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Review

New frontiers in the design and discovery of therapeutics that target calcium ion signaling: a novel approach in the fight against cancer

, &
Pages 1379-1392 | Received 15 May 2023, Accepted 22 Aug 2023, Published online: 01 Sep 2023
 

ABSTRACT

Introduction

The Ca2+ signaling toolkit is currently under investigation as a potential target for addressing the threat of cancer. A growing body of evidence suggests that calcium signaling plays a crucial role in promoting various aspects of cancer, including cell proliferation, progression, drug resistance, and migration-related activities. Consequently, focusing on these altered Ca2+ transporting proteins has emerged as a promising area of research for cancer treatment.

Areas Covered

This review highlights the existing research on the role of Ca2+-transporting proteins in cancer progression. It discusses the current studies evaluating Ca2+ channel/transporter/pump blockers, inhibitors, or regulators as potential anticancer drugs. Additionally, the review addresses specific gaps in our understanding of the field that may require further investigation.

Expert opinion

Targeting specific Ca2+ signaling cascades could disrupt normal cellular activities, making cancer therapy complex and elusive. Therefore, there is a need for improvements in current Ca2+ signaling pathway focused medicines. While synthetic molecules and plant compounds show promise, they also come with certain limitations. Hence, exploring the framework of targeted drug delivery, structure-rationale-based designing, and repurposing potential drugs to target Ca2+ transporting proteins could potentially lead to a significant breakthrough in cancer treatment.

Article highlights

  • Intracellular Ca2+ signaling alteration results in the promotion and progression of different types of cancer.

  • Targeting Ca2+-transporting proteins is an effective way to prevent cancer proliferation and progression.

  • The Ca2+ signaling toolkit has a significant role in activating apoptosis to regulate cancer menace.

  • Modulators of the Ca2+ signaling toolkit have demonstrated promise in targeting cancer.

  • Targeted drug delivery and drug repurposing are likely efficient approaches to tackle limitations in targeting specific Ca2+ transporting proteins.

Abbreviations

AP-1=

Activator protein-1

Ca2+=

Calcium ion

CACNA=

Ca2+ voltage-gated channel subunit alpha

CaM=

Calmodulin

CaMKII=

Calcium calmodulin-dependent protein kinase II

CaN=

Calcineurin

CDKIs=

Cyclin-dependent kinase inhibitors

CTLA=

Cytotoxic T lymphocyte-associated protein

CRAC=

Calcium release-activated calcium

eEF2=

Eukaryotic elongation factor 2

EMT=

Epithelial to mesenchymal transitions

EPR=

Enhanced permeability and retention

ER=

Endoplasmic reticulum

ERK=

Extracellular signal-regulated kinase

5-FU=

5-fluorouracil

HIF-1α=

Hypoxia-Inducible Factor-1α

IP3R=

Inositol triphosphate receptor

LAG=

Lymphocyte activation gene

MAPK=

Mitogen activated protein kinases

MCU=

Mitochondrial calcium uniporter

miR=

microRNA

MLCK=

Myosin light-chain kinase

MMP=

Matrix metalloproteinase

MPT=

Mitochondrial permeability transition

Mt=

Mitochondria

NCX=

Na+/Ca2+exchanger

NFAT=

Nuclear factor of activated T cells

NFκB=

Nuclear Factor Kappa-light-chain-enhancer of activated

PM=

Plasma Membrane

PCD=

Programmed cell death

PLCƴ=

Phospholipase C-ƴ

PMCA=

Plasma membrane Ca2+-ATPase

PML=

Promyelocytic leukemia protein

PSMA=

Prostate-specific membrane antigens

PTEN=

Protein phosphatase and tensin homolog

PTT=

Photothermal therapy

RB1=

Retinoblastoma1

RyRs=

Ryanodine receptors

SERCA=

Sarco-endoplasmic reticulum calcium transport ATPase

SOCC=

Store operated calcium channel

SPCA=

Secretory pathway Ca2+/Mn2+-ATPase

STIM1=

Stromal interacting molecule 1

TG=

Thapsigargin

TME=

Tumor microenvironment

TRP=

Transient receptor potential

VDAC=

Voltage-dependent anion channel

VEGF=

Vascular endothelial growth factor

VGCC=

Voltage-gated Ca2+ channels

Acknowledgments

The authors acknowledge the support of the Director of the CSIR-Central Institute of Medicinal and Aromatic Plants, Lucknow, for providing the necessary research facilities.

Declaration of interest

J Singh declares receiving a Senior Research Fellowship from the Council of Scientific and Industrial Research (CSIR), New Delhi. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

Reviewer disclosures

Peer reviewers on this manuscript have no relevant financial or other relationships to disclose.

Additional information

Funding

The authors are supported by the Council of Scientific and Industrial Research, India through the Central Institute of Medicinal and Aromatic Plants (DU2/MLP-11 and HCP-007 PII) and the Science and Engineering Research Board of the Department of Science and Technology, the Ministry of Science and Technology, Government of India (Award No. EEQ/2021/000292).

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