Targeting CREB in Cancer Therapy: A Key Candidate or One of Many? An Update

Intratumor heterogeneity (ITH) is considered the major disorienting factor in cancer treatment. As a result of stochastic genetic and epigenetic alterations, the appearance of a branched evolutionary shape confers tumor plasticity, causing relapse and unfavorable clinical prognosis. The growing evid...

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Main Authors: Luigi Sapio, Alessia Salzillo, Angela Ragone, Michela Illiano, Annamaria Spina, Silvio Naviglio
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/11/3166
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author Luigi Sapio
Alessia Salzillo
Angela Ragone
Michela Illiano
Annamaria Spina
Silvio Naviglio
author_facet Luigi Sapio
Alessia Salzillo
Angela Ragone
Michela Illiano
Annamaria Spina
Silvio Naviglio
author_sort Luigi Sapio
collection DOAJ
description Intratumor heterogeneity (ITH) is considered the major disorienting factor in cancer treatment. As a result of stochastic genetic and epigenetic alterations, the appearance of a branched evolutionary shape confers tumor plasticity, causing relapse and unfavorable clinical prognosis. The growing evidence in cancer discovery presents to us “the great paradox” consisting of countless potential targets constantly discovered and a small number of candidates being effective in human patients. Among these, cyclic-AMP response element-binding protein (CREB) has been proposed as proto-oncogene supporting tumor initiation, progression and metastasis. Overexpression and hyperactivation of CREB are frequently observed in cancer, whereas genetic and pharmacological CREB downregulation affects proliferation and apoptosis. Notably, the present review is designed to investigate the feasibility of targeting CREB in cancer therapy. In particular, starting with the latest CREB evidence in cancer pathophysiology, we evaluate the advancement state of CREB inhibitor design, including the histone lysine demethylases JMJD3/UTX inhibitor GSKJ4 that we newly identified as a promising CREB modulator in leukemia cells. Moreover, an accurate analysis of strengths and weaknesses is also conducted to figure out whether CREB can actually represent a therapeutic candidate or just one of the innumerable preclinical cancer targets.
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spelling doaj.art-910a87449e9b4db28446f52a53adde1a2023-11-20T18:50:59ZengMDPI AGCancers2072-66942020-10-011211316610.3390/cancers12113166Targeting CREB in Cancer Therapy: A Key Candidate or One of Many? An UpdateLuigi Sapio0Alessia Salzillo1Angela Ragone2Michela Illiano3Annamaria Spina4Silvio Naviglio5Department of Precision Medicine, University of Campania “Luigi Vanvitelli”, Via L. De Crecchio 7, 80138 Naples, ItalyDepartment of Precision Medicine, University of Campania “Luigi Vanvitelli”, Via L. De Crecchio 7, 80138 Naples, ItalyDepartment of Precision Medicine, University of Campania “Luigi Vanvitelli”, Via L. De Crecchio 7, 80138 Naples, ItalyDepartment of Precision Medicine, University of Campania “Luigi Vanvitelli”, Via L. De Crecchio 7, 80138 Naples, ItalyDepartment of Precision Medicine, University of Campania “Luigi Vanvitelli”, Via L. De Crecchio 7, 80138 Naples, ItalyDepartment of Precision Medicine, University of Campania “Luigi Vanvitelli”, Via L. De Crecchio 7, 80138 Naples, ItalyIntratumor heterogeneity (ITH) is considered the major disorienting factor in cancer treatment. As a result of stochastic genetic and epigenetic alterations, the appearance of a branched evolutionary shape confers tumor plasticity, causing relapse and unfavorable clinical prognosis. The growing evidence in cancer discovery presents to us “the great paradox” consisting of countless potential targets constantly discovered and a small number of candidates being effective in human patients. Among these, cyclic-AMP response element-binding protein (CREB) has been proposed as proto-oncogene supporting tumor initiation, progression and metastasis. Overexpression and hyperactivation of CREB are frequently observed in cancer, whereas genetic and pharmacological CREB downregulation affects proliferation and apoptosis. Notably, the present review is designed to investigate the feasibility of targeting CREB in cancer therapy. In particular, starting with the latest CREB evidence in cancer pathophysiology, we evaluate the advancement state of CREB inhibitor design, including the histone lysine demethylases JMJD3/UTX inhibitor GSKJ4 that we newly identified as a promising CREB modulator in leukemia cells. Moreover, an accurate analysis of strengths and weaknesses is also conducted to figure out whether CREB can actually represent a therapeutic candidate or just one of the innumerable preclinical cancer targets.https://www.mdpi.com/2072-6694/12/11/3166CREBcancer therapydrug inhibitorsGSKJ4
spellingShingle Luigi Sapio
Alessia Salzillo
Angela Ragone
Michela Illiano
Annamaria Spina
Silvio Naviglio
Targeting CREB in Cancer Therapy: A Key Candidate or One of Many? An Update
Cancers
CREB
cancer therapy
drug inhibitors
GSKJ4
title Targeting CREB in Cancer Therapy: A Key Candidate or One of Many? An Update
title_full Targeting CREB in Cancer Therapy: A Key Candidate or One of Many? An Update
title_fullStr Targeting CREB in Cancer Therapy: A Key Candidate or One of Many? An Update
title_full_unstemmed Targeting CREB in Cancer Therapy: A Key Candidate or One of Many? An Update
title_short Targeting CREB in Cancer Therapy: A Key Candidate or One of Many? An Update
title_sort targeting creb in cancer therapy a key candidate or one of many an update
topic CREB
cancer therapy
drug inhibitors
GSKJ4
url https://www.mdpi.com/2072-6694/12/11/3166
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AT alessiasalzillo targetingcrebincancertherapyakeycandidateoroneofmanyanupdate
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AT michelailliano targetingcrebincancertherapyakeycandidateoroneofmanyanupdate
AT annamariaspina targetingcrebincancertherapyakeycandidateoroneofmanyanupdate
AT silvionaviglio targetingcrebincancertherapyakeycandidateoroneofmanyanupdate