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Regulation and function of FoxO transcription factors in normal and cancer stem cells: what have we learned?
Xin Zhang1, Maité Rielland, Safak Yalcin
1Department of Development and Regenerative Biology, Mount Sinai School of Medicine, New York, NY 10029, USA.
Abstract:
Forkhead FoxO transcription factors exert critical biological functions in response to genotoxic stress. In mammals four FoxOs proteins are known. FoxOs induce cell cycle arrest, repair damaged DNA, or initiate apoptosis by modulating genes that control these processes. In particular, FoxO proteins are critical regulators of oxidative stress by modulating the expression of several anti-oxidant enzyme genes. This function of FoxO is essential for the regulation of stem and progenitor cell pool in the hematopoietic system and possibly other stem cells. Overall functions of FoxOs are consistent with their role as tumor suppressors as has been shown in animal models. As such, FoxOs are suppressed in various cancer cells. However, recent reports strongly suggest that FoxOs are critical for the maintenance of leukemic stem cells. The diverse functions of FoxOs are orchestrated by tight regulations of expression and activity of its family members. Here we discuss the recent progress in understanding the function of FoxOs specifically in normal and cancer stem cells and what is known about the regulation of these proteins in various cell types and tissues including in the physiological setting of primary cells in vivo. These studies underscore the importance of regulation of FoxO proteins and whether these factors play distinct or redundant functions. Understanding how FoxOs are modulated is critical for devising novel therapies based on targeted restoration/or inhibition of FoxO function in cancer and in other diseased cells in which FoxOs have a key function.
Insights
Forkhead box proteins (FoxOs) regulate cell responses to DNA damage and oxidative stress, impacting stem cell maintenance. Their dual role as tumor suppressors and leukemic stem cell regulators highlights the need for understanding their complex functions.
Area of Science:
- Molecular Biology
- Cell Biology
- Cancer Research
Background:
- Forkhead box (FoxO) transcription factors are crucial for cellular responses to genotoxic and oxidative stress.
- FoxOs regulate cell cycle arrest, DNA repair, and apoptosis, and are vital for maintaining hematopoietic stem and progenitor cells.
- While generally acting as tumor suppressors, FoxOs are increasingly recognized for their role in supporting leukemic stem cells.
Purpose of the Study:
- To review recent advancements in understanding FoxO function in normal and cancer stem cells.
- To explore the regulatory mechanisms governing FoxO expression and activity in various cell types and tissues.
- To discuss the implications of FoxO regulation for therapeutic strategies in cancer and other diseases.
Main Methods:
- Literature review of recent studies on FoxO transcription factors.
- Analysis of FoxO roles in normal stem cells (e.g., hematopoietic) and cancer stem cells.
- Examination of regulatory networks controlling FoxO expression and activity.
Main Results:
- FoxOs play critical roles in stem cell regulation, particularly in the hematopoietic system, by modulating antioxidant defenses.
- Evidence suggests FoxOs function as tumor suppressors, but paradoxically, they are essential for maintaining leukemic stem cells.
- The diverse functions of FoxOs are tightly controlled by complex regulatory mechanisms.
Conclusions:
- Understanding the precise regulation and distinct/redundant functions of FoxO proteins is essential for developing targeted therapies.
- Modulating FoxO activity holds promise for treating cancers and other diseases where these factors play a key role.
- Further research into FoxO regulation in physiological and pathological settings is critical.
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