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The unfolded protein response in glioblastomas: targetable or trouble?
1University of Colorado Denver (Anschutz Medical Campus), Aurora, CO 80045, USA.
Abstract:
Glioblastomas are devastating central nervous system tumors with abysmal prognoses. These tumors are often difficult to resect surgically, are highly invasive and proliferative, and are resistant to virtually all therapeutic attempts, making them universally lethal diseases. One key enabling feature of their tumor biology is the engagement of the unfolded protein response (UPR), a stress response originating in the endoplasmic reticulum (ER) designed to handle the pathologies of aggregating malfolded proteins in that organelle. Glioblastomas and other tumors have co-opted this stress response to allow their continued uncontrolled growth by enhanced protein production (maintained by chaperone-assisted protein folding) and lipid biosynthesis driven downstream of the UPR. These features can account for the extensive extracellular remodeling/invasiveness/angiogenesis and proliferative capacity, and ultimately result in tumor phenotypes of chemo- and radio-resistance. The UPR in general, and its chaperoning capacity in particular, are thus putative high-value targets for treatment intervention. Such therapeutic strategies, and potential problems with them, will be discussed and analyzed.
Insights
Glioblastomas hijack the unfolded protein response (UPR) for uncontrolled growth, leading to invasive and treatment-resistant tumors. Targeting the UPR
Area of Science:
- Neuro-oncology
- Molecular Biology
- Cellular Stress Response
Background:
- Glioblastomas are aggressive brain tumors with poor outcomes.
- Tumor cells exhibit high invasiveness, proliferation, and therapeutic resistance.
- The unfolded protein response (UPR) is a cellular stress pathway originating in the endoplasmic reticulum (ER).
Approach:
- This analysis explores how glioblastomas co-opt the UPR.
- Investigates UPR's role in enhanced protein and lipid synthesis.
- Examines UPR's contribution to tumor invasiveness, angiogenesis, and resistance.
Key Points:
- Glioblastomas exploit the UPR to sustain high protein production and lipid biosynthesis.
- UPR activation facilitates tumor cell proliferation, invasion, and extracellular matrix remodeling.
- The UPR contributes significantly to glioblastoma's resistance to chemotherapy and radiotherapy.
Conclusions:
- The UPR, particularly its chaperoning functions, represents a promising therapeutic target for glioblastoma.
- Targeting UPR-mediated pathways may overcome treatment resistance.
- Potential therapeutic strategies and their challenges warrant further investigation.
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