Cancer cells often survive by disrupting the molecular pathways that normally eliminate damaged or abnormal cells. One of these pathways is apoptosis, a tightly controlled form of programmed cell death. New research suggests that an apoptosis-related receptor called TRAIL-R2 is frequently reduced in breast tumors and that epigenetic changes affecting its gene could contribute to this loss of expression.
A research paper published in Volume 17 of Oncotarget, titled “TRAIL-R2 in the shadows: Epigenetic silencing and clinical implications in breast cancer,” investigated promoter methylation of TRAIL-R2 and its relationship with gene and protein expression in breast cancer.
Why TRAIL-R2 Matters in Cancer
Apoptosis helps the body remove cells that are damaged, abnormal, or no longer needed. Because this process can prevent potentially dangerous cells from surviving, disruption of apoptotic signaling is an important feature of cancer biology.
One pathway involved in apoptosis is controlled by tumor necrosis factor-related apoptosis-inducing ligand, commonly known as TRAIL. TRAIL can interact with several receptors on the cell surface. Two of these, TRAIL-R1 and TRAIL-R2, contain intracellular death domains capable of transmitting signals that lead to apoptosis. TRAIL-R2 is also known as death receptor 5, or DR5.
TRAIL-R2 is particularly complex because its effects are not always exclusively tumor suppressive. Activation of the receptor can promote apoptosis through the extrinsic cell-death pathway, but previous studies discussed by the authors have also linked TRAIL-R2 to non-apoptotic signaling pathways, including NF-κB, MAPK, and PI3K/Akt, that can support tumor survival or metastasis under certain conditions.
This means that TRAIL-R2 activity depends partly on the biological context in which the receptor is expressed and activated.
The researchers focused on another potential regulator of TRAIL-R2: DNA methylation.
DNA methylation is an epigenetic process that can alter gene activity without changing the underlying DNA sequence. When methylation occurs in promoter regions, it can reduce transcription and effectively silence a gene. In cancer, abnormal promoter methylation is one mechanism by which genes involved in growth control or cell death can become less active.
The study therefore asked whether TRAIL-R2 promoter methylation was increased in breast cancer and whether that change was accompanied by lower TRAIL-R2 expression.
Full blog post - https://www.oncotarget.org/2026/10/06/epigenetic-silencing-of-trail-r2-is-linked-to-aggressive-features-in-breast-cancer/
DOI - https://doi.org/10.18632/oncotarget.28891
Abstract video - https://www.youtube.com/watch?v=BvhkOYLTJUY
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Keywords - cancer, TRAIL-R2/DR5, promoter methylation, breast cancer biomarkers, tumor suppressor gene, apoptotic signalling pathways
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