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Adenosine: An endogenous mediator in the pathogenesis of gynecological cancer
Amirhossein Bahreyni1, Seyed S Samani2, Elnaz Ghorbani3
1Faculty of Medicine, Department of Clinical Biochemistry and Immunogenetic Research Center, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran.
Abstract:
Extracellular concentration of adenosine increases in the hypoxic tumor microenvironment. Adenosine signaling regulates apoptosis, angiogenesis, metastasis, and immune suppression in cancer cells. Adenosine-induced cell responses depend upon different subtypes of adenosine receptors activation and type of cancer. Suppression of adenosine signaling via inhibition of adenosine receptors or adenosine generating enzymes including CD39 and CD73 on ovarian or cervical cancer cells is a potentially novel therapeutic approach for gynecological cancer patients. This review summarizes the role of adenosine in the pathogenesis of gynecological cancer for a better understanding and hence a better management of this disease.
Insights
Adenosine signaling in gynecological cancers promotes tumor growth and immune evasion. Inhibiting adenosine pathways, particularly CD39 and CD73, offers a novel therapeutic strategy for ovarian and cervical cancers.
Area of Science:
- Oncology
- Cancer Biology
- Immunology
Background:
- Extracellular adenosine levels rise in hypoxic tumor microenvironments.
- Adenosine signaling influences key cancer processes like apoptosis, angiogenesis, metastasis, and immune suppression.
- Cancer cell responses to adenosine are receptor subtype and cancer-type specific.
Purpose of the Study:
- To review the role of adenosine in gynecological cancer pathogenesis.
- To highlight adenosine signaling as a therapeutic target for gynecological cancers.
Main Methods:
- Literature review of studies on adenosine signaling in gynecological cancers.
- Analysis of adenosine receptor subtypes and generating enzymes (CD39, CD73) in cancer.
Main Results:
- Adenosine promotes tumor progression and immune suppression in ovarian and cervical cancers.
- Inhibition of adenosine signaling, via CD39/CD73, presents a potential therapeutic avenue.
- Adenosine receptor modulation offers targeted treatment strategies.
Conclusions:
- Understanding adenosine's role is crucial for managing gynecological cancers.
- Targeting adenosine pathways, including CD39 and CD73, represents a promising therapeutic strategy.
- Further research into adenosine signaling can lead to improved patient outcomes.
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