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Published on: July 21, 2018
Intercepting neoplastic progression in lung malignancies via the beta adrenergic (β-AR) pathway: implications for
Hussein A N Al-Wadei1, Mohammad F Ullah, Mohammed H Al-Wadei
1Experimental Oncology Laboratory, Department of Biomedical and Diagnostic Sciences, University of Tennessee, Knoxville, TN 37996, USA. halwadei@utk.edu
Abstract:
The understanding of signaling cascades involved in the induction, promotion, and progression of cancer, although advanced in recent years, is still incomplete. Tracing the imbalance of the impaired, physiologically-essential cellular signaling that drives the neoplastic process is a complex issue. This review discusses the role of the regulator of the fight or flight response, the beta-adrenergic signaling cascade, as a mediator of cancer growth and progression in in vitro and in vivo cancer models. We review a series of experiments from our own laboratory and those of others examining the contribution of this signaling network to lung and other human malignancies and thereby identifying potential targets for chemotherapeutic interventions. The stimulation of the β-adrenergic receptor by lifestyle and environmental factors, as well as a preexisting risk for neoplasm, activates downstream effector molecules (adenylyl cyclase/cAMP/PKA/CREB) concomitant to the transactivation of related pathways (EGFR) that lead to pro-oncogenic signaling; this β-adrenergic pathway thereby encourages cancer growth by evasion of apoptosis, invasion, angiogenesis, and metastasis. GABAergic signaling acts as an antagonist to the β-adrenergic cascade by intercepting adenylyl cyclase activation, and thereby neutralizing the pro-oncogenic effects of β-adrenergic stimulation. The regulation of cancer cell growth by neurobiological signals expands the possibilities for pharmacological interventions in cancer therapy.
Insights
The beta-adrenergic signaling pathway promotes cancer growth and metastasis. GABAergic signaling counteracts these effects, offering new therapeutic targets for cancer intervention.
Area of Science:
- Oncology
- Neurobiology
- Molecular Biology
Background:
- Cancer progression involves complex, incompletely understood signaling pathways.
- Cellular signaling imbalances are critical drivers of neoplastic processes.
- The fight-or-flight response regulator, beta-adrenergic signaling, is implicated in cancer.
Purpose of the Study:
- To review the role of beta-adrenergic signaling in cancer growth and progression.
- To examine the contribution of this network to human malignancies.
- To identify potential chemotherapeutic targets within this pathway.
Main Methods:
- Review of in vitro and in vivo cancer models.
- Analysis of experiments from the authors' laboratory and others.
- Examination of molecular mechanisms including adenylyl cyclase/cAMP/PKA/CREB and EGFR pathways.
Main Results:
- Beta-adrenergic receptor stimulation promotes cancer by activating pro-oncogenic signaling.
- This pathway facilitates cancer hallmarks like evasion of apoptosis, invasion, angiogenesis, and metastasis.
- GABAergic signaling antagonizes beta-adrenergic cascade, inhibiting pro-oncogenic effects.
Conclusions:
- Neurobiological signals, like beta-adrenergic and GABAergic pathways, regulate cancer cell growth.
- This expands therapeutic possibilities for pharmacological interventions in cancer treatment.
- Targeting these neurobiological pathways may offer novel chemotherapeutic strategies.
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