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Targeting SHP2: Dual breakthroughs in colorectal cancer therapy-from signaling pathway modulation to immune
1Department of Pathology, Zhejiang Cancer Hospital, Hangzhou 310022, Zhejiang Province, China.
Abstract:
SHP2 is the first identified oncogenic tyrosine phosphatase that promotes colorectal cancer (CRC) progression, and it is consistently overexpressed in CRC. It facilitates CRC oncogenesis by mediating downstream signaling cascades of receptor tyrosine kinases, including the RAS/ERK, JAK/STAT, and PI3K/AKT pathways, which are clinically associated with poor prognosis. Furthermore, SHP2 orchestrates immunosuppressive signaling networks by impairing cytotoxic T cell infiltration and changing the phenotype of tumor-associated macrophages within the tumor microenvironment (TME). Targeting SHP2 represents a dual therapeutic strategy in CRC: It concurrently regulates RTK signaling and reprograms the immunosuppressive TME. SHP2 inhibitors, administered both as monotherapy and in combination regimens, have advanced into clinical trial phases. Consequently, SHP2 serves as both a molecular target for precision oncology and an immunomodulatory node, positioning it as a high-priority candidate for CRC treatment.
Insights
Targeting SHP2 (a tyrosine phosphatase) offers a dual strategy for colorectal cancer (CRC) treatment by regulating tumor growth signaling and reprogramming the tumor microenvironment. SHP2 inhibitors are advancing in clinical trials for CRC therapy.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- SHP2 is an oncogenic tyrosine phosphatase overexpressed in colorectal cancer (CRC).
- SHP2 promotes CRC progression by mediating receptor tyrosine kinase (RTK) signaling pathways (RAS/ERK, JAK/STAT, PI3K/AKT).
- SHP2 contributes to an immunosuppressive tumor microenvironment (TME) by affecting T cell infiltration and tumor-associated macrophages.
Purpose of the Study:
- To highlight SHP2 as a dual therapeutic target in CRC.
- To emphasize SHP2's role in both RTK signaling and TME modulation.
- To underscore the clinical relevance of SHP2 inhibitors in CRC treatment.
Main Methods:
- Review of SHP2's role in CRC oncogenesis and TME.
- Analysis of SHP2's involvement in key signaling pathways.
- Evaluation of SHP2 inhibitors in preclinical and clinical settings.
Main Results:
- SHP2 overexpression is linked to poor prognosis in CRC patients.
- Targeting SHP2 simultaneously impacts oncogenic signaling and the TME.
- SHP2 inhibitors show promise as monotherapy and combination treatments.
Conclusions:
- SHP2 is a critical molecular target for precision oncology in CRC.
- SHP2 acts as an immunomodulatory node, making it a high-priority target for CRC therapy.
- SHP2 inhibitors represent a promising therapeutic strategy for colorectal cancer.
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