Cancer Research

Cancer is a genetic disease caused by changes on genes that control critical cell functions. Normal cell proliferation is tightly regulated with a balance between the activities of proto-oncogenes and tumor suppressors.For example, DNA damage and repair mechanisms exist in order to decrease the likelihood of genetic mutation and cell transformation. Apoptosis is needed to destroy cells that represent a threat to the integrity of the organism. In addition, the immune system is ready to recognize and destroy cancerous cells. However these error-correction methods often fail in small ways, especially in environments that make errors more likely to arise and propagate. Accumulating disruptions in these control mechanisms lead to progressive error accumulation until unregulated proliferation and cancer forming. The disruption of this homeostasis leads to deregulated cell proliferation in cancer. Unlike normal cells which mature into very distinct cell types, cancer cells are less differentiated and invasive and often gain the function to avoid programmed cell death, or apoptosis, which the body uses to get rid of unneeded cells. In addition, Cancer cells are also able to evade the immune system, which normally removes damaged or abnormal cells from the body. Cancer cells will influence the microenvironment to promote angiogenesis which supply tumors with oxygen and nutrients. Metastatic tumors cause severe damage to normal body functions and result from the spread of cancer cells from the primary site to another part of the body. Cancer types are usually named for the organs or tissues where the cancers form though they can also be described by the type of cells that formed them.

 

Apoptosis is a genetically encoded cell death program and plays an important role in the regulation of both normal and malignant processes. Recently, many factors involved in the control of apoptosis have been isolated and characterized, and thereby studies on the molecular mechanism of the signaling pathway of apoptosis have made rapid progress

Autophagy is an intracellular degradation system that delivers cytoplasmic constituents to the lysosome. Despite its simplicity, recent progress has demonstrated that autophagy plays a wide variety of physiological and pathophysiological roles, which are sometimes complex. Autophagy consists of several sequential steps–sequestration, transport to lysosomes, degradation, and utilization of degradation products–and each step may exert different function. In this review, the process of autophagy is summarized, and the role of autophagy is discussed in a process-based manner.

Cancer biomarkers are substances indicate that tumor state, progression characteristics, and response to therapies. Most cancer biomarkers are transcription factors, cell surface receptors, or secreted proteins that are produced by either cancer cells or other cells in response to cancer.

