Nuclear Receptors as Potential Therapeutic Targets for Myeloid Leukemia

Pan Pan1, Xiao Chen1

  • 1Division of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA.

Cells
|August 23, 2020
PubMed

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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