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Updated: Jun 3, 2026

Mapping the Structure-Function Relationships of Disordered Oncogenic Transcription Factors Using Transcriptomic Analysis
Published on: June 27, 2020
Deciphering the role of forkhead transcription factors in cancer therapy
1Department of Molecular and Cellular Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA.
Abstract:
Forkhead O transcription factors (FOXO) are critical for the regulation of cell cycle arrest, cell death, and DNA damage repair. Inactivation of FOXO proteins may be associated with tumorigenesis, including breast cancer, prostate cancer, glioblastoma, rhabdomyosarcoma, and leukemia. Accumulated evidence shows that activation of oncogenic pathways such as phosphoinositide-3-kinase/AKT/IKK or RAS/mitogen-activated protein kinase suppresses FOXO transcriptional activity through the phosphorylation of FOXOs at different sites that ultimately leads to nuclear exclusion and degradation of FOXOs. In addition, posttranslational modifications of FOXOs such as acetylation, methylation and ubiquitination also contribute to modulating FOXO3a functions. Several anti-cancer drugs like paclitaxel, imatinib, and doxorubicin activate FOXO3a by counteracting those oncogenic pathways which restrain FOXOs functions. In this review, we will illustrate the regulation of FOXOs and reveal potential therapeutics that target FOXOs for cancer treatment.
Insights
Forkhead O (FOXO) transcription factors regulate cell death and DNA repair, and their inactivation is linked to cancers. This review explores FOXO regulation and therapeutic targeting for cancer treatment.
Area of Science:
- Molecular Biology
- Genetics
- Oncology
Background:
- Forkhead O (FOXO) transcription factors are crucial regulators of cellular processes including cell cycle arrest, apoptosis, and DNA repair.
- Dysregulation or inactivation of FOXO proteins is implicated in the development of various cancers, such as breast cancer, prostate cancer, and leukemia.
- Oncogenic signaling pathways (e.g., PI3K/AKT, RAS/MAPK) can suppress FOXO activity via phosphorylation, leading to nuclear exclusion and degradation, promoting tumorigenesis.
Purpose of the Study:
- To review the regulatory mechanisms governing FOXO transcription factors.
- To elucidate how oncogenic pathways impact FOXO function.
- To highlight potential therapeutic strategies targeting FOXOs for cancer treatment.
Main Methods:
- Literature review of studies on FOXO transcription factors in cancer.
- Analysis of molecular mechanisms regulating FOXO activity, including phosphorylation and posttranslational modifications (acetylation, methylation, ubiquitination).
- Examination of the effects of anti-cancer drugs on FOXO activation.
Main Results:
- FOXO activity is suppressed by oncogenic pathways through phosphorylation-induced nuclear exclusion and degradation.
- Posttranslational modifications like acetylation, methylation, and ubiquitination play a role in modulating FOXO3a function.
- Certain anti-cancer drugs (paclitaxel, imatinib, doxorubicin) can activate FOXO3a by inhibiting suppressive oncogenic pathways.
Conclusions:
- FOXO transcription factors are critical tumor suppressors whose activity is tightly regulated.
- Targeting FOXO pathways represents a promising therapeutic strategy for various cancers.
- Understanding FOXO regulation is key to developing novel anti-cancer treatments.
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