FAK in cancer: mechanistic findings and clinical applications
Open accessAbstract
Focal adhesion kinase (FAK) is a cytoplasmic protein tyrosine kinase that is overexpressed and activated in several advanced-stage solid cancers. FAK promotes tumour progression and metastasis through effects on cancer cells, as well as stromal cells of the tumour microenvironment. The kinase-dependent and kinase-independent functions of FAK control cell movement, invasion, survival, gene expression and cancer stem cell self-renewal. Small molecule FAK inhibitors decrease tumour growth and metastasis in several preclinical models and have initial clinical activity in patients with limited adverse events. In this Review, we discuss FAK signalling effects on both tumour and stromal cell biology that provide rationale and support for future therapeutic opportunities.
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FAK activation is implicated in the development of resistance against various chemotherapy agents through its regulation of the tumor microenvironment.
“Interestingly, multiple previous studies have implicated FAK activation in the development of resistance against various chemotherapy agents through its regulation of the tumor microenvironment.[ 11, 15, 44 ]”
From Focal Adhesion Kinase (FAK) Inhibition Synergizes with KRAS G12C Inhibitors in Treating Cancer through the Regulation of the FAK–YAP Signaling (2021) · cites this paper as [11]
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FAK Regulates Intestinal Epithelial Cell Survival and Proliferation during Mucosal Wound Healing
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Focal adhesion kinase inhibitors are potent anti‐angiogenic agents
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Loss of Scar/WAVE Complex Promotes N-WASP- and FAK-Dependent Invasion
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Cortactin as a Target for FAK in the Regulation of Focal Adhesion Dynamics
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Endothelial FAK as a therapeutic target in disease
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Mitsugumin 53 (MG53) Ligase Ubiquitinates Focal Adhesion Kinase during Skeletal Myogenesis
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Distinct FAK Activities Determine Progenitor and Mammary Stem Cell Characteristics
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Self-citationStructure-based discovery of cellular-active allosteric inhibitors of FAK
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Analyses of merlin/NF2 connection to FAK inhibitor responsiveness in serous ovarian cancer
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Self-citationAutophosphorylation-independent and -dependent Functions of Focal Adhesion Kinase during Development
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FAK-heterozygous mice display enhanced tumour angiogenesis
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Crystal structures of free and ligand-bound focal adhesion targeting domain of Pyk2
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Visualizing and Manipulating Focal Adhesion Kinase Regulation in Live Cells
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Essential role for focal adhesion kinase in regulating stress hematopoiesis
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Self-citationLoss of Focal Adhesion Kinase Enhances Endothelial Barrier Function and Increases Focal Adhesions
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Requirement of PEA3 for Transcriptional Activation of FAK Gene in Tumor Metastasis
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Macrophages as regulators of tumour immunity and immunotherapy
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Targeting focal adhesion kinase renders pancreatic cancers responsive to checkpoint immunotherapy
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Permeability of the Endothelial Barrier: Identifying and Reconciling Controversies
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Targeting FAK in anticancer combination therapies
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Alteration of the Antitumor Immune Response by Cancer-Associated Fibroblasts
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Proteolysis-targeting chimeras (PROTACs) in cancer therapy
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Epithelial–mesenchymal transition: a new target in anticancer drug discovery
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Cancer cell behaviors mediated by dysregulated pH dynamics at a glance
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Addressing Kinase-Independent Functions of Fak via PROTAC-Mediated Degradation
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PROTACs: great opportunities for academia and industry (an update from 2020 to 2021)
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Extracellular matrix stiffness: Mechanisms in tumor progression and therapeutic potential in cancer
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“Changes in matrix composition or stiffness, cytokines, growth factors, integrins, and pH trigger FAK activity through the αvβ5/FAK/PI3K/Akt signaling pathway [146] to prevent anoikis and other types of cell death.”
Tetraspanins Function as Regulators of Cellular Signaling
Termini, C. M., & Gillette, J. M. (2017) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2017.00034 · Cited by 267 · see citing works
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Current treatment options for meningioma
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Tumor-associated fibrosis as a regulator of tumor immunity and response to immunotherapy
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Self-citationAdvances on Natural Polyphenols as Anticancer Agents for Skin Cancer
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Targeting KRAS mutant cancers: from druggable therapy to drug resistance
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CircPTK2 (hsa_circ_0005273) as a novel therapeutic target for metastatic colorectal cancer
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Emerging Roles of Focal Adhesion Kinase in Cancer
Tai, Y.-L., Chen, L., & Shen, T. (2015) · BioMed Research International · doi:10.1155/2015/690690 · Cited by 226 · see citing works
Understanding the Roles of FAK in Cancer
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Focal adhesion kinase signaling in unexpected places
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Self-citationTargeting focal adhesion kinase in cancer cells and the tumor microenvironment
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Prognostic biomarkers in oral squamous cell carcinoma: A systematic review
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FAK Structure and Regulation by Membrane Interactions and Force in Focal Adhesions
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- Authors
- Sulzmaier, F. J., Jean, C., & Schlaepfer, D. D.
- Affiliations
- University of California San Diego (US)
- Corresponding author
- Schlaepfer, David D.
- Venue
- Nature Reviews Cancer
- Published
- 2014-08-07
- Volume
- 14
- Issue
- 9
- Pages
- 598-610
- ISSN
- 1474-175X (ISSN-L)
- 1474-1768
- PMC
- PMC4365862
- OpenAlex
- W2044423100
- Cited by
- 1,381
- References
- 142
- Citations by year
- 2026: 92 · 2025: 85 · 2024: 131 · 2023: 111 · 2022: 147 · 2021: 154 · 2020: 144 · 2019: 122 · 2018: 105 · 2017: 128 · 2016: 91 · 2015: 63 · 2014: 6 · 2013: 1
- FWCI
- 12.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nature reviews. Cancer (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- HAL (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- American Heart Association
- Verastem Oncology
- National Institutes of Health
- National Cancer Institute (R01CA102310, CA102310, R01CA180769, CA180769, T32CA121938)
- Topics
- Health Sciences › Medicine › Immunology and Allergy › Cell Adhesion Molecules Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular Mechanics and Interactions
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Keywords
- focal adhesion kinase, FAK inhibitors, tumor microenvironment, tumor stromal cells, metastasis, tumor progression, cancer stem cells, cell invasion, cell migration, small molecule inhibitors, clinical development
- MeSH terms
- Animals, Humans, Neoplasm Invasiveness, Neoplasms, Signal Transduction, Stromal Cells, Protein Kinase Inhibitors, Focal Adhesion Kinase 1, Small Molecule Libraries, Molecular Targeted Therapy, Tumor Microenvironment
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