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Author Spotlight: Exploring the Role of Ion Channels in Cancer: Characterization and Potential Treatment Approaches
Published on: June 16, 2023
STIM1-mediated calcium signalling in cancer: Its relation to tumour aggressiveness and therapeutic horizons
Songling Fang1, Yan Wang1, Zixian Huang1
1Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Abstract:
Calcium ions (Ca2+), pivotal regulators of tumour progression, drive cancer metastasis and therapy resistance via STIM1-mediated store-operated calcium entry (SOCE). This review focuses on the role of STIM1 and SOCE-mediated calcium signalling in various cancer types, with particular emphasis on oral cancer as a key area of our research, and future research directions in these areas are proposed. Specifically, this review reveals the mechanism by which the STIM1/Orai1 complex activates calmodulin (CaM)-dependent effectors to promote epithelial-mesenchymal transition (EMT) and remodelling of the cytoskeleton and immunosuppressive microenvironment. Clinically, STIM1 overexpression is correlated with advanced tumour stage, chemoresistance, and a poor prognosis, highlighting its dual role as a prognostic biomarker and therapeutic target. Although preclinical studies have demonstrated that calcium release-activated calcium (CRAC) channel inhibitors suppress tumour growth, challenges such as calcium signalling complexity and tissue-specific toxicity persist. Future research should integrate emerging technologies and systematic approaches to clarify the mechanisms underlying the dynamic regulation of calcium signalling networks, which will ultimately accelerate their clinical translation and therapeutic application.
Insights
Store-operated calcium entry (SOCE) regulated by STIM1 drives cancer metastasis and resistance. Targeting STIM1/Orai1 calcium channels offers a promising therapeutic strategy for various cancers, including oral cancer.
Area of Science:
- Oncology
- Cell Biology
- Biochemistry
Background:
- Calcium ions (Ca2+) are crucial regulators of tumor progression, influencing metastasis and therapy resistance.
- STIM1-mediated store-operated calcium entry (SOCE) plays a pivotal role in these processes.
- Dysregulated calcium signaling is increasingly recognized in various cancers, particularly oral cancer.
Purpose of the Study:
- To review the role of STIM1 and SOCE-mediated calcium signaling in cancer progression.
- To elucidate the mechanisms by which STIM1/Orai1 promotes epithelial-mesenchymal transition (EMT) and alters the tumor microenvironment.
- To discuss the clinical implications of STIM1 as a prognostic biomarker and therapeutic target.
Main Methods:
- Literature review focusing on STIM1, SOCE, and calcium signaling in cancer.
- Analysis of mechanisms involving the STIM1/Orai1 complex, calmodulin (CaM), and downstream effectors.
- Examination of clinical correlations between STIM1 overexpression and patient outcomes.
Main Results:
- STIM1 overexpression correlates with advanced tumor stage, chemoresistance, and poor prognosis in cancer patients.
- The STIM1/Orai1 complex activates CaM-dependent pathways promoting EMT, cytoskeletal remodeling, and an immunosuppressive tumor microenvironment.
- Preclinical studies show CRAC channel inhibitors can suppress tumor growth.
Conclusions:
- STIM1 is a significant factor in cancer metastasis and therapy resistance, acting as both a prognostic biomarker and therapeutic target.
- Targeting STIM1/Orai1-mediated calcium signaling presents a viable therapeutic strategy for cancer treatment.
- Further research integrating advanced technologies is needed to overcome challenges and accelerate clinical translation of calcium signaling modulators.
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