The FAM3B protein has been observed to cause apoptosis in both alpha and beta cells. This effect is dependent on both the concentration of FAM3B and the duration of exposure.
FAM3B, also known as PANDER (PANcreatic DERived factor) in its secretory form, is a uniquely structured protein that is strongly expressed within and secreted from the endocrine pancreas . It belongs to the Family with sequence similarity 3 (FAM3) gene family, which plays crucial roles in various biological processes. In pancreatic β-cells, FAM3B is co-secreted with insulin upon glucose stimulation and participates in the regulation of glucose homeostasis . Beyond the pancreas, FAM3B has been implicated in various pathological processes, including vascular smooth muscle cell proliferation and migration, especially under hyperglycemic conditions . Recent research suggests FAM3B expression changes may serve as biomarkers for certain cancers and potentially malignant conditions such as oral lichen planus (OLP) .
FAM3B expression exhibits tissue-specific regulation patterns. In the pancreas, glucose serves as a primary stimulator of FAM3B expression and secretion . Under hyperglycemic conditions, FAM3B expression is induced both in vivo and in vitro . In vascular smooth muscle cells (VSMCs), high glucose environments trigger increased FAM3B expression, which subsequently mediates pathological activation of these cells .
In cancer contexts, FAM3B expression appears to be downregulated compared to normal tissues. For instance, FAM3B is under-expressed in oral lichen planus compared to normal samples and further significantly downregulated in oral squamous cell carcinoma (OSCC) compared to OLP . This suggests that FAM3B might be subject to epigenetic regulation or transcriptional repression during cancer progression. The Human Protein Atlas also shows differential expression of FAM3B across brain regions, suggesting tissue-specific regulatory mechanisms .
These methodologies have been successfully employed in FAM3B research and provide complementary perspectives on its expression patterns and functional roles .
FAM3B exhibits a progressive downregulation pattern during oral cancer development. Studies analyzing gene expression profiles have revealed that FAM3B is under-expressed in oral lichen planus (OLP) compared to normal oral mucosa, and further significantly downregulated in oral squamous cell carcinoma (OSCC) compared to OLP . This pattern suggests FAM3B may function as a tumor suppressor gene in this context, with its diminishing expression correlating with disease progression.
The sequential decrease in FAM3B expression from normal tissue to potentially malignant condition (OLP) to malignant state (OSCC) has been confirmed through multiple analytical approaches. Gene Expression Omnibus (GEO) datasets GSE38616, GSE52130, and GSE70665 were analyzed to identify differentially expressed genes (DEGs) between OLP patients and healthy individuals, with FAM3B consistently emerging as significantly downregulated . This finding was further validated through analysis of The Cancer Genome Atlas (TCGA) data, which demonstrated significantly lower FAM3B expression in OSCC compared to normal tissues . Immunohistochemical staining confirmed these transcriptomic findings at the protein level, with decreased FAM3B protein expression observed in both OLP and OSCC tissues compared to normal controls .
FAM3B expression levels have demonstrated significant prognostic value in cancer patients, particularly in oral squamous cell carcinoma (OSCC). Data from the TCGA OSCC cohort revealed that under-expression of FAM3B was significantly correlated with:
Both univariate and multivariate Cox regression analyses have established FAM3B as an independent prognostic factor in OSCC . A receiver operating characteristic (ROC) curve analysis to investigate the biomedical predictive value of FAM3B yielded an area under the ROC curve (AUC) value of 0.899, indicating excellent diagnostic potential for distinguishing OSCC from normal tissues .
The consistent association between FAM3B expression and multiple survival metrics across different statistical models strengthens its potential utility as a prognostic biomarker. Researchers have developed prognostic nomograms incorporating FAM3B expression to facilitate prediction of 3-, 5-, and 7-year disease-specific survival for OSCC patients . These tools may aid in clinical decision-making and risk stratification of patients.
