The expression and role of trefoil factors in human tumors

Yifan Zhang1, Yang Liu1,2, Lei Wang3

  • 1Institute of Digestive Diseases, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China.

Insights

Trefoil factor (TFF) peptides have dual roles in cancer, potentially promoting or inhibiting tumor growth. Further research is needed to clarify their function, diagnostic potential, and therapeutic applications in oncology.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Trefoil factor (TFF) peptides are small secreted proteins with a stable trefoil structure, comprising TFF1, TFF2, and TFF3.
  • Initially identified in gastrointestinal mucosa, TFFs are also found in other tissues and play roles in mucosal protection and epithelial repair.
  • TFFs are increasingly implicated in various human cancers, with expression levels often correlating with malignancy and patient prognosis.

Purpose of the Study:

  • To review the current understanding of Trefoil factor (TFF) family expression and their roles in human tumors.
  • To investigate the contradictory findings regarding TFFs' function as either tumor promoters or suppressors.
  • To explore the potential of TFFs as diagnostic biomarkers or therapeutic targets in oncology.

Main Methods:

  • Literature review of studies on TFF expression in various cancers.
  • Analysis of research investigating the functional roles of TFFs in tumorigenesis, metastasis, and apoptosis.
  • Synthesis of data on the correlation between TFF levels and clinical outcomes.

Main Results:

  • TFF expression is frequently upregulated in tumors like gastric, colon, liver, breast, and prostate cancers, correlating with poor prognosis.
  • TFFs can promote cancer progression by enhancing proliferation, invasion, metastasis, and angiogenesis, while inhibiting apoptosis.
  • Conversely, some studies report TFF downregulation in certain cancers, suggesting a tumor-suppressive role via inhibiting proliferation and promoting apoptosis.

Conclusions:

  • The role of Trefoil factor (TFF) peptides in cancer is complex and context-dependent, acting as both tumor promoters and suppressors.
  • The precise regulatory mechanisms and clinical significance of TFFs in human tumors require further elucidation.
  • TFFs present a potential avenue for future research into novel diagnostic biomarkers and therapeutic strategies for cancer treatment.

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