Abstract
Purpose
Brain-derived neurotrophic factor (BDNF) belongs to the family of neurotrophic factors that can potentially increase cancer cell growth, survival, proliferation, anoikis, and migration by tyrosine kinase receptors TrkB and the p75NTR death receptor. The activation of BDNF/TrkB pathways leads to several downstream signaling pathways, including PI3K/Akt, Jak/STAT, PLCγ, Ras-Raf-MEK-ERK, NF-kB, and transactivation of EGFR. The current review aimed to provide an overview of the role of BDNF and its signaling in cancer.
Methods
We searched a major medical database, PubMed, to identify eligible studies for a narrative synthesis.
Results
Pathological examinations demonstrate BDNF overexpression in human cancer, notably involving the prostate, lung, breast, and underlying tissues, associated with a higher death rate and poor prognosis. Therefore, measurement of BDNF, either for identifying the disease or predicting response to therapy, can be helpful in cancer patients. Expression profiling studies have recognized the role of microRNAs (miR) in modulating BDNF/TrkB pathways, such as miR-101, miR-107, miR-134, miR-147, miR-191, miR-200a/c, miR-204, miR-206, miR-210, miR-214, miR-382, miR-496, miR-497, miR-744, and miR-10a-5p, providing a potential biological mechanism by which targeted therapies may correlate with decreased BDNF expression in cancers. Clinical studies investigating the use of agents targeting BDNF receptors and related signaling pathways and interfering with the related oncogenic effect, including Entrectinib, Larotrectinib, Cabozantinib, Repotrectinib, Lestaurtinib, and Selitrectinib, are in progress.
Conclusion
The aberrant signaling of BDNF is implicated in various cancers. Well-designed clinical trials are needed to clarify the BDNF role in cancer progression and target it as a therapeutic method.
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Data availability
Not applicable.
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MM, SSN, ES, and MM conceptualized the study, contributed to the preparation of the initial draft of the manuscript, and designed the graphical abstract, figures, and tables. AS conceptualized the study, critically revised the manuscript, and administered the project. NR supervised the project. All authors have read and approved the submitted version.
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Malekan, M., Nezamabadi, S.S., Samami, E. et al. BDNF and its signaling in cancer. J Cancer Res Clin Oncol 149, 2621–2636 (2023). https://doi.org/10.1007/s00432-022-04365-8
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DOI: https://doi.org/10.1007/s00432-022-04365-8