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Published on: November 19, 2019
The Role of REV-ERB Receptors in Cancer Pathogenesis
Georgia Gomatou1, Anastasia Karachaliou1, Orsalia-Zoi Veloudiou1
1Oncology Unit, Third Department of Medicine, "Sotiria" General Hospital for Diseases of the Chest, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
Abstract:
REV-ERB receptors are members of the nuclear receptor superfamily of proteins, which act as both intracellular receptors and transcription factors, therefore modulating the expression of target genes. REV-ERBs act as transcription repressors because of their unique structure. Their predominant role involves the control of peripheral circadian rhythmicity by participating in a transcription-translation feedback loop with other major clock genes. Regarding their role in cancer pathogenesis, recent studies in various cancerous tissues have revealed that their expression was downregulated in the majority of the cases. Dysregulation of their expression was also implicated in cancer-associated cachexia. The pharmacological restoration of their effects is feasible with synthetic agonists, which have been explored in preclinical studies but with scarce data. There is a need for further investigation, primarily with mechanistic studies, on the effect of the REV-ERB-induced circadian rhythm deregulation in carcinogenesis and cancer-related systemic effects, such as cachexia, in order to address the potential of relevant therapeutic implications.
Insights
REV-ERB receptors regulate circadian rhythms and gene expression. Their downregulation is linked to cancer and cachexia, suggesting potential therapeutic targets for these conditions.
Area of Science:
- Molecular Biology
- Chronobiology
- Cancer Research
Background:
- REV-ERB receptors are nuclear receptors and transcription factors regulating gene expression.
- They play a key role in peripheral circadian rhythmicity through feedback loops with clock genes.
- REV-ERB expression is often downregulated in various cancers and linked to cancer-associated cachexia.
Purpose of the Study:
- To review the role of REV-ERB receptors in cancer pathogenesis and associated systemic effects.
- To highlight the potential of pharmacological restoration of REV-ERB activity.
- To identify the need for further mechanistic studies on REV-ERB-mediated circadian deregulation in cancer.
Main Methods:
- Review of existing literature on REV-ERB receptors, circadian rhythms, and cancer.
- Analysis of studies reporting REV-ERB expression levels in cancerous tissues.
- Examination of preclinical data on synthetic REV-ERB agonists.
Main Results:
- REV-ERB expression is downregulated in the majority of studied cancer types.
- Dysregulation of REV-ERBs is implicated in the development of cancer-associated cachexia.
- Synthetic agonists show potential for restoring REV-ERB function, but data is limited.
Conclusions:
- REV-ERB receptors are critical regulators of circadian rhythms with implications in cancer.
- Further mechanistic research is needed to understand REV-ERB's role in carcinogenesis and cachexia.
- Targeting REV-ERBs may offer novel therapeutic strategies for cancer and related systemic complications.
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