Introduction: Tissue factor (TF) is the key trigger of the coagulation cascade and the membrane signalling receptor for coagulation protease, factor VIIa. In cancer, TF has been implicated in cancer cell survival, growth, and angiogenesis, and is upregulated as a result of oncogenic transformation.
Materials and Methods:We assayed TF expression and tumourigenicity in mice of human cancer cell lines expressing oncogenic receptor tyrosine kinases. These cells were subjected to modulation of the kinase suppressor of ras 1 (KSR1) levels and treated with oncoprotein inhibitors in vitro and in vivo.Results: Here we show that herceptin, AG1478 and CI-1033 inhibitors of two different members of the ErbB family of oncogenes (HER-2 and EGFR) reduce TF levels in epithelial cancer cells. In EGFR-driven A431 cells, TF upregulation is diminished upon genetic targeting of KSR1, the scaffolding protein involved in EGFR signalling. Conversely, upregulation of KSR1 in A431 cells increases their TF expression and tumourigenicity in mice. The latter property remains dependent on EGFR, as pan-Erb (EGFR) inhibitor, CI-1033 blocks TF promoter activity and tumour formation by parental and KSR1 overexpressing A431 cells.