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Re-evaluating the role of FOXOs in cancer
M Hornsveld1, T B Dansen1, P W Derksen2
1Center for Molecular Medicine, Molecular Cancer Research, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Abstract:
FOXO transcription factors are negatively regulated by the PI3K-PKB/AKT signaling pathway and have been mainly considered to be tumor suppressors due to their inhibitory effect on cancer cell growth and survival. However, FOXOs can also support tumor development and progression by maintaining cellular homeostasis, facilitating metastasis and inducing therapy resistance. In agreement with these opposing views on the role of FOXOs in cancer, studies using FOXO levels or activity as prognostic markers for cancer patient disease progression and survival came to contradicting results. While it is clear that FOXOs are involved in various aspects of cancer, it is debatable whether FOXOs function as tumor suppressors or supporters, or may be both depending on the context. In this review, we describe the role of FOXOs in signaling pathways and processes relevant to cancer and evaluate recent advances in understanding the role of FOXOs in cancer. Based on recent insights it becomes clear that FOXOs may not be classical tumor suppressors and that targeting FOXO activity might hold promise in cancer therapy.
Insights
Forkhead box (FOXO) transcription factors have dual roles in cancer, acting as both tumor suppressors and supporters. Their complex involvement suggests FOXO activity may be a promising therapeutic target.
Area of Science:
- Molecular Biology
- Oncology
- Cell Signaling
Background:
- Forkhead box (FOXO) transcription factors are regulated by the PI3K-PKB/AKT pathway.
- FOXO s have been traditionally viewed as tumor suppressors due to their anti-cancer effects.
- Emerging evidence suggests FOXOs can also promote cancer progression.
Purpose of the Study:
- To review the multifaceted roles of FOXO transcription factors in cancer.
- To evaluate recent advancements in understanding FOXO involvement in cancer.
- To discuss the potential of targeting FOXO activity in cancer therapy.
Main Methods:
- Literature review of studies on FOXO transcription factors in cancer.
- Analysis of signaling pathways and cellular processes involving FOXOs.
- Evaluation of prognostic marker studies and therapeutic implications.
Main Results:
- FOXO s exhibit context-dependent functions, acting as both tumor suppressors and promoters.
- FOXO s influence cancer cell growth, survival, homeostasis, metastasis, and therapy resistance.
- Conflicting results exist regarding FOXO s as prognostic markers in cancer patients.
Conclusions:
- FOXO transcription factors are not classical tumor suppressors.
- The dual role of FOXOs in cancer necessitates a nuanced understanding.
- Targeting FOXO activity presents a potential avenue for novel cancer therapies.
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