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Protein kinase C-beta as a therapeutic target in breast cancer
George W Sledge1, Yesim Gökmen-Polar
1Departments of Medicine and Pathology, Indiana University Cancer Center, Indianapolis, IN 46220, USA. gsledge@iupui.edu
Abstract:
Combining existing breast cancer therapies with novel agents that interfere with major signaling pathways is a promising approach. Targeting protein kinase C (PKC)-beta may serve as an attractive candidate in this regard for the following reasons: first, PKC-beta II (a splice variant of PKC-beta) has been implicated in tumorigenesis in human and rodent models. Second, PKC-beta, mainly PKC-betaII, is the predominant mediator of vascular endothelial growth factor-induced endothelial cell proliferation, which is a well-known stimulator of tumor angiogenesis and growth in breast cancer. There is increasing evidence that PKC-beta-selective inhibitors are effective in both preclinical and clinical trials. Enzastaurin, a potent inhibitor of PKC-beta, suppresses both tumor growth and tumor-induced angiogenesis in human tumor xenografts. Phase II trials of enzastaurin in recurrent high-grade gliomas and lymphomas have shown promising results. A similar compound, ruboxistaurin, is also under investigation in clinical trials for diabetic complications. This review focuses on the rationale for using PKC-beta as a therapeutic target at both the preclinical and clinical levels in breast cancer.
Insights
Targeting protein kinase C (PKC)-beta shows promise for breast cancer treatment. PKC-beta inhibition effectively suppresses tumor growth and angiogenesis, supporting its clinical investigation.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Protein kinase C (PKC)-beta, particularly the PKC-beta II variant, is implicated in breast cancer tumorigenesis.
- PKC-beta mediates vascular endothelial growth factor-induced endothelial cell proliferation, a key driver of tumor angiogenesis and growth.
- PKC-beta signaling pathways are increasingly recognized as critical targets in cancer therapy.
Purpose of the Study:
- To review the preclinical and clinical rationale for targeting PKC-beta in breast cancer.
- To highlight the role of PKC-beta in tumor growth and angiogenesis.
- To discuss the potential of PKC-beta inhibitors in breast cancer treatment.
Main Methods:
- Review of preclinical studies on PKC-beta function in breast cancer models.
- Analysis of clinical trial data for PKC-beta inhibitors like enzastaurin and ruboxistaurin.
- Examination of the role of vascular endothelial growth factor (VEGF) in mediating PKC-beta effects.
Main Results:
- PKC-beta II is a significant factor in tumorigenesis.
- PKC-beta is a key mediator of VEGF-induced endothelial cell proliferation and tumor angiogenesis.
- PKC-beta-selective inhibitors, such as enzastaurin, have demonstrated efficacy in suppressing tumor growth and angiogenesis in preclinical models.
- Enzastaurin has shown promising results in Phase II clinical trials for other cancers.
Conclusions:
- PKC-beta is a validated therapeutic target for breast cancer.
- Inhibitors of PKC-beta represent a promising strategy for combination therapy in breast cancer.
- Further clinical investigation of PKC-beta inhibitors in breast cancer is warranted.
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