The dual role of VDAC in cancer: Molecular mechanisms and advances in targeted therapy. (PubMed, Biomed Pharmacother)
On the other hand, tubulin antagonists like erastin induce VDAC1/2 opening to reverse the Warburg effect, killing cancer cells via ferroptosis, and its oligomerization state can reverse apoptotic resistance. Advances in targeted therapy show that compounds based on VDAC gating regulation (such as avicin/acrolein for channel closure and erastin/betulinic acid for channel opening) exhibit significant antitumor effects in models of lung cancer, breast cancer, etc. Moreover, the interaction between TSPO and VDAC, as well as oligomerization regulation mediated by GPCPD1, have emerged as novel strategies.This review highlights the functional heterogeneity of VDAC isoforms and the challenges posed by ROS concentration thresholds for precision therapy, providing a theoretical basis for developing cancer treatment strategies targeting mitochondrial channels.