The Hyaluronan/CD44 Axis : A Double-Edged Sword in Cancer

Hyaluronic acid (HA) receptor CD44 is widely used for identifying cancer stem cells and its activation promotes stemness. Recent evidence shows that overexpression of CD44 is associated with poor prognosis in most human cancers and mediates therapy resistance. For these reasons, in recent years, CD44 has become a treatment target in precision oncology, often via HA-conjugated antineoplastic drugs. Importantly, HA molecules of different sizes have a dual effect and, therefore, may enhance or attenuate the CD44-mediated signaling pathways, as they compete with endogenous HA for binding to the receptors. The magnitude of these effects could be crucial for cancer progression, as well as for driving the inflammatory response in the tumor microenvironment. The increasingly common use of HA-conjugated drugs in oncology, as well as HA-based compounds as adjuvants in cancer treatment, adds further complexity to the understanding of the net effect of hyaluronan-CD44 activation in cancers. In this review, I focus on the significance of CD44 in malignancy and discuss the dichotomous function of the hyaluronan/CD44 axis in cancer progression.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

International journal of molecular sciences - 24(2023), 21 vom: 31. Okt.

Sprache:

Englisch

Beteiligte Personen:

Cirillo, Nicola [VerfasserIn]

Links:

Volltext

Themen:

9004-61-9
Antineoplastic Agents
CD44
CD44 protein, human
Cancer stem cells
Carcinogenesis
Chemoresistance
Hyaluronan Receptors
Hyaluronic Acid
Hyaluronic acid
Journal Article
Review

Anmerkungen:

Date Completed 15.11.2023

Date Revised 29.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijms242115812

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36450434X