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Protein trafficking in colorectal carcinogenesis-targeting and bypassing resistance to currently applied treatments
Antonios N Gargalionis1, Michalis V Karamouzis1, Christos Adamopoulos1
1Molecular Oncology Unit, Department of Biological Chemistry, University of Athens Medical School, 75M. Asias Street, 11527 Athens, Greece.
Abstract:
Membrane receptors constitute novel targets during current treatment of metastatic colorectal cancer (CRC) due to the fact that their aberrant expression/activity favors cancer cell properties. Protein trafficking is responsible for the correct targeting of membrane receptors to the apical and basolateral surfaces, as well as to the adherent and tight junctions of the cell. Impaired availability or distribution of these receptors along the plasma membrane is not only associated with defective cellular homeostasis and tumor progression, but also to emerging mechanisms of resistance to CRC-targeted therapy. The present review describes how protein trafficking facilitates invasion and metastasis of CRC cells and focuses on receptor tyrosine kinases (RTKs) endocytic transport, providing thoughts for surpassing RTKs-centered mechanisms of resistance.
Insights
Altered protein trafficking in metastatic colorectal cancer (CRC) drives invasion and resistance to targeted therapies. Understanding receptor tyrosine kinase (RTK) transport offers strategies to overcome treatment resistance.
Area of Science:
- Oncology
- Cell Biology
- Molecular Medicine
Background:
- Membrane receptors are key targets in metastatic colorectal cancer (CRC) treatment.
- Aberrant receptor expression/activity promotes cancer cell properties and progression.
- Protein trafficking ensures correct receptor localization on the cell surface.
Purpose of the Study:
- To review how protein trafficking influences CRC cell invasion and metastasis.
- To focus on the endocytic transport of receptor tyrosine kinases (RTKs).
- To suggest strategies for overcoming RTK-centered resistance mechanisms in CRC.
Main Methods:
- Literature review of protein trafficking in CRC.
- Analysis of RTK endocytic transport pathways.
- Discussion of resistance mechanisms and potential therapeutic strategies.
Main Results:
- Impaired protein trafficking affects receptor distribution, contributing to defective homeostasis and tumor progression.
- Dysfunctional trafficking is linked to resistance in CRC-targeted therapy.
- RTK trafficking plays a critical role in CRC cell invasion and metastasis.
Conclusions:
- Targeting protein trafficking pathways may offer new therapeutic avenues for CRC.
- Understanding RTK endocytic transport is crucial for developing strategies against CRC resistance.
- Modulating protein trafficking could enhance the efficacy of current CRC treatments.
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