Therapeutic Potentials of BDNF/TrkB in Breast Cancer; Current Status and Perspectives
Amir Tajbakhsh1,2, Amin Mokhtari-Zaer2,3, Mehdi Rezaee2,4
1Department of Modern Sciences and Technologies, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract:
Brain-derived neurotrophic factor (BDNF) is a potent neurotrophic factor that has been shown to stimulate breast cancer cell growth and metastasis via tyrosine kinase receptors TrkA, TrkB, and the p75NTR death receptor. The aberrant activation of BDNF/TrkB pathways can modulate several signaling pathways, including Akt/PI3K, Jak/STAT, NF-kB, UPAR/UPA, Wnt/β-catenin, and VEGF pathways as well as the ER receptor. Several microRNAs have been identified that are involved in the modulation of BDNF/TrkB pathways. These include miR-206, miR-204, MiR-200a/c, MiR-210, MiR-134, and MiR-191; and these may be of value as prognostic and predictive biomarkers for detecting patients at high risk of developing breast cancer. It has been also been demonstrated that a high expression of genes involved in the BDNF pathway in breast cancer is associated with poor clinical outcome and reduced survival of patients. Several approaches have been developed for targeting this pathway, for example TKr inhibitors (AZD6918, CEP-701) and RNA interference. The aim of the current review was to provide an overview of the role of BDNF/TrkB pathways in the pathogenesis of breast cancer and its value as a potential therapeutic target. J. Cell. Biochem. 118: 2502-2515, 2017. © 2017 Wiley Periodicals, Inc.
Insights
Brain-derived neurotrophic factor (BDNF) fuels breast cancer growth and spread. Targeting the BDNF/TrkB pathway offers potential therapeutic strategies and biomarkers for improved patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Brain-derived neurotrophic factor (BDNF) promotes breast cancer cell proliferation and metastasis.
- Aberrant BDNF/TrkB signaling impacts key pathways like Akt/PI3K, Jak/STAT, and Wnt/β-catenin.
- MicroRNAs (e.g., miR-206, miR-200) modulate BDNF/TrkB activity, suggesting biomarker potential.
Purpose of the Study:
- To review the role of BDNF/TrkB pathways in breast cancer pathogenesis.
- To explore the therapeutic potential of targeting the BDNF/TrkB pathway.
- To discuss the utility of microRNAs as prognostic and predictive biomarkers.
Main Methods:
- Literature review of studies on BDNF, TrkB, and breast cancer.
- Analysis of signaling pathways modulated by BDNF/TrkB.
- Examination of microRNA involvement and therapeutic targeting strategies.
Main Results:
- High BDNF pathway gene expression correlates with poor clinical outcomes and reduced patient survival.
- BDNF/TrkB signaling influences multiple oncogenic pathways, including VEGF and ER.
- Targeting strategies include tyrosine kinase receptor (TKr) inhibitors and RNA interference.
Conclusions:
- The BDNF/TrkB pathway is a critical driver of breast cancer progression.
- Targeting this pathway presents a promising therapeutic avenue.
- MicroRNAs associated with BDNF/TrkB signaling may serve as valuable biomarkers.
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