Also known as PTGER4
EP4 (Prostaglandin E2 receptor 4) - Inflammation-Driven Growth, Immune Suppression, and Metastasis
-is a receptor that plays a role in various cellular processes, including inflammation and cell growth. In cancer, EP4 has been implicated in tumor development and progression.
Overexpressed in: Colorectal, Breast, Lung, Prostate, Ovarian, GBM cancers(with poor prognosis).
Underexpressed in: Some types of renal cell carcinoma (correlated with improved overall survival).
EP4 appears to play a tumorigenic role in various types of cancer, and its expression levels can be used as a prognostic marker to predict patient outcomes.
Core Pro-Tumor Mechanisms
a. Proliferation and Survival
EP4 activation:
-Elevates cAMP/PKA and PI3K–AKT signaling
-Promotes cell survival and resistance to stress
-Cooperates with growth-factor pathways
b. Invasion and Metastasis
-EP4 enhances:
-EMT programs
-Cell migration and invasion
-Matrix remodeling and metastatic seeding
c. Angiogenesis
EP4 signaling increases:
-VEGF expression
-Endothelial migration and vessel formation
-Tumor perfusion
|