Murphy Azura, Shyanti Ritis Kumar, Mishra Manoj
Cancer Research Center, Department of Biological Sciences, Alabama State University, Montgomery, AL, 36104, USA.
Discov Oncol. 2025 Mar 1;16(1):258. doi: 10.1007/s12672-025-01878-9.
Prostate cancer (PCa) is known as the second most common cancer and has one of the highest incidences among male cancers in the United States. In addition, obesity and metabolic syndrome are a rising and continuous issue in the United States, with 41.9% of individuals as obese. The importance of highlighting these figures is the possibility of PCa having a progressive relationship with obesity and metabolic syndromes. The drugs developed for treating obesity and diabetes pose an exciting possibility of therapeutic application for cancer in efforts to relieve the population's rising numbers. Although this connection has not been established in detail, there are some PCa key biomarkers, and their interactions with metabolic products found in obese, diabetic, and PCa patients can provide good starting points for further investigation. One of the significant links between PCa, obesity, and metabolic disease may be due to insulin metabolism. A downstream target identified that could be the link between PCa, metabolic syndromes, and obesity is the forkhead box C2 (FOXC2). FOXC2 has been known to inhibit some insulin-resistant genes and cause the proliferation of PCa. The relationships of FOXC2, insulin resistance, and GLP-1 receptor agonists as potential therapeutic applications have not been thoroughly explored. This review covers a broad relationship of PCa, obesity, metabolic syndromes, possible drugs, and therapeutic targets.
前列腺癌(PCa)是美国第二常见的癌症,在男性癌症中发病率极高。此外,肥胖和代谢综合征在美国是一个日益严重且持续存在的问题,41.9%的人肥胖。强调这些数据的重要性在于,前列腺癌有可能与肥胖和代谢综合征存在渐进关系。为治疗肥胖和糖尿病而研发的药物为癌症治疗应用带来了令人兴奋的可能性,有助于缓解患病人数不断上升的情况。尽管这种联系尚未详细确立,但存在一些前列腺癌关键生物标志物,它们与肥胖、糖尿病和前列腺癌患者体内发现的代谢产物之间的相互作用可为进一步研究提供良好的起点。前列腺癌、肥胖与代谢疾病之间的一个重要联系可能与胰岛素代谢有关。已确定的一个下游靶点——叉头框C2(FOXC2),可能是前列腺癌、代谢综合征和肥胖之间的联系纽带。已知FOXC2可抑制一些胰岛素抵抗基因并导致前列腺癌增殖。FOXC2、胰岛素抵抗与作为潜在治疗应用的胰高糖素样肽-1受体激动剂之间的关系尚未得到充分探索。本综述涵盖了前列腺癌、肥胖、代谢综合征、可能的药物及治疗靶点之间的广泛关系。