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NOX4, a new genetic target for anti-cancer therapy in digestive system cancer
Chao Tao Tang1, Yun Jie Gao1, Zhi Zheng Ge1
1Division of Gastroenterology and Hepatology, Key Laboratory of Gastroenterology and Hepatology, Ministry of Health, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai Institute of Digestive Disease, Shanghai, China.
Abstract:
Oxidative stress has been implicated as an important factor in tumorigenesis and tumor progression. The nicotinamide adenine dinucleotide phosphate (NADPH) oxidase subunit 4 (NOX4), a substrate of NADPH that can generate H2 O2 reactive oxygen species, has been reported to be highly expressed in gastrointestinal tumors. In this review we summarize the available evidence on the biological function of NOX4 in digestive system tumors by focusing on its correlation with classical cell signaling pathways, including VEGF, MAPK and PI3K/AKT, and with biochemical mediators, such as nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB), activator protein (AP)-1 and transforming growth factor (TGF)-β. According to the clinical and database studies on tumors of the digestive system, such as colorectal, gastric and pancreatic cancer, there are significant associations between NOX4 expression and tumor prognosis as well as patient's survival. Animal studies using NOX4 inhibitors such as diphenylene iodonium and GKT137831, which selectively block NOX4, indicate their potential as therapeutic agents for targeting cancer cells.
Insights
Nicotinamide adenine dinucleotide phosphate (NADPH) oxidase subunit 4 (NOX4) is highly expressed in digestive system tumors. Inhibiting NOX4 shows potential for targeting cancer cells, impacting tumor progression and patient survival.
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- Oxidative stress is a key factor in cancer development and progression.
- Nicotinamide adenine dinucleotide phosphate (NADPH) oxidase subunit 4 (NOX4) generates reactive oxygen species (ROS) and is upregulated in gastrointestinal tumors.
Purpose of the Study:
- To review the biological role of NOX4 in digestive system tumors.
- To explore NOX4's connections with key cell signaling pathways and mediators.
- To assess NOX4's prognostic and therapeutic potential in gastrointestinal cancers.
Main Methods:
- Literature review of clinical, database, and animal studies.
- Analysis of NOX4 expression correlation with signaling pathways (VEGF, MAPK, PI3K/AKT) and mediators (NF-κB, AP-1, TGF-β).
- Evaluation of NOX4 inhibitors (diphenylene iodonium, GKT137831) in preclinical models.
Main Results:
- NOX4 expression is significantly associated with tumor prognosis and patient survival in colorectal, gastric, and pancreatic cancers.
- NOX4 interacts with established cancer-related signaling pathways and transcription factors.
- NOX4 inhibitors demonstrate therapeutic potential against cancer cells in animal studies.
Conclusions:
- NOX4 plays a critical role in the tumorigenesis and progression of digestive system cancers.
- Targeting NOX4 represents a promising therapeutic strategy for gastrointestinal malignancies.
- Further research into NOX4 inhibitors could lead to novel cancer treatments.
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