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Ibrahim et al                                                                                                                                                                                        ALDHs and prostate cancer

           Table 1: Tissue distribution, subcellular distribution and substrates of human aldehyde dehydrogenases
           ALDH       Tissue distribution (main organs)  Subcellular localisation*  Substrate*
           1A1        Most tissues [225]             Cytosol                    Retinal
           1A2        Testis [226]                   Cytosol                    Retinal
           1A3        Retina, salivary gland and stomach [87]  Cytosol          Retinal
           1B1        Small intestine, liver and pancreas [227]  Mitochondria   Retinal & acetaldehyde
           1L1        Liver, kidneys and muscles [228]  Cytosol                 10-formyltetrahydrofolate
           1L2        Pancreas, heart and brain [229]  Mitochondria             10-formyltetrahydrofolate
           2          Most tissues [230]             Mitochondria               Acetaldehyde
           3A1        Stomach, lung and cornea [231]  Cytosol, partially in nucleus  Aromatic & aliphatic aldehydes
           3A2        Liver [231]                    Endoplasmic reticulum      Fatty aldehydes
           3B1        Lung, prostate and kidneys [231]  Endoplasmic reticulum   Octanal
           3B2        Salivary gland and placenta [232]  Endoplasmic reticulum   Unknown
           4A1        Liver, kidney and placenta [26]  Mitochondria             Glutamate-γ-semialdehyde
           5A1        CNS, brain and blood [233]     Mitochondria               Succinate semialdehyde
           6A1        Liver, kidney and heart [26]   Mitochondria               Malonate semialdehyde
           7A1        Liver, kidney and heart [231]  Cytosol                    α-amino adipic semialdehyde
           8A1        Liver, kidney and brain [26]   Cytosol                    Retinal
           9A1        Liver, kidney and muscle [231]    Cytosol                 γ-aminobutyraldehyde
           16A1       Bone, heart, kidney and lung [231]    Transmembrane protein   Unknown
           18A1       Pancreas, ovary, testis and kidney [231]  Mitochondria    Glutamic-γ-semialdehyde
           *Adapted from references [26,32]


           resistant prostate cancer (CRPC), which remains an   have the ability to both self-renew and to produce
           untreatable disease [1,3] .                        progenitor  and  differentiated  cells,  generating
                                                              phenotypically diverse tumour cell populations [16] .
           The tumour microenvironment (TME) exerts a         The stem cell microenvironment (SCME) is a specific
           strong hold on tumour initiation, progression and   anatomic location (or “niche”) where stem cells (SCs)
                     [4]
           metastasis . TME is a general term encompassing a   are located, and the interplay between SCs and these
           complex heterogeneous environment which includes   niches can regulate the dynamic process of SCs’
           inflammatory  cells,  blood  vessels,  extracellular   role in tissue generation, maintenance and repair [17] .
                 [5]
           matrix  and fibroblasts (stroma). In normal prostate   Several factors affect SC regulation within the SCME,
           homeostasis, a controlled interaction between non-  including the interactions of SC with each other,
           epithelial components such as stroma and epithelial   with differentiated cells, and with extracellular matrix
           cells contributes to normal epithelial proliferation,   components [18] . Dysfunction of a cellular process
           differentiation and migration [5,6] . When prostate   or signalling pathway within the SC niche could
           epithelial cells have acquired a malignant phenotype,   contribute to the evolution of a CSC [19] . Although the
           this crosstalk between prostate epithelium and     presence of this CSC niche could pose obstacles for
                                     [6]
           stromal cells is perturbed . As a consequence,     the treatment of PCa, it has also been proposed that
           stromal cells play a critical role in activating cellular   the CSC niche also provides a potential target for
           events within the TME that sustain and support     biomarker and drug discovery [20-22] .
           cancer proliferation and metastasis [4,7] . Multiple
                                                         [8]
           studies of cell signalling associated with androgen ,   Aldehyde dehydrogenases (ALDH) have been
                     [9]
           Hedgehog , fibroblast growth factor (FGF) [10] , Src   exploited as selective markers for CSCs and
                      [11]
           family kinase , transforming growth factor-β (TGF-β) ,   have been assigned potential functional roles in
                                                         [12]
           Integrin [13]  and Notch [14]  pathways, implicate the TME,   differentiation, self-protection and expansion [23] . The
           however many such observations are derived using   ALDH superfamily consists of 19 genes with distinct
           a mixture of both human and mouse models in which   chromosomal locations, which are found across 11
           the TMEs are radically different. Accordingly more   families and 4 subfamilies [23-25] . These enzymes have
           careful attention is required to evaluate the impact of   a varied tissue and organ distribution [26-28]  and are
           the TME.                                           localised in the cytoplasm, mitochondria, nucleus,
                                                              and endoplasmic reticulum  [23,24] . ALDH  isoforms
           Within a tumour, the entire population of replicating   show distinct substrate specificity [26,29,30] , and are
           cancer cells has been hypothesised to be derived   NAD(P)+ dependent [Table 1]. Their major role is
           from a small subpopulation of cancer stem cells    the detoxification of endogenous and exogenous
           (CSCs) or tumour initiating cells (TICs) [15] . CSCs   molecules, via oxidation of aldehyde substrates to

             2                                                                      Journal of Cancer Metastasis and Treatment ¦ Volume 4 ¦ Aug 21, 2018
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