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Published on: September 18, 2013
Nuclear Receptors as Potential Therapeutic Targets for Myeloid Leukemia
1Division of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Abstract:
The nuclear receptor (NR) superfamily has been studied extensively in many solid tumors and some receptors have been targeted to develop therapies. However, their roles in leukemia are less clear and vary considerably among different types of leukemia. Some NRs participate in mediating the differentiation of myeloid cells, making them attractive therapeutic targets for myeloid leukemia. To date, the success of all-trans retinoic acid (ATRA) in treating acute promyelocytic leukemia (APL) remains a classical and unsurpassable example of cancer differentiation therapy. ATRA targets retinoic acid receptor (RAR) and forces differentiation and/or apoptosis of leukemic cells. In addition, ligands/agonists of vitamin D receptor (VDR) and peroxisome proliferator-activated receptor (PPAR) have also been shown to inhibit proliferation, induce differentiation, and promote apoptosis of leukemic cells. Encouragingly, combining different NR agonists or the addition of NR agonists to chemotherapies have shown some synergistic anti-leukemic effects. This review will summarize recent research findings and discuss the therapeutic potential of selected NRs in acute and chronic myeloid leukemia, focusing on RAR, VDR, PPAR, and retinoid X receptor (RXR). We believe that more mechanistic studies in this field will not only shed new lights on the roles of NRs in leukemia, but also further expand the clinical applications of existing therapeutic agents targeting NRs.
Insights
Nuclear receptors (NRs) show therapeutic potential in myeloid leukemia. Targeting receptors like RAR, VDR, and PPAR can induce differentiation and apoptosis, offering new treatment strategies.
Area of Science:
- Molecular Biology
- Oncology
- Pharmacology
Background:
- Nuclear receptors (NRs) are well-studied in solid tumors, but their roles in leukemia are less understood.
- Certain NRs are crucial for myeloid cell differentiation, presenting therapeutic opportunities for myeloid leukemias.
- All-trans retinoic acid (ATRA) therapy for acute promyelocytic leukemia (APL) exemplifies successful NR-targeted differentiation therapy.
Purpose of the Study:
- To review recent findings on the therapeutic potential of specific NRs in acute and chronic myeloid leukemia.
- To focus on the roles of retinoic acid receptor (RAR), vitamin D receptor (VDR), peroxisome proliferator-activated receptor (PPAR), and retinoid X receptor (RXR).
Main Methods:
- Literature review of recent research findings on NRs in myeloid leukemia.
- Analysis of studies investigating the effects of NR agonists on leukemic cells.
- Discussion of therapeutic strategies involving NR agonists, alone or in combination therapies.
Main Results:
- NRs like RAR, VDR, and PPAR can inhibit proliferation, induce differentiation, and promote apoptosis in leukemic cells.
- Combining different NR agonists or adding them to chemotherapy can yield synergistic anti-leukemic effects.
- The success of ATRA in APL highlights the potential of NR-targeted differentiation therapy.
Conclusions:
- Selected NRs (RAR, VDR, PPAR, RXR) hold significant therapeutic promise for myeloid leukemias.
- Further mechanistic studies are needed to fully elucidate NR functions in leukemia.
- Expanded research could lead to broader clinical applications of existing NR-targeting agents.
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