Targeting AMPK signaling in combating ovarian cancers: opportunities and challenges

Mingo M H Yung1, Hextan Y S Ngan1, David W Chan2

  • 1Department of Obstetrics and Gynaecology, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.

Insights

AMP-activated protein kinase (AMPK) activators show promise in enhancing chemotherapy for ovarian cancer. Research is exploring natural compounds as safer alternatives to pharmaceutical AMPK activators to overcome drug resistance and reduce side effects.

Area of Science:

  • Biochemistry
  • Oncology
  • Pharmacology

Background:

  • Drug resistance, particularly in ovarian cancer, limits the effectiveness of current anticancer therapies.
  • Targeting cancer cell metabolism via AMP-activated protein kinase (AMPK) activation is a promising therapeutic strategy.
  • Existing pharmaceutical AMPK activators often cause toxic side effects, necessitating the search for safer alternatives.

Purpose of the Study:

  • To explore the potential of AMP-activated protein kinase (AMPK) activators in overcoming drug resistance in human cancers, with a focus on ovarian cancer.
  • To investigate natural compounds, including nutraceuticals and traditional medicines, as potential AMPK-activating agents for anticancer therapy.
  • To elucidate the molecular mechanisms underlying the anticancer effects of natural AMPK activators.

Main Methods:

  • Review of existing literature on AMPK activators and their role in cancer therapy.
  • Analysis of studies investigating specific AMPK activators like metformin and bitter melon extract.
  • Exploration of research focusing on nutraceuticals and traditional medicines as sources of novel AMPK activators.

Main Results:

  • AMPK activators can enhance the efficacy of chemotherapy, such as cisplatin, in ovarian cancer.
  • Natural compounds like bitter melon extract exhibit AMPK-activating properties with potential anticancer benefits.
  • Pharmaceutical AMPK activators have shown limitations due to toxicity and undesirable side effects in clinical trials.

Conclusions:

  • Natural AMPK activators derived from nutraceuticals and traditional medicines offer a promising avenue for developing safer and more effective anticancer therapies.
  • Further research into the functional characterization and regulatory mechanisms of natural AMPK activators is crucial for pharmaceutical development.
  • Understanding these mechanisms could lead to improved interventions for ovarian cancer and other human malignancies, addressing the challenge of drug resistance.

Related Concept Videos

mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
5.1K
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

1.7K
PI3K/mTOR/AKT Signaling Pathway01:22

PI3K/mTOR/AKT Signaling Pathway

The mammalian target of rapamycin  (mTOR) is a serine/threonine kinase that regulates growth, proliferation, and cell survival in response to hormones, growth factors, or nutrient availability. This kinase exists in two structurally and functionally distinct forms: mTOR complex 1  (mTORC1) and mTOR complex 2  (mTORC2). The first form (mTORC1) is composed of a rapamycin-sensitive Raptor and proline-rich Akt substrate, PRAS40. In contrast,  mTORC2 consists of a...
6.3K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.1K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

1.8K
Interactions Between Signaling Pathways01:19

Interactions Between Signaling Pathways

Signaling cascades usually lack linearity. Multiple pathways interact and regulate one another, allowing cells to integrate and respond to diverse environmental stimuli.
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
7.9K