NLRs in tumor chemotherapy resistance: A double-edged sword

Lili Sun1, Yanmei Zhu2, Yuan Yuan3

  • 1Department of Pathology, Cancer Hospital of China Medical University (Cancer Hospital of Dalian University of Technology, Liaoning Cancer Hospital & Institute), Shenyang, 110042, China; Tumor Etiology and Screening Department of Cancer Institute and General Surgery, The First Hospital of China Medical University, Shenyang, 110001, China; Key Laboratory of Cancer Etiology and Prevention in Liaoning Education Department, The First Hospital of China Medical University, Shenyang, 110001, China; Key Laboratory of GI Cancer Etiology and Prevention in Liaoning Province, The First Hospital of China Medical University, Shenyang, 110001, China.

PubMed

Insights

Nucleotide-binding oligomerization domain (NOD)-like receptors (NLRs) act as a double-edged sword in cancer, influencing tumor growth and chemotherapy resistance. Understanding NLRs offers a promising therapeutic target for improving cancer treatment efficacy.

Area of Science:

  • Immunology
  • Molecular Biology
  • Oncology

Background:

  • Nucleotide-binding oligomerization domain (NOD)-like receptors (NLRs) are cytoplasmic proteins crucial for innate immunity and adaptive immune activation.
  • NLRs regulate major histocompatibility complex (MHC) class I and II genes and are involved in inflammasome signaling pathways.
  • The dual role of NLRs in tumor progression, metastasis, and the tumor microenvironment (TME) is a significant area of research.

Purpose of the Study:

  • To systematically review the influence of the NLR family on chemosensitivity across various malignant tumors.
  • To elucidate the regulatory mechanisms of NLRs' upstream and downstream signaling pathways in cancer.
  • To explore the application value of NLRs as a bidirectional therapeutic target for overcoming chemotherapy resistance.

Main Methods:

  • Systematic literature review focusing on NLRs and cancer chemosensitivity.
  • Analysis of NLRs' roles in tumor development, invasion, and metastasis within the TME.
  • Investigation of signaling pathways modulated by NLRs in the context of chemotherapy resistance.

Main Results:

  • NLRs exhibit a "double-edged sword" effect, potentially promoting or inhibiting tumor growth and chemotherapy resistance.
  • NLRs significantly influence the efficacy of various chemotherapy treatments.
  • Specific NLRs and their associated pathways can be targeted to modulate chemosensitivity.

Conclusions:

  • NLRs represent a promising, yet complex, bidirectional therapeutic target for malignant tumors.
  • Targeting NLRs offers a potential strategy to enhance chemotherapy efficacy and overcome drug resistance.
  • Further research into NLRs' precise roles and regulatory mechanisms is vital for clinical application.

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