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The WNT/ROR Pathway in Cancer: From Signaling to Therapeutic Intervention
Kerstin Menck1,2, Saskia Heinrichs1,2, Cornelia Baden1,2
1Department of Medicine A, Hematology, Oncology, and Pneumology, University Hospital Münster, 48149 Münster, Germany.
Abstract:
The WNT pathway is one of the major signaling cascades frequently deregulated in human cancer. While research had initially focused on signal transduction centered on β-catenin as a key effector activating a pro-tumorigenic transcriptional response, nowadays it is known that WNT ligands can also induce a multitude of β-catenin-independent cellular pathways. Traditionally, these comprise WNT/planar cell polarity (PCP) and WNT/Ca2+ signaling. In addition, signaling via the receptor tyrosine kinase-like orphan receptors (RORs) has gained increasing attention in cancer research due to their overexpression in a multitude of tumor entities. Active WNT/ROR signaling has been linked to processes driving tumor development and progression, such as cell proliferation, survival, invasion, or therapy resistance. In adult tissue, the RORs are largely absent, which has spiked the interest in them for targeted cancer therapy. Promising results in preclinical and initial clinical studies are beginning to unravel the great potential of such treatment approaches. In this review, we summarize seminal findings on the structure and expression of the RORs in cancer, their downstream signaling, and its output in regard to tumor cell function. Furthermore, we present the current clinical anti-ROR treatment strategies and discuss the state-of-the-art, as well as the challenges of the different approaches.
Insights
The WNT/receptor tyrosine kinase-like orphan receptors (ROR) pathway is crucial in cancer, driving tumor progression independently of β-catenin. Targeting WNT/ROR signaling shows promise for novel cancer therapies due to RORs' absence in adult tissues.
Area of Science:
- Oncology
- Molecular Biology
- Signal Transduction
Background:
- The WNT pathway is frequently dysregulated in human cancers.
- While β-catenin-dependent WNT signaling is well-studied, β-catenin-independent pathways like WNT/PCP and WNT/Ca2+ are also activated.
- Receptor tyrosine kinase-like orphan receptors (RORs) mediate WNT signaling and are increasingly recognized for their role in cancer.
Purpose of the Study:
- To review the structure, expression, and signaling of RORs in cancer.
- To explore the role of WNT/ROR signaling in tumor development and progression.
- To summarize current anti-ROR therapeutic strategies and their clinical potential.
Main Methods:
- Literature review of seminal findings on RORs in cancer.
- Analysis of ROR expression patterns in various tumor entities.
- Summary of preclinical and clinical studies on WNT/ROR targeted therapies.
Main Results:
- WNT/ROR signaling is linked to cancer cell proliferation, survival, invasion, and therapy resistance.
- RORs are overexpressed in many tumor types but largely absent in adult tissues, making them attractive therapeutic targets.
- Preclinical and early clinical studies show promising results for anti-ROR treatment approaches.
Conclusions:
- WNT/ROR signaling represents a significant driver of cancer progression.
- Targeting RORs offers a promising strategy for novel cancer therapies.
- Further research and clinical development are needed to overcome challenges in anti-ROR treatment.
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