Cancer Biology Laboratory, Department of Biosciences and Bioengineering, Indian Institute of Technology Guwahati (IITG), Guwahati, Assam, 781039, India.
Radiological Sciences Department, College of Applied Medical Sciences, King Khalid University, 61421, Abha, Saudi Arabia.
Cell Mol Life Sci. 2024 Feb 9;81(1):78. doi: 10.1007/s00018-023-05085-z.
Hematological malignancies (HM) represent a subset of neoplasms affecting the blood, bone marrow, and lymphatic systems, categorized primarily into leukemia, lymphoma, and multiple myeloma. Their prognosis varies considerably, with a frequent risk of relapse despite ongoing treatments. While contemporary therapeutic strategies have extended overall patient survival, they do not offer cures for advanced stages and often lead to challenges such as acquisition of drug resistance, recurrence, and severe side effects. The need for innovative therapeutic targets is vital to elevate both survival rates and patients' quality of life. Recent research has pivoted towards nuclear receptors (NRs) due to their role in modulating tumor cell characteristics including uncontrolled proliferation, differentiation, apoptosis evasion, invasion and migration. Existing evidence emphasizes NRs' critical role in HM. The regulation of NR expression through agonists, antagonists, or selective modulators, contingent upon their levels, offers promising clinical implications in HM management. Moreover, several anticancer agents targeting NRs have been approved by the Food and Drug Administration (FDA). This review highlights the integral function of NRs in HM's pathophysiology and the potential benefits of therapeutically targeting these receptors, suggesting a prospective avenue for more efficient therapeutic interventions against HM.
血液系统恶性肿瘤(HM)是一组影响血液、骨髓和淋巴系统的肿瘤,主要分为白血病、淋巴瘤和多发性骨髓瘤。尽管进行了持续治疗,但它们的预后差异很大,经常有复发的风险。虽然现代治疗策略延长了总体患者的生存时间,但它们不能治愈晚期疾病,并且经常导致药物耐药性的获得、复发和严重的副作用等问题。因此,需要创新的治疗靶点,以提高生存率和患者的生活质量。由于核受体(NRs)在调节肿瘤细胞特征方面发挥着重要作用,包括不受控制的增殖、分化、凋亡逃逸、侵袭和迁移,因此最近的研究转向了核受体。现有证据强调了 NRs 在 HM 中的关键作用。通过激动剂、拮抗剂或选择性调节剂来调节 NR 的表达,根据其水平,在 HM 管理方面具有有前途的临床意义。此外,已有几种针对 NR 的抗癌药物被美国食品和药物管理局(FDA)批准。本综述强调了 NR 在 HM 病理生理学中的重要作用以及针对这些受体进行治疗的潜在益处,为针对 HM 更有效的治疗干预提供了一个有前景的途径。