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DRUG CLASS:

MCT4 inhibitor

2ms
Knockdown of SLC16A3 decreases extracellular lactate concentration in hepatocellular carcinoma, alleviates hypoxia and induces ferroptosis. (PubMed, Biochem Biophys Res Commun)
So, we draw a conclude that SLC16A3 is associated with poor prognosis of HCC. Inhibition of SLC16A3 expression is a potential therapeutic target for HCC.
Journal • IO biomarker
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GPX4 (Glutathione Peroxidase 4) • SLC7A11 (Solute Carrier Family 7 Member 11) • SLC16A3 (Solute Carrier Family 16 Member 3)
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GPX4 expression
4ms
SLC16A3 is a Prognostic Marker and Affects Immune Regulation in Bladder Cancer. (PubMed, Comb Chem High Throughput Screen)
Overexpression of SLC16A3 is an independent prognostic factor in patients with BC. SLC16A3 may influence the immune infiltration of BC by regulating BC metabolism and m6A methylation, which ultimately can lead to the progress of BC. For the detection and therapy of BC, SLC16A3 may be a potent therapeutic target for BC.
Journal • IO biomarker
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SLC16A3 (Solute Carrier Family 16 Member 3) • ALKBH5 (AlkB Homolog 5, RNA Demethylase)
8ms
Targeting tumor-intrinsic SLC16A3 to enhance anti-PD-1 efficacy via tumor immune microenvironment reprogramming. (PubMed, Cancer Lett)
Genetic and pharmacological inhibition of Slc16a3 dramatically reduced the glycolytic activity and lactic acid production in tumor cells, and ameliorated the immunosuppressive tumor microenvironments (TMEs), leading to boosted antitumor effects via anti-PD-1 blockade. Our study therefore demonstrates that tumor cell-intrinsic SLC16A3 may be a potential target to reverse tumor resistance to immunotherapy.
Journal • PD(L)-1 Biomarker • IO biomarker
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CD8 (cluster of differentiation 8) • SLC16A3 (Solute Carrier Family 16 Member 3)
1year
Evaluating [F]FDG and [F]FLT Radiotracers as Biomarkers of Response for Combined Therapy Outcome in Triple-Negative and Estrogen-Receptor-Positive Breast Cancer Models. (PubMed, Int J Mol Sci)
A typical feature of BC cells is the metabolic shift toward increased glycolysis, which has become an interesting therapeutic target for metabolic drugs such as metformin (MET). Recently, the administration of the antihypertensive syrosingopine (SYRO) in combination with MET has shown a synergistic effect toward a variety of cancers...The study provides evidence that SYRO plus MET has a synergistic effect on tumor growth inhibition in both 4T1 and TS/A experimental models and has showed the highest efficacy on the TNBC xenograft mice (4T1) via the expression reduction in the lactate transporter MCT4 and in the epithelial-mesenchymal transition biomarker Snail, promoting its potential application in therapy settings. In addition, the selective reduction in the [F]FLT tumor uptake (at 7 dd), observed in the SYRO plus MET treated mice in comparison with the vehicle group, suggests that this radiotracer could be potentially used as a biomarker for the early detection of therapy response, in both evaluated xenografts models.
Preclinical • Journal
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ER (Estrogen receptor)
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ER positive
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metformin • syrosingopine
over1year
Metformin confers sensitization to syrosingopine in Multiple Myeloma cells by metabolic blockage and inhibition of protein synthesis. (PubMed, J Pathol)
Finally, the combination treatment resulted in a significant reduction in tumour burden in vivo. This study proposes an alternative combination treatment for MM and provides insight in the intracellular effects.
Journal
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SLC16A1 (Solute Carrier Family 16 Member 1) • ANXA5 (Annexin A5)
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metformin • syrosingopine
over1year
HTLV-1 bZIP factor-induced reprogramming of lactate metabolism and epigenetic status promote leukemic cell expansion. (PubMed, Blood Cancer Discov)
An MCT1/4 inhibitor, syrosingopine, decreases the growth of ATL cells in vitro and in vivo. MCT1/4 expression is positively correlated with TAp73 in many cancers, and MCT1/4 upregulation is associated with dismal prognosis. Activation of the TAp73-MCT1/4 pathway could be a common mechanism contributing to cancer metabolism.
