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Article Dans Une Revue Cancers Année : 2020

Revisiting the Concept of Stress in the Prognosis of Solid Tumors: A Role for Stress Granules Proteins?

Pascal Finetti
François Bertucci
Daniel Birnbaum
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Claire Acquaviva
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Emilie Mamessier

Résumé

Simple Summary: Stress Granules (SGs) were discovered in 1999 and while the first decade of research has focused on some fundamental questions, the field is now investigating their role in human pathogenesis. Since then, evidences of a link between SGs and cancerology are accumulating in vitro and in vivo. In this work we summarized the role of SGs proteins in cancer development and their prognostic values. We find that level of expression of protein involved in SGs formation (and not mRNA level) could serve a prognostic marker in cancer. With this review we strongly suggest that SGs (proteins) could be targets of choice to block cancer development and counteract resistance to improve patients care. Abstract: Cancer treatments are constantly evolving with new approaches to improve patient outcomes. Despite progresses, too many patients remain refractory to treatment due to either the development of resistance to therapeutic drugs and/or metastasis occurrence. Growing evidence suggests that these two barriers are due to transient survival mechanisms that are similar to those observed during stress response. We review the literature and current available open databases to study the potential role of stress response and, most particularly, the involvement of Stress Granules (proteins) in cancer. We propose that Stress Granule proteins may have prognostic value for patients. According to the World Health Organization, cancer is the second leading cause of death worldwide. In most cases, mortality is not due to the primary tumor itself, but to the occurrence of metastasis. At diagnosis, non-metastatic diseases are treated with first line systemic adjuvant (post-operative) and/or neoadjuvant (pre-operative) treatments in order to avoid tumor relapse by eradicating potential residual or micro-metastatic foci. In case of metastatic disease, the aim of systemic treatment is to achieve clinical remissions as durable as possible, which remains a palliative situation for most of solid cancers. In both situations, if the therapy does not eliminate all malignant cells, residual cancer cells may acquire migratory properties and develop drug resistance mechanisms, further contributing to difficult-to-treat metastasis [1].
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Dates et versions

hal-02958029 , version 1 (05-10-2020)

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Anaïs Aulas, Pascal Finetti, Shawn M Lyons, François Bertucci, Daniel Birnbaum, et al.. Revisiting the Concept of Stress in the Prognosis of Solid Tumors: A Role for Stress Granules Proteins?. Cancers, 2020, 12 (9), pp.2470. ⟨10.3390/cancers12092470⟩. ⟨hal-02958029⟩

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