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. 2023 Feb 21;15(5):1360. doi: 10.3390/cancers15051360

Table 1.

Summary of factor function and its mechanism.

Factor Family Factors Receptor Mechanisms Functions
Neurotrophic factors NGF TrkA Activation of Trk receptors results in either neuronal differentiation or mitogenic stimuli. Transmit the signals related to the survival and apoptosis of nerve cells to the inside of cells, thus regulating the development and apoptosis of cells. Stimulate nerve growth
BDNF, NT-4/5 TrkB Affects myelination during nerve regeneration; Promote migration and invasion
NT3 TrkC Inhibit the formation of myeloid cells in the peripheral nervous system to promote the proliferation of SCs
NRTN/Artemin GFRα Activate RET tyrosine kinase (TK) by binding their homologous GDNF family receptor -α (GFRα) receptors Promote cancer cell invasion and neuronal plasticity; Promote the proliferation of nerve fibers around the tumor; Regulate the interaction between SCs and tumor cells.
GDNF GFRα1 Active RAS/ERK, MAPK, JNK, and PI3-K-Akt. Prompt pro-MMP-9 expression and activation of MMP-9 to affect nerve adhesion and invasion; Initiate cancer cell migration, and PNI effect, and induced migration along the nerve; Prompt invasion and metastasis formation; Enhance the expression of integrin.
Neuregulins NRG1 ErbB Active MAPK, PI-3K. Increase the gap connection communication between SCs; Adjust the physiological characteristics of SCs, and promote the movement and migration of SCS
Neuropeptides SP NK-1R, EGFR, HER2 Active MAPK (including ERK1/2 and P38mapk); Active NK-1R/Akt/NF-κB signal pathway; Transactive EGFR and HER2. Increase MMP-2, MMP-9, VEGF, and VEGFR; Stimulate cell proliferation; Lead to growth; Avoid apoptosis.
GAL GALR2 Active MAPK signal pathways and inactive TTP. Promote Prostaglandin E2 generation to promote the secretion of pro-inflammatory mediators and neuropeptides by tumor cells; Promotes cytokine secretion (including IL-6, VEGF, IL-8); Induce angiogenesis and neurogenesis.
Chemokines CXCL10, CCL21 CXCR3, CCR7 Active AKT, MEK, and RAC signal pathways in tumor cells Promote cancer cells’ invasiveness, migration, proliferation, epithelial–mesenchymal transition; and sensitize sensory nerves; Recruit bone marrow-derived cells (BMDC) and M2 macrophages; GDNF secreted by the recruited macrophages activates RET-GDNF receptor α1 (GFRα1) in cancer cells and promotes the invasion of PNI and cancer cells; Enhance the adhesion between cancer cells and nerves.
CCL2 CCR2 Active MAPK, AKT signal pathways.
CXCL12 CXCR4/CXCR7 Active AKT, ERK, and sonic hedgehog-dependent pathways;
CCL2 CCR2 Active RET-GDNF receptor α1 (GFRα1) in cancer cells.
CX3CL1 CX3CR1 CX3CL1 direct contact CX3CR1 to adhere to nerve cells.