Journal
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IRF4 (Interferon regulatory factor 4) • SLC16A1 (Solute Carrier Family 16 Member 1) • BATF3 (Basic Leucine Zipper ATF-Like Transcription Factor 3)
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syrosingopine
over1year
Bone marrow mesenchymal stem cells induce metabolic plasticity in estrogen receptor-positive breast cancer. (PubMed, Mol Cancer Res)
Combining syrosingopine with fulvestrant, a selective estrogen receptor degrading drug, overcame resistance of ER+ breast cancer cells in coculture with MSCs. These data establish MSCs as a mediator of cancer cell metabolic plasticity and suggest metabolic interventions as a promising strategy to treat ER+ breast cancer and overcome resistance to standard clinical therapies. Implications: This study reveals how MSCs reprogram metabolism of ER+ breast cancer cells and point to MCT4 as potential therapeutic target to overcome resistance to anti-estrogen drugs.
Journal
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ER (Estrogen receptor)
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ER positive
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fulvestrant • syrosingopine
over1year
Metabolic classification of non-small cell lung cancer patient-derived xenografts by a digital pathology approach: A pilot study. (PubMed, Front Oncol)
Acetyl CoA carboxylase (ACC) was associated with the kinetics of PDX growth. Albeit limited by the small number of samples and markers analyzed, metabolic classification of existing collections of PDX by this mini panel will be useful to inform pre-clinical testing of metabolism-targeting drugs.
Journal
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STK11 (Serine/threonine kinase 11)
over1year
5-Oxoproline Enhances 4-Hydroxytamoxifen-induced Cytotoxicity by Increasing Oxidative Stress in MCF-7 Breast Cancer Cells. (PubMed, Anticancer Res)
5-OP enhances 4-OHT-induced cytotoxicity in ER-positive breast cancer cells under normal glucose conditions.
Journal
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ER (Estrogen receptor) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • SLC16A1 (Solute Carrier Family 16 Member 1)
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ER positive • HIF1A expression
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tamoxifen
almost2years
Glycolysis-Related Gene Analyses Indicate That DEPDC1 Promotes the Malignant Progression of Oral Squamous Cell Carcinoma via the WNT/β-Catenin Signaling Pathway. (PubMed, Int J Mol Sci)
The risk score according to glycolysis-related gene expression might be an independent prognostic factor in OSCC. In addition, DEPDC1 was identified as playing a carcinogenic role in OSCC progression, suggesting that DEPDC1 might be a novel biomarker and therapeutic target for OSCC.
Journal
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AURKA (Aurora kinase A) • SLC16A3 (Solute Carrier Family 16 Member 3) • STC2 (Stanniocalcin 2) • DDIT4 (DNA Damage Inducible Transcript 4)
almost2years
Lactate from glycolysis regulates inflammatory macrophage polarization in breast cancer. (PubMed, Cancer Immunol Immunother)
Finally, in vitro experiments confirmed that lactate could inhibit the expression of M1 macrophage markers at both RNA and protein levels. In conclusion, we found that lactate produced by glycolysis regulates the polarization of inflammatory macrophages in breast cancer.
Journal
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SLC16A3 (Solute Carrier Family 16 Member 3)
almost2years
Loss of Lactate/Proton Monocarboxylate Transporter 4 Induces Ferroptosis via the AMPK/ACC Pathway and Inhibition of Autophagy on Human Bladder Cancer 5637 Cell Line. (PubMed, J Oncol)
Furthermore, knockdown of MCT4 led to the significant increase of ROS and MDA levels in 5637 cells and ferroptosis in 5637 cells induced by ferroptosis inducers including RSL3 (APExBIO) and erastin (APExBIO) via inhibition of AMPK-related proteins. Moreover, knockdown of MCT4 inhibited autophagy in 5637 cells, while siMCT4 promoted inhibition of autophagy by CQ (an autophagy inhibitor), which increased the level of apoptosis. This study confirmed that knockdown of MCT4 could affect oxidative stress and induce ferroptosis and inhibition of autophagy, thus suggesting that MCT4 may be a potential target for the treatment of bladder cancer.
