Review Article

Frizzled receptors (FZDs) in Wnt signaling: potential therapeutic targets for human cancers

Hui-yu Liu1, Xiao-jiao Sun2, Si-yu Xiu2, Xiang-yu Zhang2, Zhi-qi Wang2, Yan-lun Gu3, Chu-xiao Yi2, Jun-yan Liu1, Yu-song Dai1, Xia Yuan2, Hua-peng Liao4, Zhen-ming Liu2, Xiao-cong Pang3, Tian-cheng Li1,5
1 Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital, Beijing 100034, China
2 State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University, Beijing 100191, China
3 Department of Pharmacy, Peking University First Hospital, Beijing 100034, China
4 Yizhang County People’s Hospital, Chenzhou 424200, China
5 Department of Otorhinolaryngology Head and Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100034, China
Correspondence to: Zhen-ming Liu: zmliu@bjmu.edu.cn, Xiao-cong Pang: pangxiaocong1227@163.com, Tian-cheng Li: litiancheng@bjmu.edu.cn,
DOI: 10.1038/s41401-024-01270-3
Received: 22 November 2023
Accepted: 24 March 2024
Advance online: 17 April 2024

Abstract

Frizzled receptors (FZDs) are key contributors intrinsic to the Wnt signaling pathway, activation of FZDs triggering the Wnt signaling cascade is frequently observed in human tumors and intimately associated with an aggressive carcinoma phenotype. It has been shown that the abnormal expression of FZD receptors contributes to the manifestation of malignant characteristics in human tumors such as enhanced cell proliferation, metastasis, chemotherapy resistance as well as the acquisition of cancer stemness. Given the essential roles of FZD receptors in the Wnt signaling in human tumors, this review aims to consolidate the prevailing knowledge on the specific status of FZD receptors (FZD1–10) and elucidate their respective functions in tumor progression. Furthermore, we delineate the structural basis for binding of FZD and its co-receptors to Wnt, and provide a better theoretical foundation for subsequent studies on related mechanisms. Finally, we describe the existing biological classes of small molecule-based FZD inhibitors in detail in the hope that they can provide useful assistance for design and development of novel drug candidates targeted FZDs.

Keywords: Frizzled receptors; Wnt signaling pathway; structural foundation; cancer therapy; FZD inhibitors

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