Post-translational modifications in retinoblastoma: mechanisms, immune regulation, and therapeutic opportunities

Lifei Xu1, Bin Wang1, Wenwei Li1

  • 1Department of Ophthalmology, Tongde Hospital of Zhejiang Province, Hangzhou, Zhejiang, China.

Insights

Post-translational modifications (PTMs) regulate retinoblastoma (RB) pathway signaling and cancer progression. Targeting these PTMs offers new therapeutic strategies for improved eye salvage and metastatic control.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Retinoblastoma is a childhood eye cancer primarily caused by RB1 gene inactivation.
  • Post-translational modifications (PTMs) rapidly alter protein function, influencing cancer signaling pathways.
  • RB-centered signaling, chromatin control, metabolism, and therapy resistance are modulated by PTMs.

Purpose of the Study:

  • To review PTM mechanisms critical to retinoblastoma pathogenesis.
  • To highlight PTM-based therapeutic strategies and underexplored modifications.
  • To integrate PTM biology with immunotherapy for enhanced retinoblastoma treatment.

Main Methods:

  • Literature review focusing on PTMs in retinoblastoma.
  • Analysis of phosphorylation, ubiquitination, acetylation, and methylation circuits.
  • Exploration of SUMOylation, lactylation, and glycosylation in RB context.

Main Results:

  • PTMs, particularly phosphorylation and ubiquitination, significantly impact RB pathway function.
  • Acetylation and methylation modulate RB pathway activity and oncogenic phenotypes.
  • Emerging PTMs like SUMOylation, lactylation, and glycosylation require further investigation.

Conclusions:

  • Targeting PTM enzymes with compounds or degraders presents viable therapeutic avenues.
  • Combining PTM-targeting strategies with immunotherapies may improve treatment outcomes.
  • Biomarker-guided translation of PTM research is crucial for durable eye salvage and metastatic control.