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NOS2 as an Emergent Player in Progression of Cancer
Douglas D Thomas1, David A Wink2
11 Department of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, University of Illinois at Chicago , Chicago, Illinois.
Abstract:
Although the inducible form of nitric oxide synthase (NOS2) was initially shown to be a major player as an antitumor component of the immune response, more recent data have shown that NOS2 expression in cancer cells often predicts poor outcome. Unlike growth factors associated with a single oncogenic pathway, nitric oxide (NO) has a ubiquitous nature wherein it simultaneously mediates major oncogenic pathways from Akt/PI3K and RAS/ERK to HIF1a and TGFb. These interactive loops perpetuate oncogenic mechanism that leads to increased cancer stemness, proliferation metastasis, chemoresistance, angiogenesis, and immunosuppression. Examination of a wide variety of patient tumors demonstrates that NOS2 expression is >50% for most cancers. In many cases, elevated NOS2 has been shown to predict poor outcome in cancer such as ER- breast cancer, glioma, melanoma, cervical, liver, ovarian, and pancreatic. Taken together, NOS2 may be one of the most powerful biomarker and predictors of poor prognosis and an ideal target for cancer therapy. Antioxid. Redox Signal. 26, 963-965.
Insights
Inducible nitric oxide synthase (NOS2) expression in cancer cells, initially thought to be antitumor, actually predicts poor patient outcomes. Targeting NOS2 offers a promising therapeutic strategy for various cancers.
Area of Science:
- Oncology
- Immunology
- Biochemistry
Background:
- The inducible form of nitric oxide synthase (NOS2) was initially recognized for its antitumor properties within the immune response.
- However, recent findings indicate that NOS2 expression within cancer cells frequently correlates with unfavorable patient prognoses.
Discussion:
- Nitric oxide (NO), produced by NOS2, is a ubiquitous molecule that simultaneously influences multiple oncogenic pathways, including Akt/PI3K, RAS/ERK, HIF1a, and TGFb.
- These interconnected pathways promote cancer progression by enhancing stemness, proliferation, metastasis, chemoresistance, angiogenesis, and immunosuppression.
Key Insights:
- NOS2 expression is prevalent in over 50% of diverse human cancers.
- Elevated NOS2 levels are associated with poor outcomes in specific cancers like ER- breast cancer, glioma, melanoma, cervical, liver, ovarian, and pancreatic cancers.
Outlook:
- NOS2 represents a significant biomarker for predicting poor cancer prognosis.
- Targeting NOS2 presents a promising therapeutic avenue for improving cancer treatment strategies.
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