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Roles of AKR1C1 in Non-small Cell Lung Cancer
Xinran Zhang1, Qi Zhang1, Yuting Chang1
1Department of Oncology, The Affiliated Taizhou People's Hospital of Nanjing Medical University, 225300 Taizhou, Jiangsu, China.
Abstract:
Lung cancer is associated with high global incidence and mortality, with non-small cell lung cancer (NSCLC) comprising the majority of cases. Although targeted therapies including epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) inhibitors and immunotherapies, such as programmed cell death 1 (PD-1) and programmed death ligand 1 (PD-L1) inhibitors, have advanced NSCLC treatment, approximately 70% of patients, particularly those with lung squamous cell carcinoma (LUSC), lack actionable driver mutations and therefore depend on chemotherapy, which offers limited efficacy and considerable toxicity. Previous studies indicate that aberrant expression of aldo-keto reductase family 1 member C1 (AKR1C1) is strongly associated with tumor progression, invasiveness, and prognosis in several cancers. As AKR1C1 is implicated in ferroptosis, its targeting may modulate ferroptosis pathways and influence proliferation of lung squamous cell carcinoma cells, suggesting a potential therapeutic strategy for LUSC.
Insights
Aberrant aldo-keto reductase 1C1 (AKR1C1) expression is linked to lung squamous cell carcinoma (LUSC) progression. Targeting AKR1C1 may offer a new therapeutic strategy for LUSC by modulating ferroptosis.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Non-small cell lung cancer (NSCLC), particularly lung squamous cell carcinoma (LUSC), has high global incidence and mortality.
- Current targeted therapies and immunotherapies are ineffective for a majority of LUSC patients lacking actionable mutations.
- Chemotherapy remains a primary treatment for LUSC but has limited efficacy and significant toxicity.
Purpose of the Study:
- To investigate the role of aldo-keto reductase family 1 member C1 (AKR1C1) in LUSC.
- To explore the potential of targeting AKR1C1 as a therapeutic strategy for LUSC by modulating ferroptosis.
Main Methods:
- Analysis of aberrant AKR1C1 expression in LUSC.
- Investigating the association between AKR1C1 and tumor progression, invasiveness, and prognosis.
- Exploring the implication of AKR1C1 in ferroptosis pathways.
Main Results:
- Aberrant AKR1C1 expression is strongly associated with tumor progression, invasiveness, and poor prognosis in several cancers, including potentially LUSC.
- AKR1C1 is implicated in ferroptosis, a regulated cell death pathway.
Conclusions:
- Targeting AKR1C1 may represent a novel therapeutic approach for LUSC.
- Modulating ferroptosis pathways via AKR1C1 inhibition could impact LUSC cell proliferation.
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