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Published on: December 26, 2016
Therapeutic potential of targeting sphingosine kinase 1 in prostate cancer
Dmitri Pchejetski1, Torsten Böhler, Justin Stebbing
1Division of Cancer, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, 807 Cyclotron Building, Hammersmith Hospital, Du Cane road, London W12 0NN, UK. d.pshezhetskiy@ imperial.ac.uk
Abstract:
Sphingosine kinase 1 (SK1) is a lipid enzyme with oncogenic properties that converts the proapoptotic lipid sphingosine into the antiapoptotic lipid sphingosine-1-phosphate, which activates the signal transduction pathways that lead to cell proliferation, migration, activation of the inflammatory response and impairment of apoptosis. Compelling evidence suggests that SK1 activation contributes to cancer progression leading to increased oncogenic transformation, tumor growth, resistance to therapies, tumor neovascularization and metastatic spread. High levels of SK1 expression or activity have been associated with poor prognosis in several cancers, including those of the prostate. Recent studies using prostate cancer cell and mouse models demonstrate a significant potential for SK1-targeting therapies to synergize with the effects of docetaxel chemotherapy and radiotherapy. However, until recently the absence of clinically applicable SK1 inhibitors has limited the translation of these findings into patients. With the recent discovery that clinically approved drug fingolimod has SK1-inhibiting properties, SK1 has gained significant attention from both clinicians and the pharmaceutical industry and it is hoped that trials of newly developed SK1 inhibitors might follow soon.
Insights
Sphingosine kinase 1 (SK1) promotes cancer by producing an anti-apoptotic lipid. Targeting SK1 shows promise for enhancing cancer therapies, especially in prostate cancer.
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- Sphingosine kinase 1 (SK1) is a lipid enzyme implicated in cancer progression.
- SK1 converts sphingosine to sphingosine-1-phosphate, promoting cell proliferation, migration, and inhibiting apoptosis.
- Elevated SK1 expression correlates with poor prognosis in various cancers, including prostate cancer.
Purpose of the Study:
- To review the role of SK1 in cancer progression.
- To highlight the therapeutic potential of SK1-targeting agents in combination with existing cancer treatments.
- To discuss the recent emergence of SK1 inhibitors for clinical application.
Main Methods:
- Literature review of studies on SK1 function and therapeutic targeting.
- Analysis of evidence from preclinical cancer models (cell lines and animal models).
- Examination of the impact of SK1 inhibition on cancer hallmarks and treatment response.
Main Results:
- SK1 activation drives oncogenic transformation, tumor growth, therapy resistance, neovascularization, and metastasis.
- SK1-targeting therapies demonstrate synergistic effects with docetaxel chemotherapy and radiotherapy in prostate cancer models.
- The development of clinically applicable SK1 inhibitors is a recent advancement.
Conclusions:
- SK1 is a critical mediator of cancer progression and a viable therapeutic target.
- Combination therapies involving SK1 inhibitors hold significant potential for improving cancer treatment outcomes.
- The availability of SK1 inhibitors is expected to accelerate clinical trials and patient treatment.
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