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A fork in the path: Developing therapeutic inroads with FoxO proteins
Kenneth Maiese1, Jinling Hou, Zhao Zhong Chong
1Division of Cellular and Molecular Cerebral Ischemia, Wayne State University School of Medicine, Detroit, MI 48201, USA. kmaiese@med.wayne.edu
Abstract:
Advances in clinical care for disorders involving any system of the body necessitates novel therapeutic strategies that can focus upon the modulation of cellular proliferation, metabolism, inflammation and longevity. In this respect, members of the mammalian forkhead transcription factors of the O class (FoxOs) that include FoxO1, FoxO3, FoxO4 and FoxO6 are increasingly being recognized as exciting prospects for multiple disorders. These transcription factors govern development, proliferation, survival and longevity during multiple cellular environments that can involve oxidative stress. Furthermore, these transcription factors are closely integrated with several novel signal transduction pathways, such as erythropoietin and Wnt proteins, that may influence the ability of FoxOs to act as a "double-edge sword" to sometimes promote cell survival, but at other times lead to cell injury. Here we discuss the fascinating but complex role of FoxOs during cellular injury and oxidative stress, progenitor cell development, fertility, angiogenesis, cardiovascular function, cellular metabolism and diabetes, cell longevity, immune surveillance and cancer.
Insights
Mammalian forkhead transcription factors of the O class (FoxOs) regulate key cellular processes. This review explores their complex roles in cellular injury, metabolism, and disease, highlighting therapeutic potential.
Area of Science:
- Molecular Biology
- Cellular Biology
- Genetics
Background:
- Novel therapeutic strategies are needed for complex disorders.
- Mammalian forkhead transcription factors of the O class (FoxOs) are critical regulators of cellular processes.
- FoxOs (FoxO1, FoxO3, FoxO4, FoxO6) influence proliferation, metabolism, inflammation, and longevity.
Purpose of the Study:
- To discuss the multifaceted roles of FoxOs in cellular injury and oxidative stress.
- To explore the involvement of FoxOs in progenitor cell development, fertility, angiogenesis, cardiovascular function, metabolism, diabetes, longevity, immune surveillance, and cancer.
- To highlight the potential of FoxOs as therapeutic targets.
Main Methods:
- Literature review and synthesis of current research on FoxO function.
- Analysis of signaling pathways integrated with FoxOs, such as erythropoietin and Wnt proteins.
- Discussion of the dual role of FoxOs in promoting cell survival or injury.
Main Results:
- FoxOs are central to cellular responses to stress, including oxidative stress.
- FoxOs play significant roles in diverse physiological and pathological processes.
- The function of FoxOs can be context-dependent, acting as a "double-edge sword".
Conclusions:
- FoxOs represent promising therapeutic targets for a wide range of disorders.
- Understanding the complex regulation of FoxOs is crucial for developing effective treatments.
- Further research into FoxO signaling pathways will advance clinical care.
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