The FOXC2 Transcription Factor: A Master Regulator of Chemoresistance in Cancer

FOXC2, a member of the forkhead box family of transcription factors, is an emerging oncogene that has been linked to several hallmarks of cancer progression. Among its many oncogenic functions is the promotion of drug resistance, with evidence supporting roles for FOXC2 in escape from broad classes...

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Main Authors: Kristian M. Hargadon PhD, Elijah W. Strong BS
Format: Article
Language:English
Published: SAGE Publishing 2023-02-01
Series:Technology in Cancer Research & Treatment
Online Access:https://doi.org/10.1177/15330338231155284
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author Kristian M. Hargadon PhD
Elijah W. Strong BS
author_facet Kristian M. Hargadon PhD
Elijah W. Strong BS
author_sort Kristian M. Hargadon PhD
collection DOAJ
description FOXC2, a member of the forkhead box family of transcription factors, is an emerging oncogene that has been linked to several hallmarks of cancer progression. Among its many oncogenic functions is the promotion of drug resistance, with evidence supporting roles for FOXC2 in escape from broad classes of chemotherapeutics across an array of cancer types. In this Mini-Review, we highlight the current understanding of the mechanisms by which FOXC2 drives cancer chemoresistance, including its roles in the promotion of epithelial-mesenchymal transition, induction of multidrug transporters, activation of the oxidative stress response, and deregulation of cell survival signaling pathways. We discuss the clinical implications of these findings, including strategies for modulating FOXC2-associated chemoresistance in cancer. Particular attention is given to ways in which FOXC2 and its downstream gene products and pathways can be targeted to restore chemosensitivity in cancer cells. In addition, the utility of FOXC2 expression as a predictor of patient response to chemotherapy is also highlighted, with emphasis on the value of FOXC2 as a novel biomarker that can be used to guide therapeutic choice towards regimens most likely to achieve clinical benefit during frontline therapy.
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spelling doaj.art-0d9c0734c8f24280baa9ddcaacf847f32023-03-30T23:33:34ZengSAGE PublishingTechnology in Cancer Research & Treatment1533-03382023-02-012210.1177/15330338231155284The FOXC2 Transcription Factor: A Master Regulator of Chemoresistance in CancerKristian M. Hargadon PhDElijah W. Strong BSFOXC2, a member of the forkhead box family of transcription factors, is an emerging oncogene that has been linked to several hallmarks of cancer progression. Among its many oncogenic functions is the promotion of drug resistance, with evidence supporting roles for FOXC2 in escape from broad classes of chemotherapeutics across an array of cancer types. In this Mini-Review, we highlight the current understanding of the mechanisms by which FOXC2 drives cancer chemoresistance, including its roles in the promotion of epithelial-mesenchymal transition, induction of multidrug transporters, activation of the oxidative stress response, and deregulation of cell survival signaling pathways. We discuss the clinical implications of these findings, including strategies for modulating FOXC2-associated chemoresistance in cancer. Particular attention is given to ways in which FOXC2 and its downstream gene products and pathways can be targeted to restore chemosensitivity in cancer cells. In addition, the utility of FOXC2 expression as a predictor of patient response to chemotherapy is also highlighted, with emphasis on the value of FOXC2 as a novel biomarker that can be used to guide therapeutic choice towards regimens most likely to achieve clinical benefit during frontline therapy.https://doi.org/10.1177/15330338231155284
spellingShingle Kristian M. Hargadon PhD
Elijah W. Strong BS
The FOXC2 Transcription Factor: A Master Regulator of Chemoresistance in Cancer
Technology in Cancer Research & Treatment
title The FOXC2 Transcription Factor: A Master Regulator of Chemoresistance in Cancer
title_full The FOXC2 Transcription Factor: A Master Regulator of Chemoresistance in Cancer
title_fullStr The FOXC2 Transcription Factor: A Master Regulator of Chemoresistance in Cancer
title_full_unstemmed The FOXC2 Transcription Factor: A Master Regulator of Chemoresistance in Cancer
title_short The FOXC2 Transcription Factor: A Master Regulator of Chemoresistance in Cancer
title_sort foxc2 transcription factor a master regulator of chemoresistance in cancer
url https://doi.org/10.1177/15330338231155284
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