Insights into targeting LKB1 in tumorigenesis
Charles B Trelford1,2, Trevor G Shepherd1,2,3,4
1The Mary & John Knight Translational Ovarian Cancer Research Unit, London Regional Cancer Program, London, ON N6A 4L6, Canada.
Abstract:
Genetic alterations to serine-threonine kinase 11 (STK11) have been implicated in Peutz-Jeghers syndrome and tumorigenesis. Further exploration of the context-specific roles of liver kinase B1 (LKB1; encoded by STK11) observed that it regulates AMP-activated protein kinase (AMPK) and AMPK-related kinases. Given that both migration and proliferation are enhanced with the loss of LKB1 activity combined with the prevalence of STK11 genetic alterations in cancer biopsies, LKB1 was marked as a tumor suppressor. However, the role of LKB1 in tumorigenesis is paradoxical as LKB1 activates autophagy and reactive oxygen species scavenging while dampening anoikis, which contribute to cancer cell survival. Due to the pro-tumorigenic properties of LKB1, targeting LKB1 pathways is now relevant for cancer treatment. With the recent successes of targeting LKB1 signaling in research and clinical settings, and enhanced cytotoxicity of chemical compounds in LKB1-deficient tumors, there is now a need for LKB1 inhibitors. However, validating LKB1 inhibitors is challenging as LKB1 adaptor proteins, nucleocytoplasmic shuttling, and splice variants all manipulate LKB1 activity. Furthermore, STE-20-related kinase adaptor protein (STRAD) and mouse protein 25 dictate LKB1 cellular localization and kinase activity. For these reasons, prior to assessing the efficacy and potency of pharmacological candidates, the functional status of LKB1 needs to be defined. Therefore, to improve the understanding of LKB1 in physiology and oncology, this review highlights the role of LKB1 in tumorigenesis and addresses the therapeutic relevancy of LKB1 inhibitors.
Insights
Genetic alterations in serine-threonine kinase 11 (STK11), which encodes liver kinase B1 (LKB1), play a paradoxical role in cancer. This review highlights LKB1
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Genetic alterations in serine-threonine kinase 11 (STK11) are linked to Peutz-Jeghers syndrome and tumorigenesis.
- Liver kinase B1 (LKB1), encoded by STK11, regulates AMP-activated protein kinase (AMPK) and influences cell migration and proliferation.
- LKB1's role in tumorigenesis is paradoxical, as it promotes cancer cell survival through autophagy and reactive oxygen species scavenging while dampening anoikis.
Purpose of the Study:
- To review the multifaceted role of LKB1 in tumorigenesis.
- To address the therapeutic relevance of LKB1 inhibitors in cancer treatment.
- To highlight the challenges in validating LKB1 inhibitors due to regulatory factors.
Main Methods:
- Literature review of STK11 and LKB1 roles in cancer.
- Analysis of LKB1's paradoxical functions in cancer cell survival and proliferation.
- Discussion of factors affecting LKB1 activity and inhibitor validation.
Main Results:
- LKB1 exhibits both tumor-suppressive and pro-tumorigenic properties.
- Targeting LKB1 pathways is a relevant strategy for cancer treatment.
- Development of effective LKB1 inhibitors is hindered by complex regulatory mechanisms.
Conclusions:
- Understanding LKB1's functional status is crucial before assessing pharmacological inhibitors.
- Further research is needed to overcome challenges in LKB1 inhibitor development and validation.
- LKB1 inhibitors hold promise for cancer therapy, necessitating a deeper understanding of LKB1 biology.
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