Bladder Cancer Biomarkers
Apolipoprotein A-I/APOA1  ERCC1  Ki67/MKI67  MMP-9
IL-8/CXCL8 
Breast Cancer Biomarkers
AGR2  Her2/ERBB2  Nestin  PPP5C 
AIM2  HMMR/RHAMM  NGFR  SCGB3A1 
ATAD2  ITGBL1  NME1  SUSD2 
B3GALT5  c-Kit  PARP  TMEM25 
BRCA1  Cytokeratin 14/KRT14  Progesterone receptor  p53 
CEACAM5  Ki67/MKI67  Urokinase/uPA  WISP3 
DUSP6  MUC1  PPP4C  YAP1
EGFR 
Cancer Biomarkers in Clinical Practice
Alpha-fetoprotein  Her2/ERBB2  Prostate Specific Antigen/KLK3  TK1
AMACR  ER beta  Progesterone receptor 
Colon Cancer Biomarkers
VAP1/AOC3  A33  PSG3  UVRAG 
ATAD2  Granulin  REG4  WISP3 
CEACAM5  MFAP3L  SAA1  14-3-3 beta 
DKK1  PDGFRL  TMEM25  YWHAZ
GALNT12  PSG2  TPSAB1 
Gastric Cancer Biomarkers
ATAD2  Gastrokine 1  COX-2  TLR2 
Claudin18  PGA5  SOX17  VSIG1 
DMBT1  PSG2  TFF1  WISP3
ETV1/ER81  PSG3 
Glioma Biomarkers
AEBP1/AE binding protein 1  FGF2  Jagged 1  tPA 
Fetuin A  FLT1  VEGFR2/KDR  Peroxiredoxin 2 
MASH1/ASCL1  FOXM1  Mer  PTEN 
Beta-2 microglobulin  FSTL1  MGMT  PTPRZ1 
B Raf  GABRA1  MMP-9  S100A10 
CALD1/caldesmon  GADD45A  NAMPT  S100A6 
CD44  GAS1  NCAM  SLC12A5 
CD63  GFAP  NEFL/Neurofilament SOD2/Mn-SOD 
CDKN2A/p16INK4a  GLI2  Nestin  SPARCL1 
YKL-40/CHI3L1  GPX-3  p100/p52  Synaptotagmin 1/SYT1 
Cathepsin D  GSN/Gelsolin  Nkx2.2  TIMP-1 
MIG/CXCL9  Isocitrate dehydrogenase/IDH1  NOTCH3  TIMP-3/TIMP3 
DLL3  IGFBP2  NPDC1  TIMP-4/TIMP4 
EGFR  IgE  Olig2  TNC 
ENO1  IL25  PDGFRA  APRIL/TNFSF13 
FABP5  CD25/IL2RA  PEA15  TOP2A 
Fibrinogen  IL-6  CD31  p53 
Fibrinopeptide B  IQGAP1  PIK3R1  VEGFA
Head and Neck Cancer Biomarkers
Alpha-fetoprotein  DUSP1  c-MET  PFN1/Profilin 1 
AMFR  EGFR  MMP1  PLVAP 
BMI1  ERCC1  MMP-10/MMP10  S100A9 
Catalase  FGFR3  MMP13  S100P 
CD59  IL-1 beta  MMP-2  SAA1 
CDKN2A/p16INK4a  IL-6  MMP-3  14-3-3 sigma 
Alpha B Crystallin  Cytokeratin 19/KRT19  MMP-8  SPARC 
Cathepsin D  LGALS3BP  MMP-9  VEGFA
IL-8/CXCL8 
Liver Cancer Biomarkers
Alpha-fetoprotein  DKK1  Glypican 4/GPC4  PDGFRL
ATAD2  Glypican 3  Lamin B1/LMNB1 
Lung Cancer Biomarkers
ATAD2  NSE/ENO2  LDHA  Napsin A 
CEACAM5  Cytokeratin 19/KRT19  LDHB  PDGFRL
EGFR 
Medulloblastoma Biomarkers
APOA2/Apolipoprotein AII  IGFBP-3  Tau  NTN1 
Clusterin  IGFBP4  MMP-2  VEGFA
FGF2  IGFBP-6  MMP-9  Lipocalin-2/LCN2 
IGFBP2 
Melanoma Biomarkers
AIM2  p21/WAF1/CDKN1A  HLA-DRA  MMP-2 
AKT1  CDKN2A/p16INK4a  HSPA4  c-Myc/MYC 
BCL6  CEACAM1  ID1  SRC3/NCOA3 
Cyclin A1  CXCR4/CD184  Integrin beta 1  NME1 
Cyclin A2/CCNA2  CHOP/DDIT3  Integrin beta 3  NME2 
Cyclin D3/CCND3  HIF-2-alpha  KPNA2  PLK1 
CD44  EZH2/KMT6  MAP2  S100A4 
CD8 alpha  FGF2  JNK1  SKP2 
CD8 beta  FGFR4  CD146/MCAM  p53
E-Cadherin  FXYD5/Dysadherin  Ki67/MKI67  MITF 
Osteosarcoma Biomarkers
BCRP/ABCG2  Endoglin/CD105  MKK4  Nestin 
CD44  EXT1  ERK5/BMK1/MAPK7  TSPAN31
CCN1 
Ovarian Cancer Biomarkers
ASTL  BRCA1  MSH2  PTEN 
ATAD2  Her2/ERBB2  Napsin A  p53
B Raf  KRAS 
Pancreatic Cancer Biomarkers
B Raf  Her2/ERBB2  RON/CD136  PRSS2 
CDKN2A/p16INK4a  KRAS  MUC1  PSCA 
CEACAM1  MDM2  MUC4  LKB1 
EGFR  MSH2  PNLIPRP1  p53
Prostate Cancer Biomarkers
AKR1C3  EZH2/KMT6  Kallikrein 2/KLK2  PSAP/Prosaposin 
AMACR  PSMA  Prostate Specific Antigen/KLK3  PSCA 
ANO7  GPR68  KLRG2  STEAP1 
Aurora A  GPRC6A  IGBF/PRSP  TGF beta 1 
Zinc Alpha 2 Glycoprotein/AZGP1  Hepsin  NUCB2/Nucleobindin 2  TMEFF2
CD147  IL-6  Urokinase/uPA 

Cancer Drug Targets are anticancer drugs targeted at molecular targets, which are highly targeted and have remarkable effects. Currently, there are many anticancer drugs targeted at molecular targets, including monoclonal antibodies (mabs) targeting antigens or receptors on the surface of tumor cells, inhibitors of cell signal transduction molecules, angiogenesis inhibitors, inhibitors targeting telomerase, and reversal agents targeting tumor resistance

