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Member of the EphB subfamily of Eph receptors, EphB4 is a type I transmembrane receptor. Comprising three primary components—an extracellular ligand-binding domain, a single transmembrane segment, and a cytoplasmic region including a kinase domain—it is similar to other Eph receptors in that Two fibronectin type III repeats, a globular ligand-binding domain, a cysteine-rich area with an epidermal growth factor (EGF)-like motif, and EphB4's extracellular domain comprise These elements mediate high-affinity binding to its main ligand, ephrinB2, which is necessary to initiate signaling pathways linked in cell adhesion, migration, and repulsion.
Bidirectional signaling starts when ephrinB2 interacts with EphB4. EphB4 dimerizes and autophosphorylates on its cytoplasmic tyrosine residues—docking sites for downstream signaling molecules—upon ligand interaction. These comprise phosphatases, kinases, and adaptor proteins controlling different cellular responses including cell shape, motility, and adhesion. Since EphB4 aids in the differentiation of capillary networks into functioning arteries and veins, it is vital for controlling vascular remodeling. Furthermore, crucial for appropriate tissue patterning and function during development are EphB4's mediation of forward signaling in receptor-expressing cells and reverse signaling in ligand-expressing cells.
Figure 1. Mechanistic actions of EPRS1 released from MSCs. (Lee EY, et al., 2023)
Many cancer types, particularly those of the upper aerodigestive tract, increase the EphB4 receptor. EphB4/ephrinB2 interactions reduce cancer in normal cells by blocking Ras-MAPK signaling and hence fostering cell repulsion and segregation. But in tumor cells, EphB4 is frequently overexpressed while its ligand, ephrinB2, is downregulated, therefore upsetting the equilibrium. This disturbance causes contact-dependent signaling to be lost, therefore encouraging tumor growth and metastases.
Furthermore, EphB4 has been linked to control of blood vessel development and permeability, hence fostering angiogenesis inside malignancies. Its high expression combined with other oncogenic signals including those from the ErbB family of receptors can improve cellular proliferation and survival, two fundamental traits of cancer. Though its function is multifaceted, depending on the setting EphB4's interaction with ephrins and downstream signaling events are crucial in both tumor suppression and promotion.
Given EphB4's participation in tumor development, cancer treatment finds an appealing target. With an eye on upsetting the signaling channels driving tumor growth and metastases, recent studies have concentrated on creating small chemical inhibitors that block the EphB4-ephrinB2 interaction. Re-establishing the normal cell adhesion and migration processes disturbed in cancer could help these inhibitors reduce or stop tumor development.
Under investigation a possible immunotherapy target is EphB4. The creation of monoclonal antibodies aimed at EphB4 could help to improve the immunological identification of tumor cells, hence guiding their eradication by the immune system. Particularly in malignancies where EphB4 is overexpressed, EphB4-targeted immunotherapies have demonstrated encouraging outcomes in preclinical models in lowering tumor size and raising survival rates.
Apart from small compounds and antibodies, the function of EphB4 in insulin resistance and metabolic diseases has attracted attention in its possible target for metabolic diseases such as type 2 diabetes. EphB4 has been demonstrated to interact with the insulin receptor (InsR), therefore altering insulin signaling and hence affecting glucose metabolism. Targeting EphB4 in a variety of clinical environments has therapeutic potential highlighted by this dual function in both cancer and metabolic illnesses.
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