates a binding site for Src kinase, which enables NEDD9 to operate in migration and other signaling functions (7). Furthermore, Y189 phosphorylation by FAK and Src kinases is involved in focal adhesion. Aurora-A kinase phosphorylates S296; thus, proteasomal degradation of NEDD9 ensues, and cell dissemination and the cell cycle are regulated.NEDD9 is not only activated by FAK and Src kinases, but also maintains incessant activation of these kinases. NEDD9 connects tumor growth factor-β/SMAD and Rho-actin-SRF signals, thus participating in tumorigenesis by coord...