Preclinical • Journal
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AMPK (Protein Kinase AMP-Activated Catalytic Subunit Alpha 1)
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erastin • RSL3
almost2years
Monocarboxylate transporter 4 involves in energy metabolism and drug sensitivity in hypoxia. (PubMed, Sci Rep)
In this study, A549 cells, a cell line derived from lung adenocarcinoma, were evaluated under normoxia and hypoxia for the sensitivity of reagents targeting oxidative phosphorylation (metformin) and glycolysis (α-cyano-4-hydroxycinnamic acid [CHC])...In conclusion, it was shown that the sensitivity of reagents targeting energy metabolism is dependent on their microenvironment. As MCT4 is involved in some of these mechanisms, we hypothesized that MCT4 could be an important target molecule for cancer therapy.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • SLC16A1 (Solute Carrier Family 16 Member 1)
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HIF1A expression
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metformin
almost2years
Expression of HIF-1α and Genes Involved in Glucose Metabolism Is Increased in Cervical Cancer and HPV-16-Positive Cell Lines. (PubMed, Pathogens)
Similar results were observed in CC tissues compared to normal tissue obtained by bioinformatics analysis. In conclusion, the expression of HIF-1α, GLUT1, LDHA, CAIX, MCT4, and BSG genes is increased in CC and HPV-16-positive cell lines.
Preclinical • Journal
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LDHA (Lactate dehydrogenase A) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • CA9 (Carbonic anhydrase 9) • SLC16A3 (Solute Carrier Family 16 Member 3) • BSG (Basigin (Ok Blood Group))
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HIF1A expression • CA9 expression
almost2years
Pancreatic stellate cell-induced gemcitabine resistance in pancreatic cancer is associated with LDHA- and MCT4-mediated enhanced glycolysis. (PubMed, Cancer Cell Int)
The study findings suggest that PSC-secreted factors promote both glycolysis and GEM resistance in PCCs, and that glycolysis inhibition by NV-5440 and blocking of ERK phosphorylation by PD98059 protect PCCs from PSC-CM-induced loss of GEM sensitivity. Taken together, PSCs appear to promote GEM resistance in PDAC via glycolysis. Thus, targeting glycolysis may improve the effect of chemotherapy in PDAC.
Journal
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LDHA (Lactate dehydrogenase A) • FN1 (Fibronectin 1)
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gemcitabine • PD98059
almost2years
Metformin Hydrochloride and Doxycycline in Treating Patients With Localized Breast or Uterine Cancer (clinicaltrials.gov)
P2, N=27, Active, not recruiting, Sidney Kimmel Cancer Center at Thomas Jefferson University | Trial completion date: Jun 2022 --> Jun 2023
Trial completion date • Combination therapy
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor) • CAV1 (Caveolin 1) • SLC16A1 (Solute Carrier Family 16 Member 1)
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metformin
2years
Involvement of SLC16A1/MCT1 and SLC16A3/MCT4 in l-lactate transport in the hepatocellular carcinoma cell line. (PubMed, Biopharm Drug Dispos)
In contrast, PXB-cells, freshly isolated hepatocytes from humanized mouse livers, showed lower MCT4 expression and l-lactate uptake at pH 6.0 compared to that in HCC cell lines. In conclusion, MCT4, which contributes to l-lactate transport in HCC cells, is significantly different in HCC compared to normal hepatocytes, and has potential as a target for HCC treatment.
Preclinical • Journal
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SLC16A1 (Solute Carrier Family 16 Member 1) • SLC16A3 (Solute Carrier Family 16 Member 3)
2years
Identification of tumor-associated antigens and immune subtypes of lower-grade glioma and glioblastoma for mRNA vaccine development. (PubMed, Chin Neurosurg J)
In this study, PTBP1 and SLC39A1 are promising antigens for mRNA vaccines development in LGG, and MMP9 and SLC16A3 were potential antigens in GBM. Our analyses indicated that mRNA vaccine immunotherapy was more suitable for LGG2 and GBM1 subtypes. This study was helpful for the development of glioma immunotherapies.
