Table 1 NTS, NTSR, downstream signaling pathways and main molecular mechanisms related to primary tumors, EMT and tumor microenvironement, and involved in each of the four digestive cancers described (GC, PDAC, HCC, and CRC).

From: Neurotensin pathway in digestive cancers and clinical applications: an overview

 

NTS and receptors

Activated signaling pathways, downstream stimulated effectors and upregulated genes

Tumor microenvironment modulation (NTS/IL-8)

GC

NTS (secreted), NTSR1

- PKC

- ERK1/2

- PI3K/AKT

Not described

PDAC

1- NTS, NTSR1

2- NTS/sortilin

- PKC-dependent ERK1/2

- PI3K/AKT

RhoGTPases

Not described

HCC

NTS, NTSR1

Wnt/β-catenin

NTSR1, EGFR

Stem cells maintenance

RAF-1, ERK1/2

IL-8, CXCL1

EMT, cancer, and stromal cell infiltration within tumors

MAPK, NFκB

IL-8

CRC

1- NTS, NTSR1

2- sortilin/sSortilin (secreted)

- PKB, β-catenin

Cyclin D1

- Ca2+ release

- RhoGTPases, NFκB → IL-8

- AKT by EGFR-transactivation dependent (HT29, HCT116)

- MAPK-ERK1/2 by EGFR-transactivation dependent (HT29) or PKC-activation dependent (HCT116) → AP-1, Elk1, Egr1 activation

IL-8, EGFR

- FAK/Src

- Ca2+ release

Not described

  1. CRC colorectal cancer, EGFR epidermal growth factor receptor, Egr-1 early growth response protein 1, ERK1/2 extracellular signal–regulated kinases 1/2, FAK focal adhesion kinase, GC gastric cancer, HCC hepatocellular carcinoma, IL interleukin, MAPK mitogen-activated protein kinase, NFκB nuclear factor-kappa B, NTS neurotensin, NTSR neurotensin receptor, PDAC pancreatic ductal adenocarcinoma, PI3K phosphatidylinositol 3-kinase, PKB protein kinase B, PKC protein kinase C, UR unknown receptor.