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Pathophysiological role of growth differentiation factor 15 (GDF15) in obesity, cancer, and cachexia
Jawed Akhtar Siddiqui1, Ramesh Pothuraju2, Parvez Khan2
1Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, NE 68198, USA; Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE 68198, USA.
Abstract:
Growth differentiation factor 15 or macrophage inhibitory cytokine-1 (GDF15/MIC-1) is a divergent member of the transforming growth factor β superfamily and has a diverse pathophysiological roles in cancers, cardiometabolic disorders, and other diseases. GDF15 controls hematopoietic growth, energy homeostasis, adipose tissue metabolism, body growth, bone remodeling, and response to stress signals. The role of GDF15 in cancer development and progression is complicated and depends on the specific cancer type, stage, and tumor microenvironment. Recently, research on GDF15 and GDF15-associated signaling has accelerated due to the identification of the GDF15 receptor: glial cell line-derived neurotrophic factor (GDNF) family receptor α-like (GFRAL). Therapeutic interventions to target GDF15 and/or GFRAL revealed the mechanisms that drive its activity and might improve overall outcomes of patients with metabolic disorders and cancer. This review highlights the structure and functions of GDF15 and its receptor, emphasizing the pleiotropic role of GDF15 in obesity, tumorigenesis, metastasis, immunomodulation, and cachexia.
Insights
Growth Differentiation Factor 15 (GDF15) plays complex roles in diseases like cancer and metabolic disorders. Its receptor, GFRAL, offers new therapeutic targets for improving patient outcomes.
Area of Science:
- Molecular Biology
- Endocrinology
- Oncology
Background:
- Growth Differentiation Factor 15 (GDF15), also known as Macrophage Inhibitory Cytokine-1 (MIC-1), is a unique member of the TGF-β superfamily.
- GDF15 influences critical physiological processes including energy homeostasis, metabolism, growth, and stress responses.
Purpose of the Study:
- To review the structure and multifaceted functions of GDF15 and its receptor, GFRAL.
- To emphasize GDF15's roles in obesity, cancer, metastasis, immunomodulation, and cachexia.
Main Methods:
- Literature review focusing on GDF15 and GFRAL research.
- Analysis of GDF15's pathophysiological roles across various diseases.
Main Results:
- GDF15 exhibits diverse roles in cancer development and progression, contingent on cancer type, stage, and microenvironment.
- Identification of GFRAL as the GDF15 receptor has spurred research into GDF15-associated signaling pathways.
- Therapeutic targeting of GDF15/GFRAL pathways shows promise for metabolic disorders and cancer treatment.
Conclusions:
- GDF15 is a key regulator with pleiotropic effects in metabolic diseases and cancer.
- Understanding GDF15-GFRAL interactions is crucial for developing novel therapeutic strategies.
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