The expression pattern of FAM3B varies significantly across different cancer types. According to pan-cancer analyses, FAM3B shows differential expression between tumor and adjacent normal tissues in at least seven cancer types:
Cholangiocarcinoma (CHOL)
Head and neck squamous cell carcinoma (HNSC)
Kidney chromophobe (KICH)
Lung adenocarcinoma (LUAD)
Lung squamous cell carcinoma (LUSC)
Rectum adenocarcinoma (READ)
In pancreatic cancer (PAAD), FAM3C (another member of the FAM3 family) has been shown to promote cell proliferation, migration, and invasion while suppressing apoptosis . This contrasts with the potential tumor-suppressive role suggested for FAM3B in OSCC.
Such varying expression patterns across cancer types highlight the context-dependent roles of FAM3 family genes in carcinogenesis and tumor progression. The differential expression patterns observed suggest that FAM3B's function may be tissue-specific and influenced by the microenvironment of different cancer types .
FAM3B has emerged as a critical regulator of vascular smooth muscle cell (VSMC) physiology, particularly under hyperglycemic conditions. Research has demonstrated that FAM3B expression is induced by high glucose environments both in vivo and in vitro . Functionally, FAM3B influences several key aspects of VSMC behavior:
Proliferation: FAM3B knockdown inhibits VSMC proliferation, whereas FAM3B overexpression accelerates it, suggesting FAM3B promotes VSMC proliferative capacity .
Migration: Similar to its effects on proliferation, FAM3B knockdown decreases VSMC migration, while overexpression enhances migratory behavior. This indicates FAM3B positively regulates VSMC motility .
Molecular Mechanism: At the molecular level, FAM3B has been shown to inhibit miR-322-5p expression. Experimental evidence demonstrates that enforced expression of miR-322-5p antagonizes FAM3B-induced VSMC proliferation and migration, suggesting FAM3B mediates its effects on VSMCs primarily through suppression of this microRNA .
These findings collectively indicate that FAM3B mediates high glucose-induced VSMC proliferation and migration via inhibition of miR-322-5p. Under physiological conditions, VSMCs maintain a differentiated and contractile phenotype, but hyperglycemia-induced FAM3B upregulation may contribute to their pathological activation, switching them to a proliferative and migratory phenotype that contributes to cardiovascular disease development .
FAM3B's established role in mediating hyperglycemia-induced vascular smooth muscle cell (VSMC) pathological activation positions it as a promising therapeutic target for diabetes-related cardiovascular diseases (CVDs). Several aspects support this potential:
Mechanism-Based Rationale: FAM3B functions as a mediator between hyperglycemia and VSMC dysfunction. By targeting FAM3B, it may be possible to interrupt the pathological cascade that leads from elevated glucose levels to abnormal VSMC proliferation and migration .
Downstream Modulation: Targeting the FAM3B/miR-322-5p axis could provide a more specific intervention point than broader approaches. Since FAM3B inhibits miR-322-5p expression, therapeutic strategies could aim to either suppress FAM3B directly or enhance miR-322-5p activity to counteract FAM3B's effects .
Selective Expression Pattern: FAM3B's tissue-specific expression might allow for targeted interventions that minimize off-target effects in other tissues.
Potential therapeutic approaches could include:
Small molecule inhibitors of FAM3B activity
RNA interference (RNAi) technologies to suppress FAM3B expression
miR-322-5p mimics to counteract FAM3B's inhibitory effects
Neutralizing antibodies against secreted FAM3B (PANDER)
While promising, several challenges remain in developing FAM3B-targeted therapies. Further research is needed to fully characterize the signaling pathways downstream of the FAM3B/miR-322-5p axis and to develop effective delivery systems for potential therapeutics. Additionally, the potential consequences of FAM3B inhibition on pancreatic function and glucose homeostasis must be carefully evaluated, given FAM3B's role in pancreatic islet biology .
