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ROR1 and ROR2 in Human Malignancies: Potentials for Targeted Therapy
Guilly Rebagay1, Su Yan, Cheng Liu
1Department of Pediatrics, Memorial Sloan-Kettering Cancer Center New York, NY, USA.
Abstract:
Targeted therapies require cellular protein expression that meets specific requirements that will maximize effectiveness, minimize off-target toxicities, and provide an opportunity for a therapeutic effect. The receptor tyrosine kinase-like orphan receptors (ROR) are possible targets for therapy that may meet such requirements. RORs are transmembrane proteins that are part of the receptor tyrosine kinase (RTK) family. The RORs have been shown to play a role in tumor-like behavior, such as cell migration and cell invasiveness and are normally not expressed in normal adult tissue. As part of the large effort in target discovery, ROR proteins have recently been found to be expressed in human cancers. Their unique expression profiles may provide a novel class of therapeutic targets for small molecules against the kinase or for antibody-based therapies against these receptors. Being restricted on tumor cells and not on most normal tissues, RORs are excellent targets for the treatment of minimal residual disease, the final hurdle in the curative approach to many cancers, including solid tumors such as neuroblastoma. In this review, we summarize the biology of RORs as they relate to human cancer, and highlight the therapeutic approaches directed toward them.
Insights
Receptor tyrosine kinase-like orphan receptors (RORs) show promise as cancer targets. Their selective expression on tumor cells offers potential for targeted therapies and treating minimal residual disease.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Targeted cancer therapies require specific protein expression for efficacy and safety.
- Receptor tyrosine kinase-like orphan receptors (RORs) are transmembrane proteins implicated in tumor cell migration and invasiveness.
- RORs are typically not expressed in normal adult tissues but are found in human cancers.
Purpose of the Study:
- To review the biology of RORs in relation to human cancer.
- To highlight therapeutic strategies targeting RORs.
- To explore RORs as potential targets for novel cancer treatments.
Main Methods:
- Literature review of ROR biology and cancer expression.
- Analysis of RORs' role in tumor-like behaviors (migration, invasiveness).
- Examination of therapeutic approaches, including small molecule kinase inhibitors and antibody-based therapies.
Main Results:
- RORs are expressed in human cancers, suggesting potential as therapeutic targets.
- The restricted expression of RORs on tumor cells, not normal tissues, is advantageous for targeted therapy.
- RORs are identified as promising targets for treating minimal residual disease in various cancers.
Conclusions:
- RORs represent a novel class of therapeutic targets for small molecule or antibody-based cancer therapies.
- The unique expression profile of RORs makes them suitable for targeting minimal residual disease.
- Targeting RORs may offer a new avenue for effective cancer treatment, particularly in solid tumors like neuroblastoma.
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