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Author Spotlight: Unveiling the Role of TMOD3 in Platinum Resistance and Immune Infiltration in Ovarian Cancer
Published on: August 2, 2024
Deubiquitinases in Ovarian Cancer: Role in Drug Resistance and Tumor Aggressiveness
Giovanni Luca Beretta1, Matteo Costantino1, Luca Mirra1
1Molecular Pharmacology Unit, Department of Experimental Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Amadeo 42, 20133 Milan, Italy.
Abstract:
Ovarian cancer is a lethal disease due to late diagnosis and occurrence of drug resistance that limits the efficacy of platinum-based therapy. Drug resistance mechanisms include both tumor intrinsic and tumor microenvironment-related factors. A role for deubiquitinases (DUBs) is starting to emerge in ovarian cancer. DUBs are a large family of enzymes that remove ubiquitin from target proteins and participate in processes affecting drug resistance such as DNA damage repair and apoptosis. Besides, DUBs modulate the functions of T cell populations favoring an immune suppressed microenvironment. Three DUBs are proteasome-associated, whereas the large majority are not. Among the former DUBs, USP14 has been proposed to modulate transcription factors such as Bcl6 and BACH1. In addition, RPN11/PSMD14 interferes with various processes including epithelial mesenchymal transition, also favored by non-proteasomal DUBs such as USP1 by acting on Snail. Besides, USP8 by stabilizing HER family receptors can confer drug resistance. Overall, DUBs appear to be druggable, with several inhibitors under development. Based on DUBs biological role, DUBs targeting appears promising in view of combination strategies involving different therapeutic approaches. Here, we summarize the relevance of DUBs in ovarian carcinoma and provide insights into future challenges for the treatment of this disease.
Insights
Deubiquitinases (DUBs) are emerging as key players in ovarian cancer drug resistance and immune suppression. Targeting DUBs offers promising therapeutic strategies for this lethal disease.
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- Ovarian cancer is a deadly disease often diagnosed late, with platinum-based therapies frequently failing due to drug resistance.
- Drug resistance in ovarian cancer arises from both tumor-intrinsic factors and the tumor microenvironment.
- Deubiquitinases (DUBs), enzymes that remove ubiquitin, are increasingly recognized for their roles in cancer progression and drug resistance.
Purpose of the Study:
- To summarize the critical role of DUBs in ovarian carcinoma.
- To explore how DUBs contribute to drug resistance and immune suppression in ovarian cancer.
- To provide insights into future therapeutic strategies targeting DUBs.
Main Methods:
- Literature review and synthesis of existing research on DUBs in ovarian cancer.
- Analysis of DUBs' involvement in DNA damage repair, apoptosis, and immune modulation.
- Examination of specific DUBs (e.g., USP14, RPN11/PSMD14, USP1, USP8) and their mechanisms in conferring drug resistance.
Main Results:
- DUBs influence DNA damage repair and apoptosis, processes critical for drug resistance.
- Certain DUBs modulate T cell populations, contributing to an immunosuppressive tumor microenvironment.
- Specific DUBs like USP14, RPN11/PSMD14, USP1, and USP8 are implicated in mechanisms driving ovarian cancer drug resistance.
Conclusions:
- DUBs are crucial regulators of processes underlying ovarian cancer drug resistance and immune evasion.
- DUBs are druggable targets, with inhibitors currently under development.
- Targeting DUBs, particularly in combination therapies, presents a promising future direction for treating ovarian cancer.
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