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Tumor Discovery                                                                       WDR4 in cancer



              In liver cancer, studies have shown that WDR4    during embryogenesis, tissue development, and wound
            may regulate the protein level of CCNB1, influencing   healing, and plays a significant role in cancer metastasis. 61,62
            the activation of the PI3K/AKT signaling pathway     In nasopharyngeal carcinoma, the expression of WDR4
            and promoting tumor progression.  In head and neck   is significantly elevated, leading to a notable increase in the
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            squamous  cell carcinoma,  it has  been  found  that  m7G   translation efficiency of m7G-modified codon-containing
            tRNA modification mediates the interaction with the PI3K/  mRNA. This enhanced translation efficiency activates the
            AKT/mTOR pathway, regulating the mRNA expression   WNT/β-catenin signaling pathway, thereby influencing
            profile and further promoting cancer progression.  This   the EMT process. 63
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            suggests the significant role of tRNA modifications in
            tumor metabolism and biological processes. In addition,   3.4. EGFR pathway
            in esophageal squamous cell carcinoma, WDR4 regulates   The EGFR pathway is a critical cellular signaling pathway
            m7G modification to affect tRNA expression, activating   that plays a fundamental role in regulating biological
            the RPTOR/ULK1/autophagy pathway and contributing to   processes such as cell proliferation, survival, migration,
            cancer development.  These findings indicate that WDR4,   and  differentiation. EGFR  is  a transmembrane  receptor
                            24
            as a critical regulatory factor, plays a significant role in   belonging to the receptor tyrosine kinase family. 64-66
            the onset and progression of various cancers through its
            regulation of the PI3K/AKT/mTOR signaling pathway.   In addition to its regulation through the E3 ubiquitin
                                                               ligase-mediated degradation of PTPN23,  as previously
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            3.2. MAPK pathway                                  discussed, WDR4 has been shown to influence tRNA
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            The mitogen-activated protein kinase (MAPK) pathway   modification by regulating the M7G cap in HCC.  This
            is a critical intracellular signaling pathway involved   tRNA modification enhances resistance to lenvatinib, a
            in various physiological processes, including cell   first-line tyrosine kinase inhibitor used in the treatment
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            growth, differentiation, stress response, apoptosis, and   of advanced liver cancer.  Specifically, WDR4 promotes
            metabolism. 47,48  The  activation  of the  MAPK pathway is   the translation of genes involved in the EGFR signaling
            typically triggered by external stimuli such as growth factors,   pathway, contributing to the development of drug
            cytokines, and environmental stress.  On activation, this   resistance.
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            pathway regulates downstream transcription factors and   Furthermore, in bladder cancer, WDR4, in collaboration
            other effector molecules, thereby influencing the function   with METTL1, modulates tRNA modifications to regulate
            and fate of the cell. 50-52                        the translation of EGFR and EGF-containing fibulin-like
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              In  pancreatic  cancer,  the  MAPK  pathway  plays  a   extracellular  matrix  protein  1  (EFEMP1).   This  process
            significant role in regulating cell proliferation and survival.    activates the EGFR signaling pathway, emphasizing
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            The functional role of WDR4 in influencing protein stability   the significant role of tRNA modifications and their
            may extend to the components of the MAPK pathway,   interaction with key oncogenic signaling pathways in
            thereby enhancing their stability and facilitating their   cancer progression and drug resistance. Figure 4 illustrates
            activation. By modulating MAPK signaling, WDR4 supports   the key role of WDR4 in the pathway.
            tumor cell growth and metastasis, positioning it as a potential   4. Clinical implications and therapeutic
            therapeutic target in MAPK-driven pancreatic cancer.
                                                               potential of WDR4
            3.3. WNT/β-catenin pathway and epithelial-         4.1. WDR4 as a prognostic and predictive biomarker
            mesenchymal transition (EMT) pathway
                                                               Elevated  WDR4  expression  across  multiple  cancers
            The WNT/β-catenin pathway is a central signaling   correlates with poor clinical outcomes, underscoring its
            mechanism that regulates various physiological processes,   potential as a prognostic and predictive biomarker. High
            including development, stem cell maintenance, and tissue   levels of WDR4 expression in patient samples correlate with
            homeostasis. 50,54  Dysregulation of this pathway is a key feature   increased metastasis, reduced survival rates, and resistance
            in the pathogenesis of many diseases, particularly cancer. 55,56  to standard therapies, suggesting its use as a biomarker for
              The EMT is a biological process in which epithelial   assessing tumor aggressiveness and therapeutic resistance.
            cells, which are normally tightly bound and organized
            in layers, lose their cell-cell adhesion properties and   4.2. Therapeutic targeting of WDR4
            acquire mesenchymal characteristics. 57-59  These include   Several approaches are applied to target WDR4’s oncogenic
            increased motility, invasiveness, and the ability to degrade   activity, including small-molecule inhibitors, RNA
            components of the extracellular matrix.  EMT is essential   interference, gene editing, and combination therapies.
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            Volume 4 Issue 1 (2025)                         41                                doi: 10.36922/td.5830
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