Nuclear Receptors: Recent Drug Discovery for Cancer Therapies

Linjie Zhao1, Shengtao Zhou1, Jan-Åke Gustafsson2,3

  • 1Department of Obstetrics and Gynecology, Key Laboratory of Birth Defects and Related Diseases of Women and Children of MOE and State Key Laboratory of Biotherapy, West China Second Hospital, Sichuan University and Collaborative Innovation Center, Chengdu, People's Republic of China.

Endocrine Reviews
|March 15, 2019
PubMed

Insights

Nuclear receptors (NRs) are key regulators in human health and disease. This review explores novel NR-targeted cancer therapies and resistance mechanisms, focusing on established and emerging targets.

Area of Science:

  • Molecular Biology
  • Oncology
  • Pharmacology

Background:

  • Nuclear receptors (NRs) are crucial transcription factors regulating physiological processes and gene networks.
  • NRs play significant roles in various cancers, leading to therapeutic targeting.
  • Established NR-targeted therapies, like estrogen receptor (ER)α and androgen receptor (AR) blockers, have improved patient survival.

Purpose of the Study:

  • To review NR-based drug discovery in cancer.
  • To discuss resistance mechanisms to current NR-targeted therapies.
  • To highlight novel strategies for targeting both established and emerging NRs in oncology.

Main Methods:

  • Literature review of NR functions in cancer.
  • Analysis of therapeutic strategies targeting NRs.
  • Examination of resistance mechanisms to NR-targeted drugs.
  • Exploration of novel NR targets in immuno-oncology.

Main Results:

  • Drugs targeting ERα and AR have shown efficacy in breast and prostate cancers, respectively.
  • Drug resistance necessitates the development of novel therapeutic approaches.
  • Emerging NRs like liver X receptors, retinoic acid-related orphan receptors, and farnesoid X receptors show promise in immuno-oncology.

Conclusions:

  • Targeting NRs remains a vital strategy in cancer drug discovery.
  • Addressing resistance mechanisms is crucial for improving treatment outcomes.
  • Exploring novel NRs offers new avenues for cancer therapy, particularly in immuno-oncology.

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