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Gene & Protein in Disease                                            TOPK: Target for lung cancer treatment



            whose prognostic data were unavailable.  In addition, in   4. TOPK and treatment of lung cancer
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            a pan cancer analysis, Ma et al.  indicated that TOPK was
            upregulated significantly in LUAD patients, indicating   Surgery is the predominant treatment choice for early-stage
                                                               lung cancer patients, significantly raising their survival
            a poor prognosis. Taken together, TOPK is a potential   rate. Patients in the middle to late stages of the disease
            prognostic marker for lung cancer, especially LUAD.  require comprehensive  treatment.  Traditional  treatment
            3. TOPK signaling pathway in lung cancer           for advanced lung cancer mainly relies on radiotherapy and
                                                               chemotherapy, which have poor efficacy.  Approximately
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            TOPK is involved in many biological functions of cells.   65% of patients are diagnosed with locally advanced lung
            It  also promotes the  occurrence,  metastasis,  metastasis   cancer, and the 5-year survival rate is approximately 20%.
            development, and drug resistance of lung cancer cells and   Thus,  designing  effective strategies  for preventing and
            serves as a marker for the diagnosis and prognosis of lung   treating advanced lung cancers that are associated with low
            cancer. Research has shown that its function is regulated   patient survival rates is the major focus of research. 29
            by  a  variety  of  upstream  and  downstream  molecules,   TOPK has attracted the interest of many researchers
            making it a linchpin in the tumor signaling network.    and  clinicians  as a  potential therapeutic  target,  and  the
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            In lung cancer, TOPK  is  directly  or indirectly  regulated   investigations on TOPK inhibitors have been ongoing. It
            by important targets such as MET,  ALK,  and EGFR,    has been reported that some small molecule compounds
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            and the phosphorylation of TOPK activates downstream   and FDA-approved drugs, such as HI-032,  OTS964,
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            signaling pathways, leading to the occurrence, progression,   OTS514, 18  SKLB-C05, 31   3-deoxysappanchalcone, 32,33
            or drug resistance of lung cancer (Figure 2). These studies   ADA-07,   eupafolin,   acetylshikonin,   glycycoumarin,
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            suggest that as a kinase in the signaling network, TOPK is   pantoprazole, 37  ilaprazole, 38  fucoidan, 39  baicalin,
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            a promising therapeutic target for lung cancer.    cefradine, 41  sulfasalazine, 42  coffee  phenolic



































                             Figure 2. TOPK signaling pathway in lung cancer. Source: Schematic diagram made by the authors.
                                          Abbreviation: TOPK: T-LAK cell-originated protein kinase.



            Volume 3 Issue 2 (2024)                         4                               doi: 10.36922/gpd.3062
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