Tissue transglutaminase: a new target to reverse cancer drug resistance
Alfredo Budillon1, Carmine Carbone, Elena Di Gennaro
1Experimental Pharmacology Unit, Department of Research, Istituto Nazionale Tumori, National Cancer Institute G. Pascale, Via M. Semmola, 80131 Naples, Italy. a.budillon@istitutotumori.na.it
Abstract:
Cancer resistance mechanisms, which result from intrinsic genetic alterations of tumor cells or acquired genetic and epigenetic changes, limit the long-lasting benefits of anti-cancer treatments. Tissue transglutaminase (TG2) has emerged as a putative gene involved in tumor cell drug resistance and evasion of apoptosis. Although some reports have indicated that TG2 can suppress tumor growth and enhance the growth inhibitory effects of anti-tumor agents, several studies have presented both pro-survival and anti-apoptotic roles for TG2 in malignant cells. Increased TG2 expression has been found in several tumors, where it was considered a potential negative prognostic marker, and it is often associated with advanced stages of disease, metastatic spread and drug resistance. TG2 mediates drug resistance through the activation of survival pathways and the inhibition of apoptosis, but also by regulating extracellular matrix (ECM) formation, the epithelial-to-mesenchymal transition (EMT) or autophagy. Because TG2 knockdown or inhibition of TG2 enzymatic activity may reverse drug resistance and sensitize cancer cells to drug-induced apoptosis, many small molecules capable of blocking TG2 have recently been developed. Additional insight into the multifunctional nature of TG2 as well as translational studies concerning the correlation between TG2 expression, function or location and cancer behavior will aid in translating these findings into new therapeutic approaches for cancer patients.
Insights
Tissue transglutaminase (TG2) plays a complex role in cancer drug resistance and apoptosis evasion. Inhibiting TG2 may reverse resistance and sensitize cancer cells to treatments, offering new therapeutic avenues.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Cancer resistance mechanisms limit anti-cancer treatment efficacy.
- Tissue transglutaminase (TG2) is implicated in tumor cell drug resistance and apoptosis evasion.
- TG2 exhibits both pro-survival and anti-apoptotic roles in malignant cells, with increased expression linked to poor prognosis, metastasis, and drug resistance.
Purpose of the Study:
- To explore the multifaceted role of tissue transglutaminase (TG2) in cancer drug resistance.
- To investigate TG2's mechanisms in mediating resistance, including survival pathways, apoptosis inhibition, ECM formation, EMT, and autophagy.
- To highlight the therapeutic potential of TG2 inhibition for overcoming cancer drug resistance.
Main Methods:
- Review of existing literature on TG2 expression and function in various cancers.
- Analysis of studies investigating TG2's involvement in drug resistance and apoptosis.
- Examination of preclinical data on TG2 inhibitors and their efficacy.
Main Results:
- TG2 expression is frequently elevated in tumors and correlates with advanced disease and drug resistance.
- TG2 mediates resistance by activating survival pathways, inhibiting apoptosis, and influencing ECM, EMT, and autophagy.
- TG2 knockdown or inhibition can reverse drug resistance and enhance apoptosis in cancer cells.
Conclusions:
- TG2 is a significant contributor to cancer drug resistance through diverse mechanisms.
- Inhibiting TG2 activity or expression presents a promising strategy to re-sensitize cancer cells to therapies.
- Further translational research on TG2's role in cancer is crucial for developing novel therapeutic approaches.
Related Concept Videos
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Tumor Immunotherapy
Treatment Resistant Cancers
Transducer Mechanism: Enzyme-Linked Receptors
Major types that are helpful drug targets include:


