The Role of Nitric Oxide in Cancer: Master Regulator or NOt?

Nitric oxide (NO) is a key player in both the development and suppression of tumourigenesis depending on the source and concentration of NO. In this review, we discuss the mechanisms by which NO induces DNA damage, influences the DNA damage repair response, and subsequently modulates cell cycle arre...

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Main Authors: Faizan H. Khan, Eoin Dervan, Dibyangana D. Bhattacharyya, Jake D. McAuliffe, Katrina M. Miranda, Sharon A. Glynn
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/24/9393
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author Faizan H. Khan
Eoin Dervan
Dibyangana D. Bhattacharyya
Jake D. McAuliffe
Katrina M. Miranda
Sharon A. Glynn
author_facet Faizan H. Khan
Eoin Dervan
Dibyangana D. Bhattacharyya
Jake D. McAuliffe
Katrina M. Miranda
Sharon A. Glynn
author_sort Faizan H. Khan
collection DOAJ
description Nitric oxide (NO) is a key player in both the development and suppression of tumourigenesis depending on the source and concentration of NO. In this review, we discuss the mechanisms by which NO induces DNA damage, influences the DNA damage repair response, and subsequently modulates cell cycle arrest. In some circumstances, NO induces cell cycle arrest and apoptosis protecting against tumourigenesis. NO in other scenarios can cause a delay in cell cycle progression, allowing for aberrant DNA repair that promotes the accumulation of mutations and tumour heterogeneity. Within the tumour microenvironment, low to moderate levels of NO derived from tumour and endothelial cells can activate angiogenesis and epithelial-to-mesenchymal transition, promoting an aggressive phenotype. In contrast, high levels of NO derived from inducible nitric oxide synthase (iNOS) expressing M1 and Th1 polarised macrophages and lymphocytes may exert an anti-tumour effect protecting against cancer. It is important to note that the existing evidence on immunomodulation is mainly based on murine iNOS studies which produce higher fluxes of NO than human iNOS. Finally, we discuss different strategies to target NO related pathways therapeutically. Collectively, we present a picture of NO as a master regulator of cancer development and progression.
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spelling doaj.art-8c6ff8912c394550a68ceb7b35f126ba2023-11-21T00:09:32ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-12-012124939310.3390/ijms21249393The Role of Nitric Oxide in Cancer: Master Regulator or NOt?Faizan H. Khan0Eoin Dervan1Dibyangana D. Bhattacharyya2Jake D. McAuliffe3Katrina M. Miranda4Sharon A. Glynn5Discipline of Pathology, Lambe Institute for Translational Research, School of Medicine, National University of Ireland Galway (NUIG), H91 YR71 Galway, IrelandDiscipline of Pathology, Lambe Institute for Translational Research, School of Medicine, National University of Ireland Galway (NUIG), H91 YR71 Galway, IrelandDiscipline of Pathology, Lambe Institute for Translational Research, School of Medicine, National University of Ireland Galway (NUIG), H91 YR71 Galway, IrelandDiscipline of Pathology, Lambe Institute for Translational Research, School of Medicine, National University of Ireland Galway (NUIG), H91 YR71 Galway, IrelandDepartment of Chemistry and Biochemistry, University of Arizona, Tucson, AZ 85721, USADiscipline of Pathology, Lambe Institute for Translational Research, School of Medicine, National University of Ireland Galway (NUIG), H91 YR71 Galway, IrelandNitric oxide (NO) is a key player in both the development and suppression of tumourigenesis depending on the source and concentration of NO. In this review, we discuss the mechanisms by which NO induces DNA damage, influences the DNA damage repair response, and subsequently modulates cell cycle arrest. In some circumstances, NO induces cell cycle arrest and apoptosis protecting against tumourigenesis. NO in other scenarios can cause a delay in cell cycle progression, allowing for aberrant DNA repair that promotes the accumulation of mutations and tumour heterogeneity. Within the tumour microenvironment, low to moderate levels of NO derived from tumour and endothelial cells can activate angiogenesis and epithelial-to-mesenchymal transition, promoting an aggressive phenotype. In contrast, high levels of NO derived from inducible nitric oxide synthase (iNOS) expressing M1 and Th1 polarised macrophages and lymphocytes may exert an anti-tumour effect protecting against cancer. It is important to note that the existing evidence on immunomodulation is mainly based on murine iNOS studies which produce higher fluxes of NO than human iNOS. Finally, we discuss different strategies to target NO related pathways therapeutically. Collectively, we present a picture of NO as a master regulator of cancer development and progression.https://www.mdpi.com/1422-0067/21/24/9393nitric oxidenitric oxide synthasetumourigenesisDNA damage repairangiogenesisepithelial to mesenchymal transition
spellingShingle Faizan H. Khan
Eoin Dervan
Dibyangana D. Bhattacharyya
Jake D. McAuliffe
Katrina M. Miranda
Sharon A. Glynn
The Role of Nitric Oxide in Cancer: Master Regulator or NOt?
International Journal of Molecular Sciences
nitric oxide
nitric oxide synthase
tumourigenesis
DNA damage repair
angiogenesis
epithelial to mesenchymal transition
title The Role of Nitric Oxide in Cancer: Master Regulator or NOt?
title_full The Role of Nitric Oxide in Cancer: Master Regulator or NOt?
title_fullStr The Role of Nitric Oxide in Cancer: Master Regulator or NOt?
title_full_unstemmed The Role of Nitric Oxide in Cancer: Master Regulator or NOt?
title_short The Role of Nitric Oxide in Cancer: Master Regulator or NOt?
title_sort role of nitric oxide in cancer master regulator or not
topic nitric oxide
nitric oxide synthase
tumourigenesis
DNA damage repair
angiogenesis
epithelial to mesenchymal transition
url https://www.mdpi.com/1422-0067/21/24/9393
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