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EphA2 在癌症中的作用:分子复杂性与治疗机遇。

EphA2 in Cancer: Molecular Complexity and Therapeutic Opportunities.

机构信息

Laboratory of Experimental Oncology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.

Sbarro Institute for Cancer Research and Molecular Medicine, Center for Biotechnology, Department of Biology, College of Science and Technology, Temple University, Philadelphia, PA 19122, USA.

出版信息

Int J Mol Sci. 2024 Nov 13;25(22):12191. doi: 10.3390/ijms252212191.

Abstract

Erythropoietin-producing hepatocellular A2 (EphA2) is a member of the Eph tyrosine kinase receptor family that has been linked to various biological processes. In tumors, EphA2 overexpression is associated with noncanonical pathway activation, tumor progression, and a poor prognosis, which has emphasized its importance as a marker of malignancy. Studies on numerous cancer models have highlighted EphA2's dual and often contradictory action, which can be attributed to EphA2's interactions involving multiple pathways and different ligands, as well as the heterogeneity of the tumor microenvironment. In this review, we summarize the main mechanisms underlying EphA2 dysregulation in cancer, highlighting its molecular complexity. Then, we analyze therapies that have been developed over time to counteract its action. We discuss the limitations of the described approaches, emphasizing the fact that the goal of new options is high specificity without losing therapeutic efficacy. For this reason, immunotherapy or the emerging field of targeted protein degradation with proteolysis-targeting chimeras (PROTACs) may represent a promising solution that can be developed based on a deeper understanding of the molecular mechanisms sustaining EphA2 oncogenic activity.

摘要

EphA2 是一种产生促红细胞生成素的肝细胞 A2(Erythropoietin-producing hepatocellular A2,EphA2),属于 Eph 酪氨酸激酶受体家族的成员,与多种生物学过程有关。在肿瘤中,EphA2 的过表达与非典型途径的激活、肿瘤进展和预后不良有关,这强调了它作为恶性肿瘤标志物的重要性。对许多癌症模型的研究强调了 EphA2 的双重作用,而且这种作用常常相互矛盾,这归因于 EphA2 的相互作用涉及多种途径和不同的配体,以及肿瘤微环境的异质性。在这篇综述中,我们总结了 EphA2 在癌症中失调的主要机制,强调了其分子复杂性。然后,我们分析了随着时间的推移而开发的对抗其作用的疗法。我们讨论了所描述方法的局限性,强调了新方法的目标是在不失去治疗效果的情况下实现高特异性。因此,免疫疗法或新兴的靶向蛋白降解与蛋白水解靶向嵌合体(PROTACs)可能是一种很有前途的解决方案,可以在对维持 EphA2 致癌活性的分子机制有更深入的了解的基础上进行开发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc33/11594831/c74a7583c6ac/ijms-25-12191-g001.jpg

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