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Updated: Jun 4, 2025

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Emerging roles of angiopoietin‑like 4 in human tumors (Review)
Ruyi Liu1, Miaomiao Fu1, Pengxiang Chen1
1Department of Radiation Oncology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, P.R. China.
Abstract:
Angiopoietin‑like 4 (ANGPTL4), a member of the angiopoietin family, plays critical roles in angiogenesis, lipid metabolism and inflammation. It has been demonstrated that ANGPTL4 has significant influence on various diseases. Accumulating evidence has highlighted the impacts of ANGPTL4 on human malignancies. ANGPTL4 is commonly overexpressed in various types of cancer, such as breast, non‑small cell lung, gastric and colorectal cancer. Its upregulation promotes tumor growth, invasion, metastasis and angiogenesis, as well as metabolic reprogramming and resistance to programmed cell death, radiotherapy and chemotherapy. However, ANGPTL4 has also exhibited antitumor effects under certain conditions, indicating its complex roles in tumor biology. The transcriptional regulation of ANGPTL4 is influenced by multiple factors, such as HIF‑1, PPARs, TGF‑β and long non‑coding RNAs. In terms of signaling pathways, STATs, PI3K/AKT and COX-2/PGE2 are important in regulating cellular processes. The present review summarizes the biological functions of ANGPTL4 in tumors and its association with patient prognosis. Furthermore, the key molecular mechanisms and potential reasons for its dual roles in cancer are also discussed. In conclusion, ANGPTL4 is a valuable diagnostic biomarker and a potential therapeutic target for human cancers.
Insights
Angiopoietin-like 4 (ANGPTL4) is often overexpressed in cancers, promoting tumor growth and resistance. However, ANGPTL4 also shows antitumor effects, highlighting its complex role and potential as a cancer biomarker and therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Angiopoietin-like 4 (ANGPTL4) is a key regulator in angiogenesis, lipid metabolism, and inflammation.
- ANGPTL4's role in human malignancies is increasingly recognized, with common overexpression in various cancers.
Purpose of the Study:
- To review the biological functions of ANGPTL4 in tumors.
- To discuss its association with patient prognosis and dual roles in cancer.
- To explore its potential as a diagnostic biomarker and therapeutic target.
Main Methods:
- Literature review summarizing existing research on ANGPTL4 in cancer.
- Analysis of ANGPTL4's transcriptional regulation by factors like HIF-1, PPARs, TGF-β, and lncRNAs.
- Examination of signaling pathways including STATs, PI3K/AKT, and COX-2/PGE2.
Main Results:
- ANGPTL4 overexpression promotes tumor growth, invasion, metastasis, angiogenesis, metabolic reprogramming, and resistance to therapy.
- ANGPTL4 exhibits context-dependent antitumor effects, indicating complex roles in tumor biology.
- Multiple factors and signaling pathways regulate ANGPTL4's function in cancer.
Conclusions:
- ANGPTL4 plays a multifaceted role in cancer, acting as both a promoter and inhibitor.
- Understanding ANGPTL4's dual functions is crucial for its clinical application.
- ANGPTL4 represents a promising diagnostic biomarker and therapeutic target for human cancers.
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