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Autotaxin-Lysophosphatidate Axis: Promoter of Cancer Development and Possible Therapeutic Implications
Carmelo Laface1, Angela Dalia Ricci1, Simona Vallarelli1
1Medical Oncology Unit, National Institute of Gastroenterology, IRCCS "S. de Bellis" Research Hospital, 70013 Castellana Grotte, Italy.
Abstract:
Autotaxin (ATX) is a member of the ectonucleotide pyrophosphate/phosphodiesterase (ENPP) family; it is encoded by the ENPP2 gene. ATX is a secreted glycoprotein and catalyzes the hydrolysis of lysophosphatidylcholine to lysophosphatidic acid (LPA). LPA is responsible for the transduction of various signal pathways through the interaction with at least six G protein-coupled receptors, LPA Receptors 1 to 6 (LPAR1-6). The ATX-LPA axis is involved in various physiological and pathological processes, such as angiogenesis, embryonic development, inflammation, fibrosis, and obesity. However, significant research also reported its connection to carcinogenesis, immune escape, metastasis, tumor microenvironment, cancer stem cells, and therapeutic resistance. Moreover, several studies suggested ATX and LPA as relevant biomarkers and/or therapeutic targets. In this review of the literature, we aimed to deepen knowledge about the role of the ATX-LPA axis as a promoter of cancer development, progression and invasion, and therapeutic resistance. Finally, we explored its potential application as a prognostic/predictive biomarker and therapeutic target for tumor treatment.
Insights
Autotaxin (ATX) and lysophosphatidic acid (LPA) drive cancer growth, spread, and treatment resistance. Targeting the ATX-LPA axis offers potential as a cancer biomarker and therapeutic strategy.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Autotaxin (ATX), an ENPP2 gene product, hydrolyzes lysophosphatidylcholine to lysophosphatidic acid (LPA).
- The ATX-LPA axis influences numerous physiological and pathological processes, including cancer.
- LPA signals through G protein-coupled receptors (LPAR1-6), impacting cellular functions.
Purpose of the Study:
- To review the literature on the ATX-LPA axis in cancer.
- To elucidate the role of ATX-LPA in cancer development, progression, invasion, and therapeutic resistance.
- To explore the potential of ATX-LPA as a biomarker and therapeutic target.
Main Methods:
- Literature review of scientific articles.
- Analysis of studies on the ATX-LPA axis in cancer.
- Synthesis of findings regarding cancer promotion and therapeutic resistance.
Main Results:
- The ATX-LPA axis promotes cancer development, immune escape, metastasis, and the tumor microenvironment.
- It is implicated in cancer stem cell characteristics and therapeutic resistance.
- ATX and LPA show potential as biomarkers and therapeutic targets.
Conclusions:
- The ATX-LPA axis is a significant factor in cancer progression and resistance.
- Targeting this axis presents a promising avenue for cancer diagnostics and therapeutics.
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