Targeting the Unfolded Protein Response in Hormone-Regulated Cancers

Trends Cancer. 2020 Feb;6(2):160-171. doi: 10.1016/j.trecan.2019.12.001. Epub 2020 Jan 16.

Abstract

Cancer cells exploit many of the cellular adaptive responses to support their survival needs. One of these is the unfolded protein response (UPR), a highly conserved signaling pathway that is mounted in response to endoplasmic reticulum (ER) stress. Recent work showed that steroid hormones, in particular estrogens and androgens, regulate the canonical UPR pathways in breast cancer (BCa) and prostate cancer (PCa). In addition, UPR has pleiotropic effects in advanced disease and development of therapy resistance. These findings implicate the UPR pathway as a novel target in hormonally regulated cancers in the clinic. Here, we review the potential therapeutic value of recently developed small molecule inhibitors of UPR in hormone regulated cancers.

Keywords: androgens; breast cancer; estrogens; prostate cancer; therapeutic targets; unfolded protein response.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Activating Transcription Factor 4 / genetics
  • Activating Transcription Factor 4 / metabolism
  • Activating Transcription Factor 6 / metabolism
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / genetics
  • Breast Neoplasms / pathology
  • Drug Resistance, Neoplasm / genetics
  • Endoplasmic Reticulum Stress / drug effects
  • Endoplasmic Reticulum Stress / genetics
  • Endoribonucleases / antagonists & inhibitors
  • Endoribonucleases / metabolism
  • Eukaryotic Initiation Factor-2 / metabolism
  • Female
  • Gene Expression Regulation, Neoplastic / drug effects
  • Gonadal Steroid Hormones / antagonists & inhibitors
  • Gonadal Steroid Hormones / metabolism*
  • Humans
  • Male
  • Phosphorylation / drug effects
  • Prostatic Neoplasms / drug therapy*
  • Prostatic Neoplasms / genetics
  • Prostatic Neoplasms / pathology
  • Protein Serine-Threonine Kinases / antagonists & inhibitors
  • Protein Serine-Threonine Kinases / metabolism
  • Proteostasis / drug effects
  • Signal Transduction / drug effects
  • Signal Transduction / genetics
  • Unfolded Protein Response / drug effects*
  • Unfolded Protein Response / genetics
  • X-Box Binding Protein 1 / genetics
  • eIF-2 Kinase / antagonists & inhibitors
  • eIF-2 Kinase / metabolism

Substances

  • Activating Transcription Factor 6
  • Antineoplastic Agents
  • Eukaryotic Initiation Factor-2
  • Gonadal Steroid Hormones
  • X-Box Binding Protein 1
  • Activating Transcription Factor 4
  • ERN1 protein, human
  • PERK kinase
  • Protein Serine-Threonine Kinases
  • eIF-2 Kinase
  • Endoribonucleases