Bioinformatics approaches have been instrumental in advancing FAM3B research, particularly in identifying its differential expression patterns and prognostic significance. Researchers can leverage several bioinformatics tools and resources:
Gene Expression Datasets Analysis:
Gene Expression Omnibus (GEO, https://www.ncbi.nlm.nih.gov/geo/) provides valuable datasets (e.g., GSE38616, GSE52130, GSE70665) for analyzing FAM3B expression across different conditions .
The Cancer Genome Atlas (TCGA, https://www.cancer.gov/about-nci/organization/ccg/research/structural-genomics/tcga) offers comprehensive cancer genomics data for examining FAM3B expression in various cancer types .
Oncomine (https://www.oncomine.org/) provides additional cancer gene expression datasets to verify mRNA levels of FAM3B .
Differential Expression Analysis:
Survival Analysis Tools:
ROC Curve Analysis:
Protein Expression Verification:
The Human Pathology Atlas project (HPA, https://www.proteinatlas.org) provides immunohistochemistry images to confirm transcriptomic findings at the protein level .
These bioinformatics approaches allow researchers to rapidly generate hypotheses about FAM3B function and identify promising research directions before committing to labor-intensive experimental validation. The integration of multiple datasets and analytical methods strengthens the reliability of findings regarding FAM3B's biological significance .
Researchers investigating FAM3B function through genetic manipulation have several experimental approaches at their disposal, each with specific advantages:
1. RNA Interference (RNAi) for FAM3B Knockdown:
siRNA transfection: Provides transient knockdown suitable for short-term experiments
shRNA stable transduction: Creates stable knockdown cell lines for long-term studies
Recommended controls: Non-targeting siRNA/shRNA with similar chemical modifications
2. Overexpression Systems:
Plasmid-based transient transfection: Suitable for examining acute effects of FAM3B overexpression
Lentiviral/retroviral stable integration: Creates cell lines with consistent FAM3B overexpression
Inducible expression systems: Allow temporal control of FAM3B expression
3. CRISPR/Cas9 Gene Editing:
Complete knockout: For studying the consequences of total FAM3B loss
Knockin mutations: To examine effects of specific variants or tagged versions of FAM3B
Promoter editing: To understand transcriptional regulation of FAM3B
4. Cell Models:
Established cell lines: Studies have successfully used cancer cell lines such as SW1990 (pancreatic cancer) for FAM3B manipulation
Primary VSMCs: More physiologically relevant for cardiovascular research
Patient-derived cells: Offer greater clinical relevance
5. Validation and Functional Assessment:
Following genetic manipulation, researchers should employ multiple functional assays to comprehensively evaluate FAM3B's role:
These approaches have been successfully implemented in published FAM3B research and provide complementary perspectives on its functional roles in different biological contexts .
Despite significant advances in understanding FAM3B biology, several critical knowledge gaps warrant further investigation:
Mechanistic Understanding:
How does FAM3B regulate miR-322-5p expression at the molecular level?
What are the complete signaling pathways downstream of FAM3B in different cell types?
Are there direct protein binding partners of FAM3B that mediate its effects?
Tissue-Specific Roles:
Why does FAM3B expression and function appear to differ between tissue types?
How do tissue-specific cofactors modify FAM3B activity?
What explains the contrasting roles of FAM3B in different cancer types?
Regulation of FAM3B:
What transcription factors and epigenetic mechanisms control FAM3B expression?
How is FAM3B protein stability and degradation regulated?
What post-translational modifications affect FAM3B function?
Clinical Translation:
Can FAM3B serve as a reliable biomarker for early detection of malignant transformation in OLP?
How might FAM3B-targeted therapies be developed for cardiovascular diseases?
What patient populations would benefit most from FAM3B-based interventions?
Evolutionary Conservation:
How conserved is FAM3B function across species?
What can animal models reveal about FAM3B biology that hasn't been observed in human studies?
Integrative Biology:
How does FAM3B interact with other FAM3 family members?
What is the role of FAM3B in systemic metabolism beyond the pancreas?
How does FAM3B contribute to cross-talk between different organ systems?
