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ULK1's role in cancer progression and its emerging therapeutic potential
Jack D Webb1,2, Trevor G Shepherd1,2,3,4
1The Mary & John Knight Translational Ovarian Cancer Research Unit, Verspeeten Family Cancer Centre, London, ON, Canada.
Abstract:
Macroautophagy (autophagy) enables cellular stress adaptation by degrading damaged components; ULK1, a serine/threonine kinase, initiates this process in response to nutrient and energy cues. While autophagy is well studied, few investigations have directly tested ULK1 in cancer progression. Emerging functional data across numerous cancers indicate that ULK1 can promote or restrain malignant behavior through both autophagy-dependent and autophagy-independent mechanisms, modulating mitochondrial quality, anoikis escape, invasion, therapy adaptation, and immune visibility. Pharmacology has advanced from early ULK1/2 inhibitors to structure-guided and machine learning-derived inhibitors with improved potency and selectivity. The first clinical agent, DCC-3116, demonstrates on-target engagement with acceptable tolerability and is being evaluated in combinations where therapy induces autophagy. Here, we review ULK1 as a regulator of cancer progression, synthesizing pan-cancer clinical and functional evidence alongside the evolving pharmacology of ULK1 modulation to define the settings in which its targeted inhibition may be most effectively translated.
Insights
Macroautophagy (autophagy) is crucial for cellular stress adaptation. This review explores ULK1 kinase
Area of Science:
- Cellular Biology
- Molecular Oncology
- Pharmacology
Background:
- Macroautophagy (autophagy) is a cellular degradation process essential for stress adaptation.
- ULK1, a key kinase, initiates autophagy in response to nutrient and energy signals.
- Limited research has directly investigated ULK1's role in cancer progression.
Purpose of the Study:
- To review ULK1's function as a regulator of cancer progression.
- To synthesize pan-cancer clinical and functional evidence on ULK1.
- To discuss the evolving pharmacology of ULK1 modulation for cancer therapy.
Main Methods:
- Literature review synthesizing functional data across numerous cancers.
- Analysis of emerging evidence on ULK1's role in malignant behavior.
- Review of advancements in ULK1/2 inhibitor development and clinical translation.
Main Results:
- ULK1 influences cancer progression through both autophagy-dependent and -independent mechanisms.
- ULK1 modulates key cancer hallmarks including mitochondrial quality, anoikis escape, invasion, and immune visibility.
- New ULK1 inhibitors show improved potency and selectivity, with a first-in-class agent (DCC-3116) in clinical trials.
Conclusions:
- ULK1 plays a dual role in cancer, promoting or restraining malignant behavior.
- Targeted ULK1 inhibition is a promising therapeutic strategy in specific cancer contexts.
- Understanding ULK1's complex roles is crucial for effective clinical translation.
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