Cancer Drug Targets
c-Abl/ABL1  CEACAM1  ICOS ligand  PI3 Kinase p110 beta/PIK3CB 
Adenosine Receptor A2a  CEACAM5  IDO  PIK3CD 
AKT1  Chk1  IGF1R  PIM1 
Angiopoietin-1  CHEK2  IL-13  PIM3 
Angiopoietin-2  CSF1R  CD25/IL2RA  PSENEN 
Annexin A3/ANXA3  GM-CSF  IL-6  PTEN 
Androgen receptor  CTLA-4  JAK1  COX-2 
Aurora A  IL8Rb/CXCR2/CD182  JAK2  PTK2/FAK1 
Aurora B  CXCR4/CD184  JAK3  CD155/PVR 
Bcl-2  DDR2  VEGFR2/KDR  RAF1 
B Raf  DLL3  c-Kit  RET 
BTK  DLL4  NKG2A  S100A4 
BTLA  EGFR  KRAS  SIRP alpha 
BTN2A1  Endoglin/CD105  LAG3  SLAMF7/CD319 
Carbonic Anhydrase IX  Her2/ERBB2  Galectin 9  SMO 
CCR4/CD194  HER3/ERBB3  MEK1  Src 
CD109  ErbB4  MEK2  STAT3 
CD160  FAP  ERK2  STEAP1 
CD19  CD16a  ERK1/MAPK3  TROP2 
CD200  FGF2  MDM2  TDO2 
CD200R  FGFR1  c-MET  TIE2 
CD22  FGFR2  MMP1  TGF beta 1 
CD226  FGFR3  MMP-10/MMP10  TIGIT 
CD24  FGFR4  MMP11  TLR3 
2B4/CD244  FLT1  MMP13  TLR8 
CD27  FLT3  MMP-2  TMIGD2 
PD-L1  VEGFR3/FLT4  MMP7  TNF-alpha 
B7-H3  PSMA  MMP-9  DR4/TRAIL R1 
CD28  A33  CD20  DR5/TRAIL R2 
CD33  Glypican 3  MTOR  HVEM 
CD36  TIM-3  MUC1  GITR 
CD37  HDAC1  c-Myc/MYC  OX40 
CD38  HDAC2  NRAS  CD30/TNFRSF8 
CD40  HDAC3  TrkA  CD137 
CD40 Ligand  HDAC4  TrkB  TRAIL/TNFSF10 
CD47  HDAC5  TrkC  RANKL 
CD48  HDAC8  PARP  LIGHT 
CD52  HDAC9  PARP2  TNFSF18 
CD70  HGF  KIAA0101  OX40L/TNFSF4 
CD79B  HHLA2  PD-1  4-1BBL/TNFSF9 
B7-1  HIF-1 alpha  PD-L2  p53 
CD86  Hsp90 alpha  PDGFRA  VEGFA 
CD96  Hsp27/HSPB1  PDGFRB  VEGF C 
CDK4  ICOS  PIK3CA  B7-H4
CDK9/CDC2L4 

Cancer immunology has been an area of investigation since the 1960s but it is within the last decade that we have seen its promise start to come to fruition. Indeed, tumor-induced immune-suppression is now recognized as a key factor in oncogenic progression and immune-based therapeutics are becoming first or second-line options in an increasing array of malignancies. In brief, cancer immunology studies the reaction of the host to the development and growth of the invading malignancy.

The cell cycle is an ordered set of events, culminating in cell growth and division. The cell cycle of eukaryotes can be divided in two brief periods: interphase, during which the cell grows, accumulating nutrients needed for mitosis and duplicating its DNA, and the mitosis (M) phase, during which the cell splits itself into two distinct cells, often called daughter cells. By studying molecular events in cells, interphase is divided into three stages, G1, S, and G2. Thus the cell cycle consists of four phases: G1, S, G2, M.G1 phase is from the end of the previous M phase until the beginning of DNA synthesis, and G stands for gap. During this phase the biosynthetic activities of the cell, which had been considerably slowed down during M phase, resume at a high rate. This phase is marked by synthesis of various enzymes that are required in S phase, mainly those needed for DNA replication.

 

Early work in frog and invertebrate embryos suggested that cell cycle events are triggered by the activity of a biochemical oscillator centered on cyclin-CDK complexes. The cyclin/CDK complexes induce two processes, duplication of centrosomes and DNA during interphase, and mitosis. The roles of individual cyclins were tested by adding recombinant proteins to cyclin- biologidepleted extracts. Cyclin E supports DNA replication and centrosome duplication, cyclin A supports both of these processes and mitosis, and cyclin B supports mitosis alone.

