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Published on: August 7, 2020
Role of the constitutive androstane receptor (CAR) in human liver cancer
Sarah Da Won Bae1, Romario Nguyen1, Liang Qiao1
1Storr Liver Centre, Westmead Institute for Medical Research, The University of Sydney and Westmead Hospital, Westmead, NSW 2145, Australia.
Background:
The constitutive androstane receptor (CAR) is a member of the nuclear receptor superfamily (subfamily 1, group I, member 3, also known as NR1I3) that is almost exclusively expressed in the liver. CAR interacts with key signalling pathways such as those involved in drug, energy and bilirubin metabolism. In mouse models, activation of CAR leads to tumorigenesis by inducing pro-proliferative and anti-apoptotic signalling. However, many previous reports have shown species differences between CAR activity in animal models and humans. Recent studies have demonstrated that the mode of action of CAR in rodent liver tumorigenesis is not applicable to humans. Despite this, many studies still continue to study the role of CAR in animal models, hence, there is a need to further explore the role of CAR in human diseases particularly cancers. While there is limited evidence for a role of CAR in human cancers, some studies have proposed a tumour-suppressive role of CAR in liver cancer. In addition, recent studies exploring CAR in human livers demonstrated a hepato-protective role for CAR in and more specifically, its ability to drive differentiation and liver regeneration. This review will discuss the role of CAR in liver cancer, with a focus on species differences and its emerging, tumour-suppressive role in liver cancer and its role in the regulation of liver cancer stem cells.
Insights
Constitutive androstane receptor (CAR) plays a complex role in liver cancer. While rodent models suggest CAR promotes tumors, human studies indicate CAR may suppress liver cancer and aid regeneration.
Area of Science:
- Molecular biology
- Hepatology
- Cancer research
Background:
- The constitutive androstane receptor (CAR), a nuclear receptor (NR1I3), is primarily expressed in the liver.
- CAR influences drug, energy, and bilirubin metabolism, and its activation in mice promotes tumorigenesis.
- Significant species differences exist in CAR activity, questioning the applicability of rodent models to human CAR function.
Purpose of the Study:
- To review the role of CAR in human liver cancer, emphasizing species differences.
- To explore the emerging tumor-suppressive functions of CAR in liver cancer.
- To discuss CAR's role in regulating liver cancer stem cells.
Main Methods:
- Review of existing literature on CAR function in animal models and human studies.
- Analysis of studies investigating CAR's role in liver cancer and regeneration.
- Examination of CAR's impact on liver cancer stem cell regulation.
Main Results:
- Rodent models show CAR activation leads to liver tumorigenesis via pro-proliferative and anti-apoptotic signaling.
- Human studies suggest CAR's role in rodent liver tumorigenesis is not applicable.
- Emerging evidence indicates a tumor-suppressive role for CAR in human liver cancer, promoting differentiation and regeneration.
Conclusions:
- CAR's function in liver cancer differs significantly between rodents and humans.
- CAR exhibits a potential tumor-suppressive role in human liver cancer.
- CAR may be crucial for liver regeneration and regulating liver cancer stem cells.
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