Nucleolin‑based targeting strategies in cancer treatment: Focus on cancer immunotherapy (Review)

Int J Mol Med. 2023 Sep;52(3):81. doi: 10.3892/ijmm.2023.5284. Epub 2023 Jul 21.

Abstract

The benefits of treating several types of cancers using immunotherapy have recently been established. The overexpression of nucleolin (NCL) in a number of types of cancer provides an attractive antigen target for the development of novel anticancer immunotherapeutic treatments. NCL is a multifunctional protein abundantly distributed in the nucleus, cytoplasm and cell membrane. It influences carcinogenesis, and the proliferation, survival and metastasis of cancer cells, leading to cancer progression. Additionally, the meta‑analysis of total and cytoplasmic NCL overexpression indicates a poor prognosis of patients with breast cancer. The AS1411 aptamers currently appear to have therapeutic action in the phase II clinical trial. The authors' research group has recently explored the anticancer function of NCL through the activation of T cells by dendritic cell‑based immunotherapy. The present review describes and discusses the mechanisms through which the multiple functions of NCL can participate in the progression of cancer. In addition, the studies that define the utility of NCL‑dependent anticancer therapies are summarized, with specific focus being paid to cancer immunotherapeutic approaches.

Keywords: anticancer therapy; cancer; immunotherapy; nucleolin; targeted therapy.

Publication types

  • Review
  • Meta-Analysis

MeSH terms

  • Breast Neoplasms*
  • Female
  • Humans
  • Immunotherapy
  • Nucleolin
  • Phosphoproteins* / metabolism
  • RNA-Binding Proteins / metabolism

Substances

  • Phosphoproteins
  • RNA-Binding Proteins

Grants and funding

The present study was funded by the New Researcher Grant, Mahidol University (grant no. R016420006), the Siriraj Research Fund, Faculty of Medicine Siriraj Hospital, Mahidol University (grant no. R016334002), a Research Grant, National Research Council of Thailand, and Mid-Research Grant (N42A650343), National Research Council of Thailand and Mahidol University (grant no. R016541043).