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A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Adrenomedullin and cancer
E Zudaire1, A Martínez, F Cuttitta
1Cell and Cancer Biology Branch, National Cancer Institute, National Institutes of Health, Building 10, Room 13N262, Bethesda MD 20892, USA. zudairee@mail.nih.gov
Abstract:
Adrenomedullin (AM) is a pluripotent hormone with structural similarities to calcitonin gene-related peptide (CGRP), which is expressed by many tissues in the body and shows a remarkable range of effects mediated by paracrine/autocrine and possibly endocrine mechanisms. AM has been implicated as a mediator of several pathologies such as cardiovascular and renal disorders, sepsis, inflammation, diabetes and cancer, among others. AM is expressed in a variety of tumors where it aggravates several of the molecular and physiological features of malignant cells. AM has been shown to be a mitogenic factor stimulating growth in several cancer types and to encourage a more aggressive tumor phenotype. In addition, AM is an apoptosis survival factor for cancer cells and an indirect suppressor of the immune response through its binding protein, complement factor H, and regulation in expression of cytokines. AM plays an important role in environments subjected to low oxygen tensions, which is a typical feature in the proximity of solid tumors. Under these conditions, AM is upregulated through a hypoxia-inducible factor 1 (HIF-1)-dependent pathway and acts as a potent angiogenic factor promoting neovascularization. The collective findings brought together over the last years place AM as a major regulator of carcinogenesis-tumor progression and identifies its autocrine loop as a putative target for developing new strategies against human cancers.
Insights
Adrenomedullin (AM) is a hormone involved in various diseases, including cancer. This study highlights AM
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Adrenomedullin (AM) is a pluripotent hormone with diverse physiological effects.
- AM shares structural similarities with calcitonin gene-related peptide (CGRP).
- AM is implicated in various pathologies, notably cardiovascular disorders, sepsis, inflammation, diabetes, and cancer.
Purpose of the Study:
- To investigate the role of Adrenomedullin (AM) in cancer progression.
- To explore AM's function in tumor microenvironments, particularly under hypoxia.
- To identify AM's autocrine loop as a potential therapeutic target for human cancers.
Main Methods:
- Review of existing literature on Adrenomedullin (AM) and its role in carcinogenesis.
- Analysis of AM's expression and function in various tumor types.
- Examination of AM's interaction with hypoxia-inducible factor 1 (HIF-1) and its angiogenic properties.
Main Results:
- AM is expressed in various tumors, promoting malignant cell growth and aggressive phenotypes.
- AM acts as an apoptosis survival factor for cancer cells.
- AM is upregulated under hypoxia via HIF-1, promoting angiogenesis and tumor neovascularization.
- AM indirectly suppresses immune response through complement factor H and cytokine regulation.
Conclusions:
- Adrenomedullin (AM) is a significant regulator of carcinogenesis and tumor progression.
- AM's role in promoting tumor growth, survival, and angiogenesis makes it a key factor in cancer development.
- Targeting the AM autocrine loop presents a promising strategy for novel anti-cancer therapies.
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