Diverse actions of retinoid receptors in cancer prevention and treatment
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Updated: Jul 13, 2026

Quantitative Analysis of Dietary Vitamin A Metabolites in Murine Ocular and Non-Ocular Tissues Using High-Performance Liquid Chromatography
Published on: December 27, 2024
Nigel P Mongan1, Lorraine J Gudas
1Department of Pharmacology, Weill Cornell Medical College, New York, NY 10021, USA.
Abstract:
Retinoids (retinol [vitamin A] and its biologically active metabolites) are essential signaling molecules that control various developmental pathways and influence the proliferation and differentiation of a variety of cell types. The physiological actions of retinoids are mediated primarily by the retinoic acid receptors alpha, beta, and gamma (RARs) and rexinoid receptors alpha, beta, and gamma. Although mutations in RARalpha, via the PML-RARalpha fusion proteins, result in acute promyelocytic leukemia, RARs have generally not been reported to be mutated or part of fusion proteins in carcinomas. However, the retinoid signaling pathway is often compromised in carcinomas. Altered retinol metabolism, including low levels of lecithin:retinol acyl trasferase and retinaldehyde dehydrogenase 2, and higher levels of CYP26A1, has been observed in various tumors. RARbeta(2) expression is also reduced or is absent in many types of cancer. A greater understanding of the molecular mechanisms by which retinoids induce cell differentiation, and in particular stem cell differentiation, is required in order to solve the issue of retinoid resistance in tumors, and thereby to utilize RA and synthetic retinoids more effectively in combination therapies for human cancer.
Insights
Retinoids are crucial for cell development, but their signaling is often disrupted in cancers. Understanding retinoid resistance in tumors is key to improving cancer therapies.
Area of Science:
- Molecular Biology
- Oncology
- Biochemistry
Background:
- Retinoids, including retinol (vitamin A) and its active metabolites, are vital signaling molecules regulating cell proliferation and differentiation.
- Retinoic acid receptors (RARs) and rexinoid receptors mediate retinoid actions; while RARalpha mutations cause acute promyelocytic leukemia, RARs are not typically mutated in carcinomas.
- The retinoid signaling pathway is frequently impaired in carcinomas, affecting crucial enzymes and receptor expression.
Purpose of the Study:
- To investigate the role of retinoid signaling in cancer development and resistance.
- To understand the molecular mechanisms underlying retinoid-induced cell differentiation, especially in stem cells.
- To identify strategies for overcoming retinoid resistance in tumors for enhanced cancer treatment.
Main Methods:
- Analysis of retinol metabolism enzymes (e.g., lecithin:retinol acyltransferase, retinaldehyde dehydrogenase 2, CYP26A1) in tumor tissues.
- Assessment of retinoic acid receptor beta 2 (RARbeta(2)) expression in various cancer types.
- Review of existing literature on retinoid signaling pathways and their alterations in carcinogenesis.
Main Results:
- Altered expression of key enzymes involved in retinol metabolism (e.g., decreased lecithin:retinol acyltransferase and retinaldehyde dehydrogenase 2, increased CYP26A1) is observed in tumors.
- Reduced or absent expression of RARbeta(2) is a common feature in many cancers.
- The retinoid signaling pathway is frequently compromised in carcinomas, impacting cellular processes.
Conclusions:
- Dysregulation of retinoid metabolism and signaling pathways is implicated in cancer development.
- Understanding the mechanisms of retinoid resistance is crucial for effective cancer therapy.
- Further research into retinoid-induced stem cell differentiation could lead to improved combination therapies for human cancers.
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