Targeting O-GlcNAcylation in cancer therapeutic resistance: The sugar Saga continues

Lulu Chen1, Mengxue Hu2, Luojun Chen2

  • 1Cancer Center, Renmin Hospital of Wuhan University, Wuhan, 430060, China; Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, 20057, USA.

Cancer Letters
|February 24, 2024
PubMed

Insights

O-linked-N-acetylglucosaminylation (O-GlcNAcylation) is a key nutrient sensor influencing cancer progression and therapy resistance. Targeting this modification shows promise for enhancing cancer treatment efficacy.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cancer Research

Background:

  • O-linked-N-acetylglucosaminylation (O-GlcNAcylation) is a dynamic post-translational modification (PTM) crucial for cellular processes.
  • O-GlcNAcylation integrates signals from major metabolic pathways, acting as a nutrient sensor.
  • This PTM influences cancer progression, epigenetic regulation, and therapeutic resistance.

Purpose of the Study:

  • To systematically outline the mechanisms by which O-GlcNAcylation impacts cancer therapy resistance.
  • To discuss the therapeutic potential and challenges of targeting O-GlcNAcylation in cancer treatment.

Main Methods:

  • Literature review and synthesis of existing research on O-GlcNAcylation in cancer.
  • Analysis of O-GlcNAcylation's role in cellular signaling, metabolism, and tumor microenvironment.
  • Evaluation of current strategies targeting O-GlcNAcylation for cancer therapy.

Main Results:

  • O-GlcNAcylation modulates crucial cancer hallmarks including drug efflux, targeting, metabolism, genome stability, EMT, stemness, apoptosis, autophagy, and cell cycle.
  • It influences the tumor microenvironment and immune response.
  • Preclinical studies show O-GlcNAcylation inhibitors enhance therapeutic efficacy.

Conclusions:

  • O-GlcNAcylation is a significant factor in cancer therapy resistance.
  • Targeting O-GlcNAcylation presents a promising therapeutic strategy for improving cancer treatment outcomes.
  • Further research and clinical evaluation are needed to overcome challenges in targeting O-GlcNAcylation.

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