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Sirtuins as Key Regulators in Pancreatic Cancer: Insights into Signaling Mechanisms and Therapeutic Implications
Surbhi Chouhan1,2, Anil Kumar3, Naoshad Muhammad4
1Lyda Hill Department of Bioinformatics, UT Southwestern Medical Center, Dallas, TX 75235, USA.
Abstract:
Pancreatic ductal adenocarcinoma (PDAC) stands as one of the most lethal cancers, marked by rapid progression, pronounced chemoresistance, and a complex network of genetic and epigenetic dysregulation. Within this challenging context, sirtuins, NAD+-dependent deacetylases, have emerged as pivotal modulators of key cellular processes that drive pancreatic cancer progression. Each sirtuin contributes uniquely to PDAC pathogenesis. SIRT1 influences apoptosis and chemoresistance through hypoxia, enhancing glycolytic metabolism and HIF-1α signaling, which sustain tumor survival against drugs like gemcitabine. SIRT2, conversely, disrupts cancer cell proliferation by inhibiting eIF5A, while SIRT3 exerts tumor-suppressive effects by regulating mitochondrial ROS and glycolysis. SIRT4 inhibits aerobic glycolysis, and its therapeutic upregulation has shown promise in curbing PDAC progression. Furthermore, SIRT5 modulates glutamine and glutathione metabolism, offering an avenue to disrupt PDAC's metabolic dependencies. SIRT6 and SIRT7, through their roles in angiogenesis, EMT, and metastasis, represent additional targets, with modulators of SIRT6, such as JYQ-42, showing potential to reduce tumor invasiveness. This review aims to provide a comprehensive exploration of the emerging roles of sirtuins, a family of NAD+-dependent enzymes, as critical regulators within the oncogenic landscape of pancreatic cancer. This review meticulously explores the nuanced involvement of sirtuins in pancreatic cancer, elucidating their contributions to tumorigenesis and suppression through mechanisms such as metabolic reprogramming, the maintenance of genomic integrity and epigenetic modulation. Furthermore, it emphasizes the urgent need for the development of targeted therapeutic interventions aimed at precisely modulating sirtuin activity, thereby enhancing therapeutic efficacy and optimizing patient outcomes in the context of pancreatic malignancies.
Insights
Sirtuins, NAD+-dependent enzymes, play key roles in pancreatic cancer. Modulating their activity offers new therapeutic strategies for pancreatic ductal adenocarcinoma (PDAC).
Area of Science:
- Oncology
- Biochemistry
- Molecular Biology
Background:
- Pancreatic ductal adenocarcinoma (PDAC) is a lethal cancer with poor treatment outcomes.
- Sirtuins, NAD+-dependent deacetylases, are increasingly recognized as critical regulators in PDAC.
- Dysregulated sirtuin activity contributes to tumor progression, chemoresistance, and metastasis.
Purpose of the Study:
- To comprehensively review the multifaceted roles of sirtuins in pancreatic cancer.
- To elucidate how sirtuins impact tumorigenesis, suppression, and metabolic reprogramming in PDAC.
- To highlight the therapeutic potential of targeting sirtuin activity for improved patient outcomes.
Main Methods:
- Literature review of sirtuin involvement in PDAC.
- Analysis of sirtuin functions in apoptosis, metabolism, and epigenetic regulation.
- Exploration of sirtuin modulators as potential therapeutic agents.
Main Results:
- SIRT1 promotes chemoresistance via hypoxia and glycolysis.
- SIRT2 inhibits proliferation, while SIRT3 and SIRT4 exhibit tumor-suppressive roles.
- SIRT5, SIRT6, and SIRT7 are implicated in metabolic dependencies, angiogenesis, and metastasis.
Conclusions:
- Sirtuins are crucial regulators in pancreatic cancer, influencing diverse oncogenic processes.
- Targeting specific sirtuins presents a promising therapeutic avenue for PDAC.
- Further research into sirtuin modulation is essential for developing effective pancreatic cancer treatments.
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