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O‑GlcNAcylation as an emerging molecular target for cholangiocarcinoma therapy (Review)
Purin Charoensuksai1, Siwanon Jirawatnotai2
1Department of Biomedicine and Health Informatics, Faculty of Pharmacy, Silpakorn University, Nakhon Pathom 73000, Thailand.
Abstract:
Aberrant O‑GlcNAcylation and the upregulation of O‑GlcNAc transferase (OGT) are key contributors to cancer pathogenesis and progression, driving hyperproliferative states and metastatic phenotypes. Targeting OGT may suppress cancer progression, positioning OGT and O‑GlcNAc signaling as compelling targets in cancer research. Cholangiocarcinoma (CCA), a rare yet highly aggressive malignancy of the bile duct system, represents a clinical challenge, underscored by its rising global mortality, poor survival outcomes and high recurrence rate, despite advances in awareness, diagnostics and therapeutic strategies. Consequently, there is need for novel therapeutic modalities. Hyperactive O‑GlcNAcylation and upregulation of OGT are observed in CCA, therefore, targeting protein O‑GlcNAcylation may have clinical potential. The present review aimed to summarize the impact of O‑GlcNAcylation on CCA and CCA‑relevant hallmarks of cancer including cell proliferation, metastasis, metabolic reprogramming, angiogenesis, programmed cell death and tumor‑associated inflammation. In areas where direct evidence in CCA is limited, insights from other gastrointestinal tract cancers may identify potential mechanistic connections, offering a broader context to guide future investigation. Furthermore, the viability of OGT and O‑GlcNAcylation as therapeutic targets is discussed.
Insights
Aberrant O-GlcNAcylation and O-GlcNAc transferase (OGT) drive cancer progression. Targeting OGT and O-GlcNAc signaling shows promise for treating cholangiocarcinoma and other cancers.
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- Aberrant O-GlcNAcylation and O-GlcNAc transferase (OGT) upregulation are implicated in cancer pathogenesis.
- Cholangiocarcinoma (CCA) is an aggressive bile duct cancer with poor outcomes, necessitating novel therapeutic strategies.
- Hyperactive O-GlcNAcylation and OGT upregulation are observed in CCA.
Purpose of the Study:
- To review the impact of O-GlcNAcylation on CCA and cancer hallmarks.
- To explore potential mechanistic connections using insights from other gastrointestinal cancers.
- To discuss the therapeutic potential of targeting OGT and O-GlcNAcylation in CCA.
Main Methods:
- Literature review of O-GlcNAcylation in cancer.
- Analysis of OGT's role in cancer hallmarks like proliferation and metastasis.
- Synthesis of findings from CCA and related gastrointestinal cancers.
Main Results:
- O-GlcNAcylation influences cancer hallmarks including proliferation, metastasis, metabolism, angiogenesis, cell death, and inflammation.
- OGT and O-GlcNAc signaling are critical drivers in CCA pathogenesis.
- Insights from other cancers provide context for CCA-specific mechanisms.
Conclusions:
- Targeting OGT and O-GlcNAc signaling represents a viable therapeutic strategy for cholangiocarcinoma.
- Further research is warranted to fully elucidate the role of O-GlcNAcylation in CCA.
- O-GlcNAcylation modulation offers a promising avenue for novel cancer therapies.
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