Dysregulation of Wnt/β-catenin signaling by protein kinases in hepatocellular carcinoma and its therapeutic application

Cancer Sci. 2021 May;112(5):1695-1706. doi: 10.1111/cas.14861. Epub 2021 Apr 6.

Abstract

Wnt/β-catenin signaling is indispensable for many biological processes, including embryonic development, cell cycle, inflammation, and carcinogenesis. Aberrant activation of the Wnt/β-catenin signaling can promote tumorigenicity and enhance metastatic potential in hepatocellular carcinoma (HCC). Targeting this pathway is a new opportunity for precise medicine for HCC. However, inhibiting Wnt/β-catenin signaling alone is unlikely to significantly improve HCC patient outcome due to the lack of specific inhibitors and the complexity of this pathway. Combination with other therapies will be an important next step in improving the efficacy of Wnt/β-catenin signaling inhibitors. Protein kinases play a key and evolutionarily conserved role in the Wnt/β-catenin signaling and have become one of the most important drug targets in cancer. Targeting Wnt/β-catenin signaling and its regulatory kinase together will be a promising HCC management strategy. In this review, we summarize the kinases that modulate the Wnt/β-catenin signaling in HCC and briefly discuss their molecular mechanisms. Furthermore, we list some small molecules that target the kinases and may inhibit Wnt/β-catenin signaling, to offer new perspectives for preclinical and clinical HCC studies.

Keywords: Wnt; combination therapy; hepatocellular carcinoma; protein kinase; small molecule; β-catenin signaling.

Publication types

  • Review

MeSH terms

  • Axin Signaling Complex / metabolism
  • CDC2 Protein Kinase / metabolism
  • Carcinoma, Hepatocellular / etiology
  • Carcinoma, Hepatocellular / metabolism*
  • Carcinoma, Hepatocellular / therapy
  • Combined Modality Therapy / methods
  • Creatine Kinase / metabolism
  • Cyclin-Dependent Kinases / metabolism
  • ErbB Receptors / metabolism
  • Focal Adhesion Kinase 1 / metabolism
  • Glycogen Synthase Kinase 3 beta / metabolism
  • Humans
  • Liver Neoplasms / etiology
  • Liver Neoplasms / metabolism*
  • Liver Neoplasms / therapy
  • Low Density Lipoprotein Receptor-Related Protein-5 / metabolism
  • Low Density Lipoprotein Receptor-Related Protein-6 / metabolism
  • MAP Kinase Kinase Kinases / metabolism
  • NIMA-Related Kinases / metabolism
  • Precision Medicine
  • Protein Kinase Inhibitors / therapeutic use
  • Protein Kinases / metabolism*
  • Protein Serine-Threonine Kinases / metabolism
  • Proto-Oncogene Proteins c-met / metabolism
  • Receptor Protein-Tyrosine Kinases / metabolism
  • Receptor Tyrosine Kinase-like Orphan Receptors / metabolism
  • Wnt Proteins / antagonists & inhibitors
  • Wnt Proteins / metabolism
  • Wnt Signaling Pathway / physiology*
  • beta Catenin / antagonists & inhibitors*
  • beta Catenin / metabolism
  • p21-Activated Kinases / metabolism
  • src-Family Kinases / metabolism

Substances

  • Axin Signaling Complex
  • LRP5 protein, human
  • LRP6 protein, human
  • Low Density Lipoprotein Receptor-Related Protein-5
  • Low Density Lipoprotein Receptor-Related Protein-6
  • Protein Kinase Inhibitors
  • Wnt Proteins
  • beta Catenin
  • Protein Kinases
  • PAK4 protein, human
  • EGFR protein, human
  • ErbB Receptors
  • MET protein, human
  • Proto-Oncogene Proteins c-met
  • ROR2 protein, human
  • Receptor Protein-Tyrosine Kinases
  • Receptor Tyrosine Kinase-like Orphan Receptors
  • Focal Adhesion Kinase 1
  • PTK2 protein, human
  • src-Family Kinases
  • Glycogen Synthase Kinase 3 beta
  • NEK2 protein, human
  • NIMA-Related Kinases
  • Protein Serine-Threonine Kinases
  • SIK1 protein, human
  • p21-Activated Kinases
  • CDC2 Protein Kinase
  • CDK1 protein, human
  • CDK14 protein, human
  • Cyclin-Dependent Kinases
  • MAP Kinase Kinase Kinases
  • MAP kinase kinase kinase 7
  • Creatine Kinase