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FoxO proteins: regulation and molecular targets in liver cancer
S Carbajo-Pescador, J L Mauriz, A García-Palomo
1Institute of Biomedicine (IBIOMED), Campus Universitario, 24071, Leon, Spain. jgonga@unileon.es.
Abstract:
Human forkhead box class O (FoxO) transcription factors, activated in response to a wide range of external stimuli, like growth factors, insulin, nutrient levels and oxidative stress, are able to control several specific geneexpression programs. Besides their clear implication in metabolic processes, they appear to play a relevant role in tumour suppression by upregulation of genes involved in cell cycle arrest or apoptosis. Recent research efforts provide new insights into the molecular modulation of FoxO in liver cancer and disclose potential opportunities for developing new antitumor drugs. Through an intricate regulatory model, achieved via several post-translational modifications, including phosphorylation, acetylation, and ubiquitination, which control their subcellular localization and DNA binding activity, FoxO factors act as tumour suppressors. Low levels of FoxOs are associated with poor prognosis in cancer patients, and seem to confer chemotherapy resistance. Within FoxO members, FoxO3a appears to present anti-tumour properties in hepatocellular carcinoma, inducing the expression of pro-apoptotic genes, or interfering with signaling cascades commonly altered in this disease such as Wnt/β-catenin, PI3K/AKT/mTOR or MAPKs pathways. Here, we describe the main mechanisms of FoxO proteins regulation, and their cross-link with altered pathways in liver cancer. Moreover, based on the current knowledge of FoxO modulation, emphasis is placed on the development of novel agents which specifically activate FoxO family members and could be useful in the treatment of hepatocarcinoma.
Insights
Human forkhead box class O (FoxO) transcription factors are key tumor suppressors in liver cancer. Activating FoxO proteins offers a promising strategy for developing new hepatocarcinoma treatments.
Area of Science:
- Molecular Biology
- Oncology
- Biochemistry
Background:
- Forkhead box class O (FoxO) transcription factors regulate gene expression in response to stimuli like insulin and oxidative stress.
- FoxO proteins are implicated in metabolic processes and act as tumor suppressors by promoting cell cycle arrest and apoptosis.
- Dysregulation of FoxO pathways is linked to poor prognosis and chemotherapy resistance in cancer patients.
Purpose of the Study:
- To elucidate the regulatory mechanisms of FoxO proteins in liver cancer.
- To explore the role of FoxO factors in hepatocellular carcinoma.
- To identify potential therapeutic strategies targeting FoxO activation for hepatocarcinoma treatment.
Main Methods:
- Review of molecular modulation of FoxO proteins via post-translational modifications (phosphorylation, acetylation, ubiquitination).
- Analysis of FoxO interactions with key signaling pathways in liver cancer (Wnt/β-catenin, PI3K/AKT/mTOR, MAPKs).
- Examination of FoxO3a's anti-tumor properties in hepatocellular carcinoma models.
Main Results:
- FoxO factors' subcellular localization and DNA binding are controlled by intricate regulatory networks.
- Low FoxO levels correlate with poor prognosis and chemoresistance in cancer.
- FoxO3a demonstrates anti-tumor effects by upregulating pro-apoptotic genes and modulating oncogenic signaling pathways.
Conclusions:
- FoxO proteins are crucial tumor suppressors in liver cancer, with FoxO3a showing significant anti-hepatocellular carcinoma activity.
- Understanding FoxO regulation provides insights into novel therapeutic targets for hepatocarcinoma.
- Developing agents that activate FoxO family members holds promise for effective hepatocarcinoma treatment.
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