Journal • IO biomarker
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MMP9 (Matrix metallopeptidase 9) • PTBP1 (Polypyrimidine Tract Binding Protein 1) • SLC16A3 (Solute Carrier Family 16 Member 3)
2years
[F]FDG Uptake and Expression of Immunohistochemical Markers Related to Glycolysis, Hypoxia, and Proliferation in Indeterminate Thyroid Nodules. (PubMed, Mol Imaging Biol)
Our results suggest that [F]FDG-positive benign thyroid nodules undergo changes in protein expression similar to those in thyroid carcinomas. To expand the understanding of the metabolic changes in benign and malignant thyroid nodules, further research is required, including correlation with underlying genetic alterations.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • CA9 (Carbonic anhydrase 9)
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VEGFA expression
2years
Transcription profiling of feline mammary carcinomas and derived cell lines reveals biomarkers and drug targets associated with metabolic and cell cycle pathways. (PubMed, Sci Rep)
In contrast, the dissimilarities observed in dysregulation of membrane components highlight CLs' disconnection with the tumour microenvironment. Furthermore, recurrent and exclusive DEGs associated with dysregulated pathways might be useful for the development of prognostically and therapeutically-relevant targeted panels.
Preclinical • Journal
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CDK4 (Cyclin-dependent kinase 4) • HSPA5 (Heat Shock Protein Family A (Hsp70) Member 5) • CCNB2 (Cyclin B2) • CDK1 (Cyclin-dependent kinase 1) • HSPH1 (Heat Shock Protein Family H (Hsp110) Member 1) • MCM4 (Minichromosome Maintenance Complex Component 4) • SLC16A3 (Solute Carrier Family 16 Member 3) • CCNB1 (Cyclin B1) • HSP90AB1 (Heat Shock Protein 90 Alpha Family Class B Member 1) • MCM5 (Minichromosome Maintenance Complex Component 5) • RACGAP1 (Rac GTPase activating protein 1)
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HER-2 negative
2years
MCT4/Lactate Promotes PD-L1 Glycosylation in Triple-Negative Breast Cancer Cells. (PubMed, J Oncol)
Combined with our results, we found that MCT4 positively regulated PD-L1 expression through discharging lactate and stabilized PD-L1 through promoting its glycosylation by the classic WNT pathway in MDA-MB-231 cells. More importantly, the high co-expression of MCT4 and PD-L1 appears to predict more effective targets for treating TNBC, which would improve immune checkpoint therapy for TNBC.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • SLC16A3 (Solute Carrier Family 16 Member 3)
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PD-L1 expression
2years
Targeting fructose metabolism by glucose transporter 5 regulation in human cholangiocarcinoma. (PubMed, Genes Dis)
Furthermore, in the metabolic pathways of fructolysis-Warburg effect, the expression levels of relative downstream genes, including ketohexokinase (KHK), aldolase B (ALDOB), lactate dehydrogenase A (LDHA), and monocarboxylate transporter 4 (MCT4), as well as hypoxia-inducible factor 1 alpha (HIF1A), were altered in a GLUT5 expression-dependent manner. Taken together, these findings indicate that GLUT5 could be a potential target for CCA therapeutic approach via metabolic regulation.
Journal
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LDHA (Lactate dehydrogenase A) • HIF1A (Hypoxia inducible factor 1, alpha subunit)
|
HIF1A expression
2years
Cancer-Associated Stromal Fibroblast-Derived Transcriptomes Predict Poor Clinical Outcomes and Immunosuppression in Colon Cancer. (PubMed, Pathol Oncol Res)
Finally, the expression level of CTHRC1, PDGFC, and NTM genes are consistently altered in colon tumor stroma as well as in the higher CAFs-group of TCGA COAD patients. The identified colonic CAFs-derived key genes are positively correlated with survival prognosis, immunosuppression, tumor progression, and metastasis.
Clinical data • Journal
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SLC16A3 (Solute Carrier Family 16 Member 3) • PDGFC (Platelet Derived Growth Factor C) • PDLIM3 (PDZ And LIM Domain 3)
over2years
Tumor-infiltrating lymphocyte signature in epithelial and stromal compartments of an esophageal squamous cell carcinoma acidic microenvironment mediated by MCT4. (PubMed, Pathol Res Pract)
However, no significant correlation was found along the stromal line. Together, the data we described here, although somewhat discouraging, showed that in epithelial cells from which ESCC originated, acidicity mediated by MCT4 may be responsible for lactate release and may have an effect on the infiltration of TILs we assessed.
