Department of Pharmacology, University of California, San Diego, La Jolla, CA 92093, U.S.A.
Biochem J. 2021 Jan 29;478(2):341-355. doi: 10.1042/BCJ20190765.
Protein kinase signalling, which transduces external messages to mediate cellular growth and metabolism, is frequently deregulated in human disease, and specifically in cancer. As such, there are 77 kinase inhibitors currently approved for the treatment of human disease by the FDA. Due to their historical association as the receptors for the tumour-promoting phorbol esters, PKC isozymes were initially targeted as oncogenes in cancer. However, a meta-analysis of clinical trials with PKC inhibitors in combination with chemotherapy revealed that these treatments were not advantageous, and instead resulted in poorer outcomes and greater adverse effects. More recent studies suggest that instead of inhibiting PKC, therapies should aim to restore PKC function in cancer: cancer-associated PKC mutations are generally loss-of-function and high PKC protein is protective in many cancers, including most notably KRAS-driven cancers. These recent findings have reframed PKC as having a tumour suppressive function. This review focusses on a potential new mechanism of restoring PKC function in cancer - through targeting of its negative regulator, the Ser/Thr protein phosphatase PHLPP. This phosphatase regulates PKC steady-state levels by regulating the phosphorylation of a key site, the hydrophobic motif, whose phosphorylation is necessary for the stability of the enzyme. We also consider whether the phosphorylation of the potent oncogene KRAS provides a mechanism by which high PKC expression may be protective in KRAS-driven human cancers.
蛋白激酶信号转导将外部信息转导至细胞生长和代谢的调节中,在人类疾病中经常失调,特别是在癌症中。因此,目前有 77 种激酶抑制剂被 FDA 批准用于人类疾病的治疗。由于它们最初被认为是肿瘤促进佛波醇酯的受体,PKC 同工酶最初被作为癌症中的癌基因靶点。然而,一项关于 PKC 抑制剂与化疗联合治疗的临床试验的荟萃分析表明,这些治疗并没有优势,反而导致更差的结果和更大的不良反应。最近的研究表明,治疗方法不应抑制 PKC,而应旨在恢复癌症中的 PKC 功能:癌症相关的 PKC 突变通常是功能丧失,而在许多癌症中,包括最显著的 KRAS 驱动的癌症中,高 PKC 蛋白是保护性的。这些最近的发现将 PKC 重新定义为具有肿瘤抑制功能。这篇综述集中讨论了一种恢复癌症中 PKC 功能的潜在新机制——通过靶向其负调节剂 Ser/Thr 蛋白磷酸酶 PHLPP。这种磷酸酶通过调节关键位点的磷酸化来调节 PKC 的稳态水平,该位点的磷酸化对于酶的稳定性是必需的。我们还考虑了 KRAS 的强烈致癌作用是否提供了一种机制,通过这种机制,高 PKC 表达可能在 KRAS 驱动的人类癌症中具有保护作用。