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Nodal Signaling as a Developmental Therapeutics Target in Oncology
Aparna Kalyan1,2, Benedito A Carneiro3,2, Sunandana Chandra3,2
1Developmental Therapeutics Program, Division of Hematology and Oncology, Northwestern University Feinberg School of Medicine, Olson Pavilion, Chicago, Illinois. aparna.kalyan@northwestern.edu.
Abstract:
The tumor microenvironment is a vital feature of oncogenesis and tumor progression. There are several parallels between cancer cells and early developmental stem cells, including their plasticity and signaling mechanisms. In early fetal development, Nodal is expressed for endodermal and mesodermal differentiation. This expression has been shown reemerge in the setting of epithelial cancers, such as breast and melanoma. High Nodal expression correlates to an aggressive tumor grade in these malignancies. Nodal signal begins with its interaction with its coreceptor, Cripto-1, leading to activation of Smad2/Smad3 and ultimately downstream transcription and translation. Lefty is the natural inhibitor of Nodal and controls Nodal signaling during fetal development. However, cancer cells lack the presence of Lefty, thus leading to uncontrolled tumor growth. Given this understanding, inhibition of the Nodal pathway offers a new novel therapeutic target in oncology. Mol Cancer Ther; 16(5); 787-92. ©2017 AACR.
Insights
The Nodal pathway, crucial in development, is reactivated in cancers like breast and melanoma. Inhibiting this pathway presents a novel therapeutic strategy for aggressive tumors.
Area of Science:
- Oncology
- Developmental Biology
- Molecular Biology
Background:
- The tumor microenvironment plays a critical role in cancer development and progression.
- Cancer cells share similarities with early developmental stem cells, including plasticity and signaling pathways.
- Nodal signaling is essential for fetal development and is re-expressed in epithelial cancers.
Purpose of the Study:
- To investigate the role of Nodal signaling in epithelial cancers.
- To explore the potential of targeting the Nodal pathway as a novel cancer therapy.
Main Methods:
- Analysis of Nodal expression in breast and melanoma cancer tissues.
- Investigation of the Nodal signaling cascade involving Cripto-1, Smad2/Smad3, and Lefty.
- Evaluation of Nodal pathway inhibition as a therapeutic strategy.
Main Results:
- High Nodal expression correlates with aggressive tumor grades in breast and melanoma.
- Cancer cells exhibit uncontrolled Nodal signaling due to a lack of its inhibitor, Lefty.
- The Nodal-Cripto-1 interaction activates Smad2/Smad3, promoting downstream gene expression.
Conclusions:
- Reactivation of the Nodal pathway in cancer contributes to tumor progression.
- The absence of Lefty in cancer cells leads to dysregulated Nodal signaling and uncontrolled growth.
- Inhibiting the Nodal pathway represents a promising new therapeutic target for oncology.
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