PMID- 30254608 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 9 DP - 2018 TI - Cholesterol as an Endogenous ERRalpha Agonist: A New Perspective to Cancer Treatment. PG - 525 LID - 10.3389/fendo.2018.00525 [doi] LID - 525 AB - The estrogen-related receptors (ERRs) are important members of nuclear receptors which contain three isoforms (alpha, beta, and gamma). ERRalpha is the best-characterized isoform expressed mainly in high-energy demanding tissues where it preferentially works in association with the peroxisome proliferator-activated receptor-gamma co-activator 1alpha (PGC-1alpha) and PGC-1beta. ERRalpha together with its cofactors modulates cellular metabolism, supports the growth of rapidly dividing cells, directs metabolic programs required for cell differentiation and maintains cellular energy homeostasis in differentiated cells. In cancer cells, the functional association between ERRalpha and PGC-1s is further influenced by oncogenic signals and induces metabolic programs favoring cell growth and proliferation as well as tumor progression. Recently, cholesterol has been identified as a natural ERRalpha ligand using a combined biochemical strategy. This new finding highlighted some important physiological aspects related to the use of cholesterol-lowering drugs such as statins and bisphosphonates. Even more meaningful is the link between increased cholesterol levels and certain cancer phenotypes characterized by an overexpressed ERRalpha such as mammary, prostatic, and colorectal cancers, where the metabolic adaptation affects many cancer processes. Moreover, high-energy demanding cancer-related processes are strictly related to the cross-talk between tumor cells and some key players of tumor microenvironment, such as tumor-associated macrophage that fuels cancer progression. Some evidence suggests that high cholesterol content and ERRalpha activity favor the inflammatory environment by the production of different cytokines. In this review, starting from the most recent observations on the physiological role of the new signaling activated by the natural ligand of ERRalpha, we propose a new hypothesis on the suitability to control cholesterol levels as a chance in modulating ERRalpha activity in those tumors in which its expression and activity are increased. FAU - Casaburi, Ivan AU - Casaburi I AD - Department of Pharmacy and Health and Nutritional Science, University of Calabria, Cosenza, Italy. FAU - Chimento, Adele AU - Chimento A AD - Department of Pharmacy and Health and Nutritional Science, University of Calabria, Cosenza, Italy. FAU - De Luca, Arianna AU - De Luca A AD - Department of Pharmacy and Health and Nutritional Science, University of Calabria, Cosenza, Italy. FAU - Nocito, Marta AU - Nocito M AD - Department of Pharmacy and Health and Nutritional Science, University of Calabria, Cosenza, Italy. FAU - Sculco, Sara AU - Sculco S AD - Department of Pharmacy and Health and Nutritional Science, University of Calabria, Cosenza, Italy. FAU - Avena, Paola AU - Avena P AD - Department of Pharmacy and Health and Nutritional Science, University of Calabria, Cosenza, Italy. FAU - Trotta, Francesca AU - Trotta F AD - Department of Pharmacy and Health and Nutritional Science, University of Calabria, Cosenza, Italy. FAU - Rago, Vittoria AU - Rago V AD - Department of Pharmacy and Health and Nutritional Science, University of Calabria, Cosenza, Italy. FAU - Sirianni, Rosa AU - Sirianni R AD - Department of Pharmacy and Health and Nutritional Science, University of Calabria, Cosenza, Italy. FAU - Pezzi, Vincenzo AU - Pezzi V AD - Department of Pharmacy and Health and Nutritional Science, University of Calabria, Cosenza, Italy. LA - eng PT - Journal Article PT - Review DEP - 20180911 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 PMC - PMC6141749 OTO - NOTNLM OT - ERRalpha OT - IL-8 OT - adrenocortical carcinoma (ACC) OT - breast and prostate cancer OT - cancer metabolism OT - cholesterol OT - colonrectal cancer EDAT- 2018/09/27 06:00 MHDA- 2018/09/27 06:01 PMCR- 2018/01/01 CRDT- 2018/09/27 06:00 PHST- 2018/06/08 00:00 [received] PHST- 2018/08/21 00:00 [accepted] PHST- 2018/09/27 06:00 [entrez] PHST- 2018/09/27 06:00 [pubmed] PHST- 2018/09/27 06:01 [medline] PHST- 2018/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2018.00525 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2018 Sep 11;9:525. doi: 10.3389/fendo.2018.00525. eCollection 2018.