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Targeting MYC: Multidimensional regulation and therapeutic strategies in oncology
Yingying Duan1,2, Zhaoshuo Liu1,2, Qilin Wang1,2
1School of Engineering Medicine, Beihang University, Beijing 100191, China.
Abstract:
MYC is dysregulated in approximately 70% of human cancers, strongly suggesting its essential function in cancer. MYC regulates many biological processes, such as cell cycle, metabolism, cellular senescence, apoptosis, angiogenesis, and immune escape. MYC plays a central role in carcinogenesis and is a key regulator of tumor development and drug resistance. Therefore, MYC is one of the most alluring therapeutic targets for developing cancer drugs. Although the search for direct inhibitors of MYC is challenging, MYC cannot simply be assumed to be undruggable. Targeting the MYC-MAX complex has been an effective method for directly targeting MYC. Alternatively, indirect targeting of MYC represents a more pragmatic therapeutic approach, mainly including inhibition of the transcriptional or translational processes of MYC, destabilization of the MYC protein, and blocking genes that are synthetically lethal with MYC overexpression. In this review, we delineate the multifaceted roles of MYC in cancer progression, highlighting a spectrum of therapeutic strategies and inhibitors for cancer therapy that target MYC, either directly or indirectly.
Insights
MYC is a key driver in most cancers, regulating critical cell functions. This review explores direct and indirect therapeutic strategies to target MYC for effective cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- MYC dysregulation is implicated in ~70% of human cancers.
- MYC controls essential biological processes including cell cycle, metabolism, apoptosis, and immune escape.
- MYC is a central regulator of carcinogenesis, tumor development, and drug resistance.
Purpose of the Study:
- To review the multifaceted roles of MYC in cancer progression.
- To highlight therapeutic strategies targeting MYC in cancer therapy.
- To discuss direct and indirect approaches for MYC inhibition.
Main Methods:
- Literature review of MYC's role in cancer.
- Analysis of direct MYC targeting strategies (e.g., MYC-MAX complex).
- Exploration of indirect MYC targeting approaches (transcriptional/translational inhibition, protein destabilization, synthetic lethality).
Main Results:
- MYC's extensive involvement in cancer pathogenesis is confirmed.
- Direct targeting of MYC, while challenging, is feasible via complexes like MYC-MAX.
- Indirect strategies offer pragmatic therapeutic avenues for MYC-driven cancers.
Conclusions:
- MYC is a critical and druggable target in oncology.
- A range of therapeutic strategies, both direct and indirect, are being developed to combat MYC-driven cancers.
- Targeting MYC holds significant promise for future cancer therapies.
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