Targeting tumor-associated G-protein coupled receptors: beyond single-axis inhibition toward multidimensional

Xia Zhou1, Bilin Tan2, Tingting Zhang2,1

  • 1Department of Heart Disease of Traditional Chinese Medicine, Zigong First People's Hospital, Zigong, 643000, China.

Insights

G protein-coupled receptors (GPCRs) are key in tumors but context-dependent. New multi-dimensional strategies are needed to overcome limitations of current cancer therapies targeting GPCRs.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • G protein-coupled receptors (GPCRs) are crucial in tumor signaling and microenvironment regulation.
  • GPCR functions are highly context-dependent within the heterogeneous tumor microenvironment (TME).
  • Conventional single-axis inhibition strategies are limited due to complex, multidimensional GPCR regulation in cancer.

Purpose of the Study:

  • To systematically examine tumor-associated GPCR distribution and functions.
  • To critically analyze the failure of current cancer therapies in the TME context.
  • To spotlight next-generation strategies for context-aware TME modulation.

Main Methods:

  • Systematic review of GPCR distribution and pathological functions in tumors.
  • Critical analysis of existing therapeutic modalities' limitations in the TME.
  • Exploration of novel therapeutic strategies including allosteric modulation, targeted protein degradation, nucleic acid therapeutics, and engineered cell therapies.

Main Results:

  • GPCRs exhibit context-dependent roles, driving proliferation and immunosuppression simultaneously.
  • Current therapies often fail due to parallel pathway reactivation and complex TME interactions.
  • Next-generation strategies offer potential for context-aware, multi-dimensional TME modulation.

Conclusions:

  • A paradigm shift from single-axis inhibition to multi-dimensional regulation of GPCRs is necessary for durable cancer therapies.
  • Integrating advanced technologies like AI, cryo-EM, and organoids will drive this transformation.
  • Next-generation GPCR-targeted therapies hold promise for actively modulating the TME for improved cancer treatment outcomes.

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