Focal Adhesion Kinase Fine Tunes Multifaced Signals toward Breast Cancer Progression

SIMPLE SUMMARY: Breast cancer is the most common diagnosed malignancy and the main leading cause of tumor-related death among women worldwide. Thus, several studies have been carried out in order to identify valuable molecular biomarkers for the prognosis and prediction of therapeutic responses in breast tumor patients. Focal adhesion kinase (FAK) is a cytoplasmic non-receptor protein tyrosine kinase overexpressed in diverse tumors, including breast cancer. Here, we review previous evidence dealing with the role of FAK in the growth and metastatic features of breast tumors, its action as a driver of cancer stem cell phenotype and function as a mechanotransducer, and FAK activity within the breast tumor microenvironment and critical prognostic value of FAK expression in breast malignancy. In addition, we recapitulated the usefulness of FAK inhibitors in breast cancer treatment. ABSTRACT: Breast cancer represents the most common diagnosed malignancy and the main leading cause of tumor-related death among women worldwide. Therefore, several efforts have been made in order to identify valuable molecular biomarkers for the prognosis and prediction of therapeutic responses in breast tumor patients. In this context, emerging discoveries have indicated that focal adhesion kinase (FAK), a non-receptor tyrosine kinase, might represent a promising target involved in breast tumorigenesis. Of note, high FAK expression and activity have been tightly correlated with a poor clinical outcome and metastatic features in several tumors, including breast cancer. Recently, a role for the integrin-FAK signaling in mechanotransduction has been suggested and the function of FAK within the breast tumor microenvironment has been ascertained toward tumor angiogenesis and vascular permeability. FAK has been also involved in cancer stem cells (CSCs)-mediated initiation, maintenance and therapeutic responses of breast tumors. In addition, the potential of FAK to elicit breast tumor-promoting effects has been even associated with the capability to modulate immune responses. On the basis of these findings, several agents targeting FAK have been exploited in diverse preclinical tumor models. Here, we recapitulate the multifaceted action exerted by FAK and its prognostic significance in breast cancer. Moreover, we highlight the recent clinical evidence regarding the usefulness of FAK inhibitors in the treatment of breast tumors.