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Trop2 and its overexpression in cancers: regulation and clinical/therapeutic implications
Anna Shvartsur1, Benjamin Bonavida1
1Department of Microbiology, Immunology and Molecular Genetics, Jonsson Comprehensive Cancer Center and David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, USA.
Abstract:
Trop2 is a transmembrane glycoprotein encoded by the Tacstd2 gene. It is an intracellular calcium signal transducer that is differentially expressed in many cancers. It signals cells for self-renewal, proliferation, invasion, and survival. It has stem cell-like qualities. Trop2 is expressed in many normal tissues, though in contrast, it is overexpressed in many cancers and the overexpression of Trop2 is of prognostic significance. Several ligands have been proposed that interact with Trop2. Trop2 signals the cells via different pathways and it is transcriptionally regulated by a complex network of several transcription factors. Trop2 expression in cancer cells has been correlated with drug resistance. Several strategies target Trop2 on cancer cells that include antibodies, antibody fusion proteins, chemical inhibitors, nanoparticles, etc. The in vitro studies and pre-clinical studies, using these various therapeutic treatments, have resulted in significant inhibition of tumor cell growth both in vitro and in vivo in mice. A clinical study is underway using IMMU-132 (hrS7 linked to SN38) in patients with epithelial cancers. This review describes briefly the various characteristics of cancer cells overexpressing Trop2 and the potential application of Trop2 as both a prognostic biomarker and as a therapeutic target to reverse resistance.
Insights
Trop2 (TROP2) is a protein overexpressed in many cancers, driving tumor growth and drug resistance. Targeting Trop2 shows promise for cancer therapy and as a prognostic biomarker.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Trop2 (TROP2) is a transmembrane glycoprotein involved in cell signaling, proliferation, and survival.
- While expressed in normal tissues, Trop2 is significantly overexpressed in various cancers, correlating with poor prognosis.
- Trop2 overexpression in cancer cells is linked to drug resistance, highlighting its clinical relevance.
Purpose of the Study:
- To review the characteristics of cancer cells overexpressing Trop2.
- To explore Trop2's potential as a prognostic biomarker.
- To discuss Trop2 as a therapeutic target for overcoming drug resistance.
Main Methods:
- Literature review of studies on Trop2 function, expression, and therapeutic targeting.
- Analysis of Trop2's role in cancer cell signaling pathways and drug resistance mechanisms.
- Examination of preclinical and clinical data for Trop2-targeted therapies.
Main Results:
- Trop2 overexpression is associated with cancer stem cell-like properties, promoting self-renewal, proliferation, and invasion.
- Multiple therapeutic strategies targeting Trop2, including antibodies and fusion proteins, have shown efficacy in preclinical models.
- A clinical trial is evaluating IMMU-132 for epithelial cancers, demonstrating ongoing therapeutic development.
Conclusions:
- Trop2 is a significant biomarker for cancer prognosis and a promising therapeutic target.
- Targeting Trop2 offers a potential strategy to reverse drug resistance and improve patient outcomes.
- Further research and clinical evaluation of Trop2-based therapies are warranted.
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