PMID- 36768862 OWN - NLM STAT- MEDLINE DCOM- 20230214 LR - 20230214 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 3 DP - 2023 Jan 28 TI - NMDA Receptor and Its Emerging Role in Cancer. LID - 10.3390/ijms24032540 [doi] LID - 2540 AB - Glutamate is a key player in excitatory neurotransmission in the central nervous system (CNS). The N-methyl-D-aspartate receptor (NMDAR) is a glutamate-gated ion channel which presents several unique features and is involved in various physiological and pathological neuronal processes. Thanks to great efforts in neuroscience, its structure and the molecular mechanisms controlling its localization and functional regulation in neuronal cells are well known. The signaling mediated by NMDAR in neurons is very complex as it depends on its localization, composition, Ca(2+) influx, and ion flow-independent conformational changes. Moreover, NMDA receptors are highly diffusive in the plasma membrane of neurons, where they form heterocomplexes with other membrane receptors and scaffold proteins which determine the receptor function and activation of downstream signaling. Interestingly, a recent paper demonstrates that NMDAR signaling is involved in epithelial cell competition, an evolutionary conserved cell fitness process influencing cancer initiation and progress. The idea that NMDAR signaling is limited to CNS has been challenged in the past two decades. A large body of evidence suggests that NMDAR is expressed in cancer cells outside the CNS and can respond to the autocrine/paracrine release of glutamate. In this review, we survey research on NMDAR signaling and regulation in neurons that can help illuminate its role in tumor biology. Finally, we will discuss existing data on the role of the glutamine/glutamate metabolism, the anticancer action of NMDAR antagonists in experimental models, NMDAR synaptic signaling in tumors, and clinical evidence in human cancer. FAU - Gallo, Simona AU - Gallo S AUID- ORCID: 0000-0001-7404-1356 AD - Department of Oncology, University of Turin, Strada Provinciale 142, 10060 Candiolo, Italy. AD - Candiolo Cancer Institute, FPO-IRCCS, Strada Provinciale 142, 10060 Candiolo, Italy. FAU - Vitacolonna, Annapia AU - Vitacolonna A AUID- ORCID: 0000-0002-7492-6100 AD - Department of Oncology, University of Turin, Strada Provinciale 142, 10060 Candiolo, Italy. AD - Candiolo Cancer Institute, FPO-IRCCS, Strada Provinciale 142, 10060 Candiolo, Italy. FAU - Crepaldi, Tiziana AU - Crepaldi T AUID- ORCID: 0000-0003-3410-947X AD - Department of Oncology, University of Turin, Strada Provinciale 142, 10060 Candiolo, Italy. AD - Candiolo Cancer Institute, FPO-IRCCS, Strada Provinciale 142, 10060 Candiolo, Italy. LA - eng GR - CRT 2021.1899/Fondazione CRT/ GR - Ricerca corrente 2022/Ministero della Salute/ PT - Journal Article PT - Review DEP - 20230128 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Receptors, N-Methyl-D-Aspartate) RN - 3KX376GY7L (Glutamic Acid) SB - IM MH - Humans MH - *Receptors, N-Methyl-D-Aspartate/metabolism MH - Signal Transduction/physiology MH - Synaptic Transmission MH - *Neoplasms MH - Glutamic Acid/metabolism PMC - PMC9917092 OTO - NOTNLM OT - NMDAR OT - cancers OT - glutamate OT - metabolism OT - neuron COIS- The authors declare no conflict of interest. EDAT- 2023/02/12 06:00 MHDA- 2023/02/15 06:00 PMCR- 2023/01/28 CRDT- 2023/02/11 01:22 PHST- 2022/12/23 00:00 [received] PHST- 2023/01/23 00:00 [revised] PHST- 2023/01/25 00:00 [accepted] PHST- 2023/02/11 01:22 [entrez] PHST- 2023/02/12 06:00 [pubmed] PHST- 2023/02/15 06:00 [medline] PHST- 2023/01/28 00:00 [pmc-release] AID - ijms24032540 [pii] AID - ijms-24-02540 [pii] AID - 10.3390/ijms24032540 [doi] PST - epublish SO - Int J Mol Sci. 2023 Jan 28;24(3):2540. doi: 10.3390/ijms24032540.