Abstract
Epidemiological studies provide convincing evidence that alcohol consumption is an etiological inducer of human cancers originated primarily in the upper aerodigestive tract, liver, colorectum and female breast, while association is suggested for cancers of the lung and pancreas. The underlying mechanism of alcohol induced tumorigenesis is incompletely understood, but plausible hypotheses suggest mechanisms that are intimately intertwined with alcohol metabolism including the genotoxic effect of acetaldehyde, increased production of reactive oxygen and nitrogen species, altered folate availability and increased estrogen secretion. Alcohol also induces the evolutionally highly conserved cellular stress pathways: the Heat Shock Response (HSR) in the cytoplasm and the Unfolded Protein Response (UPR) in the endoplasmic reticulum, which lead to massive up-regulation of Heat Shock Protein (HSP) expression in both subcellular compartments. HSPs are molecular chaperones that guard against illicit and promiscuous interaction between proteins and serve cytoprotective and anti-apoptotic roles to safeguard and restore normal protein homeostasis or proteostasis following proteotoxic insults (Fig. 8.1). Surprisingly, while HSPs and their master transcriptional regulator Heat Shock Factor 1 (HSF1) increase fitness, subsistence and longevity under most circumstances, recent studies suggest that in cancer cells their augmented expression promote tumorigenesis and rapid somatic evolution under the hostile acidic, nutrient-limiting tumor environment and compromise survival. Elevated level of HSPs is vital to support many types of tumor growth, thus, inhibiting the chaperone function of HSP70 and HSP90 in cancer cells leads to apoptosis and tumor regression. Consequently, HSPs and HSF1 have become the target of rational anticancer drug design representing a new class of tumorigenesis regulators beside oncogenes and tumor suppressors that can be pharmacologically modulated for anticancer treatment. Hence, studying the role of HSF1 and HSPs in alcohol-induced carcinogenesis is critical to gain understanding to their contribution to the oncogenesis process and develop new strategies for prevention, diagnosis and treatment.
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- AKRB10:
-
Aldo-keto reductase 1B10
- ALD:
-
Alcoholic liver disease
- Apaf-1:
-
Apoptotic peptidase activating factor 1
- APC/C:
-
Anaphase Promoting Complex C
- CRC:
-
Colorectal cancer
- DBD:
-
DNA binding domain
- DNA-PK:
-
DNA damage response kinase
- ESCC:
-
Esophageal squamous cell carcinoma
- FAH:
-
Fumarylacetoacetate hydrolase
- GR:
-
Glucocorticiod receptor
- HCC:
-
Hepatocellular carcinoma
- HDAC:
-
Histone deacetylase
- HRGβ1:
-
Heregulin β1
- HSE:
-
Heat shock element
- HSF:
-
Heat shock factor
- HSP:
-
Heat shock protein
- HSR:
-
Heat shock response
- HT1:
-
Hereditary tyrosinemia type 1
- IL-1β:
-
Interleukin 1 beta
- PDC:
-
Programmed cell death
- PDIA3:
-
Protein disulfide isomerase-associated 3
- PN:
-
Proteostasis network
- ROS:
-
Reactive oxygen species
- TNFα:
-
Tumor necrosis factor alpha
- uPA:
-
Urokinase plasminogen activator
- UPR:
-
Unfolded protein response
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Orosz, A. (2011). Alcohol, Altered Protein Homeostasis, and Cancer. In: Zakhari, S., Vasiliou, V., Guo, Q. (eds) Alcohol and Cancer. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0040-0_8
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