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FOXM1 coming of age: time for translation into clinical benefits?
1Centre for Clinical and Diagnostic Oral Sciences, Barts and The London School of Medicine and Dentistry, Queen Mary University of London London, UK.
Abstract:
A decade since the first evidence implicating the cell cycle transcription factor Forkhead Box M1 (FOXM1) in human tumorigenesis, a slew of subsequent studies revealed an oncogenic role of FOXM1 in the majority of human cancers including oral, nasopharynx, oropharynx, esophagus, breast, ovary, prostate, lung, liver, pancreas, kidney, colon, brain, cervix, thyroid, bladder, uterus, testis, stomach, skin, and blood. Its aberrant upregulation in almost all different cancer types suggests a fundamental role for FOXM1 in tumorigenesis. Its dose-dependent expression pattern correlated well with tumor progression starting from cancer predisposition and initiation, early premalignancy and progression, to metastatic invasion. In addition, emerging studies have demonstrated a causal link between FOXM1 and chemotherapeutic drug resistance. Despite the well-established multifaceted roles for FOXM1 in all stages of oncogenesis, its translation into clinical benefit is yet to materialize. In this contribution, I reviewed and discussed how our current knowledge on the oncogenic mechanisms of FOXM1 could be exploited for clinical use as biomarker for risk prediction, early cancer screening, molecular diagnostics/prognostics, and/or companion diagnostics for personalized cancer therapy.
Insights
Forkhead Box M1 (FOXM1) is a key cancer driver found in most human tumors. Understanding its role could lead to new biomarkers for cancer risk, screening, and personalized therapies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- The transcription factor Forkhead Box M1 (FOXM1) has been implicated in human tumorigenesis for over a decade.
- Aberrant upregulation of FOXM1 is observed in a vast majority of human cancers, suggesting a fundamental role in cancer development.
- FOXM1 expression levels correlate with tumor progression, from initiation to metastatic invasion.
Purpose of the Study:
- To review and discuss the oncogenic mechanisms of FOXM1.
- To explore the potential clinical applications of FOXM1 knowledge.
- To highlight FOXM1's role in chemotherapeutic drug resistance.
Main Methods:
- Literature review of studies on FOXM1 in human tumorigenesis.
- Analysis of FOXM1's role in various cancer types and stages.
- Discussion of FOXM1's link to drug resistance.
Main Results:
- FOXM1 plays a significant oncogenic role across numerous cancer types.
- FOXM1 expression is dose-dependent and linked to tumor progression and metastasis.
- FOXM1 is causally linked to resistance to chemotherapeutic drugs.
Conclusions:
- Despite its established roles in oncogenesis, FOXM1's clinical benefits are yet to be realized.
- Exploiting knowledge of FOXM1's mechanisms can aid in clinical applications.
- FOXM1 holds potential as a biomarker for risk prediction, early screening, diagnostics, and personalized cancer therapy.
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