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Targeting PCNA in Cancer: A Paradigm Shift from Static Inhibition to Dynamic Network Modulation
Shijia Lu1, Yanmin Wang1, Han Zhang1
1School of Life Science and Technology, North Henan Medical University, Xinxiang, China.
Abstract:
Proliferating Cell Nuclear Antigen (PCNA) is a core protein in DNA replication and repair. Its functional dysregulation drives tumorigenesis and therapeutic resistance, making it a critical anticancer target. However, the fundamental conflict between PCNA's indispensable "guardian" function in normal cells and its hijacked "accomplice" role in cancer cells constitutes the central challenge for targeted intervention: how to eradicate tumors while avoiding severe toxicity to normal tissues. This review aims to systematically review the latest advances and translational dilemmas in the field of PCNA-targeted therapy. It outlines various intervention strategies, including small-molecule inhibitors, proteolysis-targeting chimeras, post-translational modification interference, and synthetic lethality approaches, analyzing their potential and limitations in preclinical research. The review focuses on dissecting key bottlenecks hindering clinical translation, such as the selectivity dilemma, delivery barriers, and resistance evolution. Concurrently, it critically examines how cross-disciplinary technologies-including artificial intelligence, spatiotemporal regulation, and synthetic biology-offer novel ideas to address these bottlenecks, while clarifying that most remain in early exploratory stages. By synthesizing progress, challenges, and future directions, this article provides a framework to inform the development of highly selective and translatable PCNA-based anticancer strategies.
Insights
Targeting Proliferating Cell Nuclear Antigen (PCNA) offers a promising anticancer strategy. Overcoming challenges in selectivity and delivery is key to developing effective PCNA-based therapies for cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Proliferating Cell Nuclear Antigen (PCNA) is crucial for DNA replication and repair.
- PCNA dysregulation contributes to cancer development and treatment resistance.
- Targeting PCNA presents a challenge due to its essential role in normal cells.
Purpose of the Study:
- To systematically review advances in PCNA-targeted cancer therapy.
- To analyze intervention strategies, their potential, and limitations.
- To identify bottlenecks hindering clinical translation and explore novel solutions.
Main Methods:
- Review of small-molecule inhibitors, proteolysis-targeting chimeras, and other PCNA-targeting approaches.
- Analysis of preclinical data on efficacy and safety.
- Examination of emerging technologies like AI and synthetic biology.
Main Results:
- Various PCNA-targeting strategies show preclinical promise but face selectivity and delivery challenges.
- Resistance evolution is a significant hurdle for sustained therapeutic effect.
- Emerging technologies offer potential but are in early developmental stages.
Conclusions:
- Developing selective PCNA-based anticancer therapies requires addressing key translational dilemmas.
- Cross-disciplinary approaches may overcome current limitations.
- Further research is needed to translate preclinical findings into clinical applications.
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