Atrial natriuretic peptide: a magic bullet for cancer therapy targeting Wnt signaling and cellular pH regulators
1Institute of Translational Pharmacology - National Research Council of Italy, Via Fosso del Cavaliere 100, 00133, Rome, Italy. annalucia.serafino@ift.cnr.it.
Abstract:
Atrial natriuretic peptide (ANP) is a cardiac hormone playing a crucial role in cardiovascular homeostasis mainly through blood volume and pressure regulation. In the last years, the new property ascribed to ANP of inhibiting tumor growth both in vitro and in vivo has made this peptide an attractive candidate for anticancer therapy. The molecular mechanism underlying the anti-proliferative effect of ANP has been mainly related to its interaction with the specific receptors NPRs, through which this natriuretic hormone inhibits some metabolic targets critical for cancer development, including the Ras-MEK1⁄2-ERK1⁄2 kinase cascade, functioning as a multikinase inhibitor. In this review we summarize the current knowledge on this topic, focusing on our recent data demonstrating that the antitumor activity of this natriuretic hormone is also mediated by a concomitant effect on the Wnt/β-catenin pathway and on the pH regulation ability of cancer cells, through a Frizzled-related mechanism. This peculiarity of simultaneously targeting two processes crucial for neoplastic transformation and solid tumor survival reinforces the utility of ANP for the development of both preventive and therapeutic strategies.
Insights
Atrial natriuretic peptide (ANP) inhibits tumor growth by targeting key cancer pathways. This cardiac hormone offers potential for novel anticancer therapies by affecting cell proliferation and pH regulation.
Area of Science:
- Cardiovascular Endocrinology
- Oncology
- Molecular Biology
Background:
- Atrial natriuretic peptide (ANP) is a cardiac hormone vital for cardiovascular homeostasis.
- Emerging evidence highlights ANP's potential as an anticancer therapeutic agent, demonstrating inhibition of tumor growth in vitro and in vivo.
- The anti-proliferative mechanisms of ANP are linked to its interaction with natriuretic peptide receptors (NPRs).
Purpose of the Study:
- To review the current understanding of ANP's anticancer properties.
- To highlight recent findings on ANP's dual-action mechanism involving Wnt/β-catenin and pH regulation.
- To underscore ANP's potential in developing new anticancer strategies.
Main Methods:
- Review of existing literature on ANP and cancer.
- Analysis of experimental data on ANP's molecular targets.
- Investigation of ANP's effects on the Wnt/β-catenin pathway and cancer cell pH regulation.
Main Results:
- ANP inhibits cancer cell proliferation by targeting the Ras-MEK1/2-ERK1/2 kinase cascade, acting as a multikinase inhibitor.
- ANP's antitumor activity is further mediated by simultaneous modulation of the Wnt/β-catenin pathway.
- ANP influences cancer cell pH regulation through a Frizzled-related mechanism, impacting solid tumor survival.
Conclusions:
- ANP exhibits significant antitumor effects through multiple molecular pathways.
- The ability of ANP to simultaneously target critical cancer processes enhances its therapeutic potential.
- ANP represents a promising candidate for developing innovative preventive and therapeutic strategies against cancer.
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