Eukaryotic translation initiation factor 4E as a novel therapeutic target in hematological malignancies and beyond

Filippa Pettersson1, Sonia V Del Rincon, Wilson H Miller

  • 1McGill University, Lady Davis Institute for Medical Research, Jewish General Hospital, Segal Cancer Centre , Montreal, Quebec H3T 1E2 , Canada +1 514 340 8222, Ext. 4365 ; +1 514 340 8717 ; wmiller@ldi.jgh.mcgill.ca.

Abstract

Insights

Targeting eukaryotic translation initiation factor 4E (eIF4E), a cancer-driving oncogene, shows promise but has limited clinical success. Ribavirin is the only drug demonstrating antitumor activity via eIF4E inhibition to date.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Eukaryotic translation initiation factor 4E (eIF4E) is a critical regulator of protein synthesis and an oncogene.
  • Elevated eIF4E expression and activity are common in cancers, correlating with poor prognosis.

Purpose of the Study:

  • To review the function, regulation, and therapeutic targeting of eIF4E in various cancers.
  • To discuss upstream signaling pathways and eIF4E phosphorylation in cancer activation.
  • To present an updated overview of laboratory and clinical approaches to inhibit eIF4E.

Main Methods:

  • Literature review of eIF4E function, regulation, and role in hematological malignancies and solid tumors.
  • Discussion of signaling pathways activating eIF4E and its phosphorylation.
  • Review of current and emerging strategies for targeting eIF4E.

Main Results:

  • Multiple oncogenic signaling pathways converge on eIF4E, making it an attractive therapeutic target.
  • Current therapeutic strategies targeting eIF4E have shown limited clinical success.
  • Ribavirin is the only drug demonstrating clinical antitumor activity through eIF4E inhibition.

Conclusions:

  • Despite challenges, targeting eIF4E remains a highly attractive strategy in cancer therapy.
  • Inhibitors of mammalian target of rapamycin (mTOR) and eIF4E phosphorylation show potential.
  • Further research is crucial for developing effective eIF4E-targeted compounds and combination therapies.

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