Cell Cycle Checkpoint
Checkpoint Kinases
Chk1  CHEK2
G1 (Restriction) Checkpoints
ATR  CDK2  Chk1  E2F4 
Cyclin A1  CDK4  CHEK2  FOXO1 
Cyclin A2/CCNA2  p21/WAF1/CDKN1A  CYLD  FOXO3 
cyclin D1  p27/Kip1/CDKN1B  E2F1  RB1/OSRC 
Cyclin E  CDKN2A/p16INK4a  E2F2  AP2 Gamma/TFAP2C
CDC25A 
G2/M (DNA Damage) Checkpoints
ATR  cyclin B1  CDK1  NBN 
ATRIP  Cyclin B2  Chk1  PLK1 
Aurora A  CDC25A  CHEK2  PLK3 
BORA  Cdc25B  MDC1  RAD50 
ALS2CR8  CDC25C  MRE11  RPTOR
Metaphase (Mitotic Spindle) Checkpoints
Aurora B  Cyclin B2  MAD2L1  PLK1 
BUB3  Dynamitin/DCTN2  NEK2  SMC1A
cyclin B1  MAD1L1 
Cell Cycle Regulation
CDC Family
CDC25A  CDC25C
CDKs (Cyclin Dependent Kinases)
CDK1  CDK2  CDK4  CDK7
CKIs(Cyclin Dependent Kinase Inhibitors)
p21/WAF1/CDKN1A  CDKN2A/p16INK4a  CDKN2C  RBL1 
p27/Kip1/CDKN1B  CDKN2B/p15 INK4b  p19 INK4d  p130
CDKN1C 
Cyclins
Cyclin A1  Cyclin B2  cyclin D2/CCND2  Cyclin E 
Cyclin A2/CCNA2  cyclin D1  Cyclin D3/CCND3  cyclin E2
cyclin B1 
Other About Cell Cycle Regulation
MYT1  WEE1
p53 & RB
RB1/OSRC  p53
DNA Repair
Base Excision Repair
APE1/APEX1  MBD4  OGG1  UNG
FEN1  NTHL1 
Nucleotide Excision Repair/Transcription Coupled Repair
BRCA1  ERCC1  ERCC3  XPA
DDB2  XPD  ERCC4 
Other DNA Repair
BABAM1/HSPC142  MCM2  NBN  SLC19A1 
Clusterin  MED1  DNA-PKcs/PRKDC  Tex11 
Dntt  MGMT  RAD50  Ku80/Ku86/XRCC5 
FEN1  MSH2  RNF4  Ku70/XRCC6
p53 Pathway
ATR  IFITM2  SIRT1  UBE2B 
CLTC  Fragilis/IFITM3  LKB1  USP4 
CLTCL1  ING1  TERF2  USP7 
CBP/CREBBP  LRRC15  AP2 Gamma/TFAP2C  UBPY/USP8 
EDA2R  MDM2  TIGAR/C12orf5  VRK1 
eIF5A  Nucleophosmin  p53  WISP1/CCN4 
EP300/p300  NQO1  TP53BP1  ZMIZ1
GLIPR1  p53R2  Rad6/UBE2A 

Cell metabolism is a general term for a series of ordered chemical reactions that occur in cells to support life. These processes allow organisms to grow and reproduce, maintain their structure, and respond to the environment. Metabolism is usually divided into two categories: catabolism, which breaks down large molecules for energy (such as cellular respiration); anabolism uses energy to synthesize components of cells, such as proteins and nucleic acids.

Oncoproteins play an important role in tumorigenic cell growth which are encoded by oncogenes. Some oncoproteins are accepted and used as tumor markers.There are many oncoproteins, such as EGFR, VEGFR, Ras protein, cyclin-dependent kinases.

There are many applications of signal transduction in the treatment of cancer. The main treatment methods are divided into three types: directly inducing the apoptosis of cancer cells by inhibiting the signal transduction of cancer cells; Inducing or inhibiting gene expression products to inhibit signal transduction in cancer cells; physical methods inhibit the signal transduction of cancer cells. Physical methods, such as radiation and photodynamics, destroy the surfactant molecular structure of the key substances in cancer cells, thereby impeding the transduction of signaling pathways.

Tumor Microenvironment (TME) is a complex integrated system, which can be divided into immune microenvironment dominated by immune cells and non-immune microenvironment dominated by fibroblasts. There is a phenomenon called infiltration, which is some types of cells that can enter the tumor tissue. These infiltrating lymphocytes, including T lymphocytes, B lymphocytes, Macrophage, NK lymphocytes, Myeloid derived suppressor cells and Dendritic cells, called tumor infiltration lymphocytes, mediate the immunosuppressive tumor microenvironment, which help tumor cells achieve immune escape, and promote the malignant development of the tumor.

