Targeting Estrogens and Various Estrogen-Related Receptors against Non-Small Cell Lung Cancers: A Perspective
Radhashree Maitra1,2, Parth Malik3, Tapan Kumar Mukherjee4
1Department of Biology, Yeshiva University, 500 W 185th Street, New York, NY 10032, USA.
Abstract:
Non-small cell lung cancers (NSCLCs) account for ~85% of lung cancer cases worldwide. Mammalian lungs are exposed to both endogenous and exogenous estrogens. The expression of estrogen receptors (ERs) in lung cancer cells has evoked the necessity to evaluate the role of estrogens in the disease progression. Estrogens, specifically 17β-estradiol, promote maturation of several tissue types including lungs. Recent epidemiologic data indicate that women have a higher risk of lung adenocarcinoma, a type of NSCLC, when compared to men, independent of smoking status. Besides ERs, pulmonary tissues both in healthy physiology and in NSCLCs also express G-protein-coupled ERs (GPERs), epidermal growth factor receptor (EGFRs), estrogen-related receptors (ERRs) and orphan nuclear receptors. Premenopausal females between the ages of 15 and 50 years synthesize a large contingent of estrogens and are at a greater risk of developing NSCLCs. Estrogen-ER/GPER/EGFR/ERR-mediated activation of various cell signaling molecules regulates NSCLC cell proliferation, survival and apoptosis. This article sheds light on the most recent achievements in the elucidation of sequential biochemical events in estrogen-activated cell signaling pathways involved in NSCLC severity with insight into the mechanism of regulation by ERs/GPERs/EGFRs/ERRs. It further discusses the success of anti-estrogen therapies against NSCLCs.
Insights
Estrogens and their receptors (ERs, GPERs, EGFRs, ERRs) play a key role in non-small cell lung cancer (NSCLC) progression, particularly in women. Targeting these pathways with anti-estrogen therapies shows promise for NSCLC treatment.
Area of Science:
- Oncology
- Endocrinology
- Molecular Biology
Background:
- Non-small cell lung cancer (NSCLC) is the most common type of lung cancer globally.
- Estrogen exposure and the presence of estrogen receptors (ERs) in lung tissues suggest a role for estrogens in NSCLC development and progression.
- Women, especially premenopausal individuals, exhibit a higher risk for lung adenocarcinoma, a subtype of NSCLC.
Purpose of the Study:
- To elucidate the role of estrogens and their associated receptors (ERs, GPERs, EGFRs, ERRs) in NSCLC pathogenesis.
- To investigate the cell signaling pathways activated by estrogens in NSCLC.
- To review the efficacy of anti-estrogen therapies in managing NSCLC.
Main Methods:
- Review of current literature on estrogen signaling in NSCLC.
- Analysis of epidemiological data regarding sex-based differences in NSCLC risk.
- Examination of molecular mechanisms involving ERs, GPERs, EGFRs, and ERRs in NSCLC cell signaling.
Main Results:
- Estrogen-ER/GPER/EGFR/ERR signaling pathways significantly influence NSCLC cell proliferation, survival, and apoptosis.
- Premenopausal women are at increased risk due to higher endogenous estrogen levels.
- Epidemiological studies confirm a higher incidence of lung adenocarcinoma in women, independent of smoking.
Conclusions:
- Estrogen signaling pathways are critical regulators of NSCLC progression.
- Understanding these pathways provides insights into targeted therapeutic strategies.
- Anti-estrogen therapies demonstrate potential efficacy in treating NSCLC.
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