Journal • Tumor-Infiltrating Lymphocyte
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CD8 (cluster of differentiation 8) • CD163 (CD163 Molecule)
over2years
Identification and Validation of Long Non-Coding RNA LCIIAR as a Biomarker in LUAD. (PubMed, Front Oncol)
We also demonstrated that the LCIIAR/hsa-miR184/SLC16A3/CDCP1 network regulates SLC16A3/CDCP1 overexpression in and is associated with poor prognosis in this tumour. Therefore our findings revealed the critical role of LCIIAR in Lung Adenocarcinoma progression, which may also serve as a prognostic biomarker and novel therapeutic target.
Journal
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MIR184 (MicroRNA 184) • SLC16A3 (Solute Carrier Family 16 Member 3) • CDCP1 (CUB Domain Containing Protein 1)
over2years
'Warburg effect' controls tumor growth, bacterial, viral infections and immunity - Genetic deconstruction and therapeutic perspectives. (PubMed, Semin Cancer Biol)
In contrast, disruption of the lactic acid transporters MCT1/4 suppressed glycolysis, mTORC1, and tumour growth as a result of intracellular acidosis. Finally, we briefly discuss the current clinical developments of an MCT1 specific drug AZ3965, and the recent progress for a specific in vivo MCT4 inhibitor, two drugs of very high potential for future cancer clinical applications.
Review • Journal
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LDHA (Lactate dehydrogenase A) • HIF1A (Hypoxia inducible factor 1, alpha subunit)
over2years
Monocarboxylate Transporter 4 in Cancer-Associated Fibroblasts Is a Driver of Aggressiveness in Aerodigestive Tract Cancers. (PubMed, Front Oncol)
Glycolytic metabolism in fibroblasts was modulated using the HIF-1α inhibitor BAY 87-2243, the antioxidant N-acetyl cysteine, and genetic depletion of MCT4...Moreover, co-injection of ADT carcinoma cells with fibroblasts lacking MCT4 reduces tumor growth and decreases the expression of markers of metabolic compartmentalization in tumors. In conclusion, metabolic compartmentalization with high expression of MCT4 in CAFs drives aggressiveness in ADT cancers.
Journal
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HIF1A (Hypoxia inducible factor 1, alpha subunit) • SLC16A1 (Solute Carrier Family 16 Member 1)
|
BAY 872243
over2years
Differential expression and analysis of extrachromosomal circular DNAs as serum biomarkers in lung adenocarcinoma. (PubMed, J Clin Lab Anal)
Our study first showed that several eccDNAs were aberrantly expressed in LAD, among which CircD-PDZRN3 and CircD-LGR6 clearly distinguished LAD patients from healthy controls, indicating their potential as biomarkers.
Journal
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CEACAM5 (CEA Cell Adhesion Molecule 5) • KRT19 (Keratin 19) • SDK1 (Sidekick Cell Adhesion Molecule 1) • SLC16A3 (Solute Carrier Family 16 Member 3) • UMODL1 (Uromodulin Like 1)
over2years
Epigenome-wide DNA methylation signature of plasma zinc and their mediation roles in the association of zinc with lung cancer risk. (PubMed, Environ Pollut)
Compared to using traditional factors, addition of methylation risk score exerted improved discriminations for lung cancer both in case-cohort study [area under the curve (AUC) = 0.818 vs. 0.738] and in case-control study (AUC = 0.816 vs. 0.646). Our results provide new insights for the biological role of DNA methylation in the inverse association of zinc with incident lung cancer.
Journal • Epigenetic controller
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SLC16A3 (Solute Carrier Family 16 Member 3) • HLPP2 (PH Domain And Leucine Rich Repeat Protein Phosphatase 2)
over2years
Lactate Transporter SLC16A3 (MCT4) as an Onco-Immunological Biomarker Associating Tumor Microenvironment and Immune Responses in Lung Cancer. (PubMed, Int J Gen Med)
HIF-1a stimulation by dimethyloxalylglycine (DMOG) could restore IL-8 secretion in SLC16A3 downregulated cells. Taken together, our results suggest that SLC16A3 contributes to a worse prognosis in lung cancer and may play an important role in immune microenvironment and evasion through HIF-1a-IL8 axis, which could be a novel therapeutic target for immunotherapy in lung cancer.
Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • PD-1 (Programmed cell death 1) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • HAVCR2 (Hepatitis A Virus Cellular Receptor 2) • ITGAM (Integrin, alpha M) • TGFB1 (Transforming Growth Factor Beta 1) • FOXP3 (Forkhead Box P3)
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HIF1A expression
over2years
TRIM72 exerts antitumor effects in breast cancer and modulates lactate production and MCT4 promoter activity by interacting with PPP3CA. (PubMed, Anticancer Drugs)
Our study suggests that TRIM72 modulates the TME and plays tumor-suppressive roles in BC progression. Therefore, TRIM72 may serve as a potential therapeutic target in BC.
Journal
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PPP3CA (Protein Phosphatase 3 Catalytic Subunit Alpha)
over2years
Methylation heterogeneity in ccRCC offers insights into tumorigenesis and biomarker development (AUA 2022)
Disordered methylation and ITH may lead to inconsistent results amongst samples, which is exacerbated by different methylation platforms covering disparate CpGs within the promoter of genes. This key finding may help identify prognostic methylation markers in future.
CCND1 (Cyclin D1) • WT1 (WT1 Transcription Factor) • KRT7 (Keratin-7) • SFRP1 (Secreted frizzled related protein 1) • SMAD3 (SMAD Family Member 3)
over2years
Anagliptin promotes apoptosis in mouse colon carcinoma cells via MCT-4/lactate-mediated intracellular acidosis. (PubMed, Exp Ther Med)
Additionally, anagliptin reversed the aberrant transmembrane extracellular/intracellular pH gradient by suppressing MCT-4-mediated lactate excretion, while also reducing mitochondrial membrane potential and inducing apoptosis. These data revealed a novel function of anagliptin in regulating lactate excretion from cancer cells, suggesting that anagliptin may be used as a potential treatment for cancer.
Preclinical • Journal
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PCNA (Proliferating cell nuclear antigen)
over2years
SOX2 mediates metabolic reprogramming of prostate cancer cells. (PubMed, Oncogene)
These data support a key role for SOX2 in metabolic reprogramming of prostate cancer cells and reveal new mechanisms to understand how SOX2 enables metastatic progression, lineage plasticity, and therapy resistance. Further, our data suggest clinical opportunities to exploit SOX2 as a biomarker for staging and imaging, as well as a potential pharmacologic target.
Journal
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SOX2 • PFKP (Phosphofructokinase, Platelet)
over2years
Construction and validation of a novel gene signature for predicting the prognosis of osteosarcoma. (PubMed, Sci Rep)
We identified potential immunotherapy targets to the gene signature. The T cells CD8 and Mast cells activated were identified linked with the seventeen-gene signature predictive power.
Journal • Gene Signature • IO biomarker
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PD-L1 (Programmed death ligand 1) • CD8 (cluster of differentiation 8) • LAG3 (Lymphocyte Activating 3) • HAVCR2 (Hepatitis A Virus Cellular Receptor 2) • CLTC (Clathrin Heavy Chain) • GZMA (Granzyme A) • PRF1 (Perforin 1) • SLC4A4 (Solute carrier family 4 member 4)
over2years
MCT4 blockade reverses lactate-mediated immunosuppression in LKB1-deficient NSCLC (AACR 2022)
Collectively, our data indicate that LKB1 mutant tumors enhanced lactate secretion into the TME and this results in decreased T cell cytotoxic potential as well as higher pro-tumor M2 polarization, leading to resistance to immunotherapy. These data suggest that therapeutic inhibition of MCT4 is a promising strategy to overcome immunotherapy resistance in NSCLC patients harboring LKB1 mutant tumors.
PD(L)-1 Biomarker • IO biomarker
|
KRAS (KRAS proto-oncogene GTPase) • STK11 (Serine/threonine kinase 11) • IFNG (Interferon, gamma) • CDK7 (Cyclin Dependent Kinase 7) • MRC1 (Mannose Receptor C-Type 1)
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KRAS mutation • STK11 mutation • MRC1 expression