In addition, there are infiltration of fibroblasts, vascular endothelial cells, and stromal cells in the tumor, which constitute the non-immune microenvironment of the tumor. Tumor-associated fibroblasts can release stromal cell-derived factors, etc., to promote the growth of tumor cells and tumor angiogenesis. Vascular endothelial cells mainly mediate the formation of tumor cells and jointly provide assistance for tumor formation and metastasis.

Angiogenesis in Cancer
Angiogenesis Inhibitor in Cancer
ADAMTS1  Chromogranin A/CHGA  CXCL4/PF4  TIMP-1 
ADAMTS8  Collagen I/COL1A1  TFPI2  TIMP2 
Angiopoietin-2  MMRN2  Thrombospondin-1/TSP1  TIMP-3/TIMP3 
Calreticulin  NOV/CCN3  THBS2  TIMP-4/TIMP4
Angiogenic Activator in Cancer
Angiogenin  FGF2  PDGF-C  TGF beta 1 
G-CSF  HGF  PDGF-D  TNF-alpha 
IL-8/CXCL8  PDGFA  PLGF/PGF  VEGFA
EGF  PDGF-B  TGF-alpha 
ECM
Collagens
Collagen X  COL22A1  COL4A3  COL6A2 
COL11A1  COL24A1  COL4A4  COL6A3 
COL14A1  COL28A1  COL4A5  COL6A5 
COL15A1  Collagen II/COL2A1  COL4A6  Collagen VIII alpha 1 
COL16A1  COL3A1  COL5A1  COL9A1 
COL19A1  COL4A1  COL5A2  COL9A2
Collagen I/COL1A1  COL4A2  COL5A3 
ECM Regulators
Cathepsin B  LOX  LOXL4  PLOD1 
ITIH1  LOXL1  P4HA1  PLOD2 
ITIH2  LOXL2  P4HA2  PLOD3
Other ECM Glycoproteins
dermatopontin  Fibrinogen gamma chain/FGG  LTBP2  SPARC 
ECM1  Fibronectin  LTBP4  Thrombospondin-1/TSP1 
ELN  LAMA4/Laminin alpha 4  NID1/Entactin  TINAGL1 
EMILIN2  LAMB2  Nidogen-2  TNC 
FBLN2  LAMC2  Periostin  TNN 
Fibrinogen  LTBP1  PXDN  Vitronectin
Fibrinopeptide B 
Proteoglycan
Asporin/ASPN  Biglycan  Decorin  HAPLN1
Myeloid-derived Suppressor Cells (MDSC)
MDSC Cytokines and Growth Factors
M-CSF  IL-12  S100A8  TGF beta 2 
GM-CSF  IL-13  S100A9  TGF-beta 3/TGFB3 
Interferon Gamma  IL-6  TGF beta 1  VEGFA
IL-10  PTGES2 
MDSC Intracellular Signaling Factors
Arginase  p100/p52  COX-2  STAT3 
IDO  NOS2  STAT1  STAT6
MDSC Phenotyping – Negative Markers
CD14  CD86  CD23  c-Kit 
CD34  CR1/CD35  CD11c/ITGAX  B7-H4
CD40  CD21 
MDSC Phenotyping – Positive Markers
C5AR1/C5R1/CD88  B7-1  ICAM-1  VEGFR2/KDR 
CCR2  CSF1R  IL1R1  Galectin 3/LGALS3 
CD1D  CD32A  IL4R  CD31 
CD1d1  CD32B/Fcgr2b  IL-6R  SELL/CD62L 
CD2  FCGR2C  gp130/IL6ST  PSGL-1/CD162 
PD-L1  CD16a  Integrin alpha 4/CD49d/ITGA4  CD43 
CD33  CD16b  LFA-1  Transferrin Receptor/TFRC
CD44  FLT1  CD11b/ITGAM/Integrin alpha M 

Tumor suppressor genes were first identified by making cell hybrids between tumor and normal cells. On some occasions a chromosome from the normal cell reverted the transformed phenotype. Several familial cancers have been shown to be associated with the loss of function of a tumor suppressor gene. They include the retinoblastoma susceptibility gene (RB), Wilms’ tumors (WT1), neurofibromatosis type-1 (NF1), familial adenomatosis polyposis coli (FAP), von Hippel-Lindau syndrome (VHL), and those identified through loss of heterozygosity such as in colorectal carcinomas (called DCC for deleted in colon carcinoma) and P53 which was originally thought to be a proto-oncogene. However, the wild-type P53 protein suppresses the activity of mutant alleles of p53 which are the oncogenic forms of P53.

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