Addressing these questions will require interdisciplinary approaches combining structural biology, molecular genetics, cell biology, translational research, and clinical investigation. The answers will likely enhance our fundamental understanding of FAM3B biology and potentially reveal new therapeutic opportunities .
Therapeutic targeting of FAM3B presents both opportunities and challenges, with several potential strategies for intervention:
1. Direct FAM3B Targeting Approaches:
Small Molecule Inhibitors: Development of compounds that bind to FAM3B and inhibit its function. This would require detailed structural information about FAM3B protein.
Neutralizing Antibodies: For extracellular FAM3B (PANDER form), therapeutic antibodies could block its interaction with cell surface receptors.
Antisense Oligonucleotides (ASOs): These could target FAM3B mRNA to prevent protein translation, particularly beneficial in contexts where FAM3B overexpression drives pathology (as in VSMCs under hyperglycemic conditions) .
RNA Interference: siRNA or microRNA-based approaches could silence FAM3B expression. Given the established relationship between FAM3B and miR-322-5p, microRNA mimics might be particularly relevant .
2. Indirect Targeting Strategies:
Pathway Modulators: Targeting upstream regulators of FAM3B expression (e.g., glucose-responsive factors in pancreatic cells) .
Downstream Effector Targeting: Identifying and modulating key downstream targets of FAM3B signaling.
3. Context-Specific Considerations:
Cancer Applications: In cancers where FAM3B is under-expressed (e.g., OSCC), restoration of expression might be therapeutic . Approaches could include:
Epigenetic modulators to reverse silencing
Viral vector-mediated gene therapy
Small molecules that enhance expression
Cardiovascular Applications: In diabetic cardiovascular disease where FAM3B mediates pathological VSMC responses, inhibition strategies would be appropriate .
4. Delivery Challenges and Solutions:
Tissue-Specific Targeting: Development of nanoparticles or other delivery systems to direct therapeutics to specific tissues (pancreas, vasculature, or tumor sites).
Cell-Penetrating Peptides: These could enhance delivery of nucleic acid-based therapeutics targeting FAM3B.
Local Delivery: For accessible lesions (e.g., oral lesions), topical or local injection of FAM3B modulators might be feasible.
The development of FAM3B-targeted therapies will require further characterization of its structure, function, and tissue-specific roles. Therapeutic strategies will need to be tailored to the specific pathological context, with careful consideration of potential off-target effects given FAM3B's roles in glucose homeostasis and other physiological processes .
The FAM3B gene is located on chromosome 21q22.3 and spans more than 40 kilobases (kb). It contains at least eight exons . The protein encoded by FAM3B consists of 235 amino acids and includes an N-terminal signal peptide. The protein is predicted to form a four-helix bundle, with four cysteines forming two disulfide bonds that link helices 1 and 4, and helices 2 and 3 .
FAM3B is highly expressed in the pancreas, particularly in the islets of Langerhans, which are clusters of cells responsible for producing insulin. Lower levels of expression are also observed in the small intestine and prostate . Immunohistochemical analysis has shown prominent staining of FAM3B in the endocrine pancreas, round spermatids within the seminiferous tubules, the Purkinje cell layer of the cerebellum, and nerve cell bodies of various brainstem nuclei .
FAM3B plays a role in regulating insulin secretion. Studies have shown that recombinant mouse FAM3B inhibits basal insulin secretion in a mouse beta-cell line, although it does not affect glucose-stimulated insulin secretion . This inhibition is not mediated by glucose metabolism, suggesting a unique regulatory mechanism.
Additionally, FAM3B has been found to induce apoptosis (programmed cell death) of alpha and beta cells in a dose- and time-dependent manner . This apoptotic activity highlights its potential role in pancreatic cell turnover and homeostasis.
Alterations in the FAM3B gene have been associated with various diseases. For instance, it has been linked to adult embryonal tumors with multilayered rosettes and dystonia, a movement disorder characterized by involuntary muscle contractions . The gene’s involvement in insulin secretion also suggests potential implications in diabetes research and therapy.
The study of FAM3B has provided insights into its structure, function, and role in disease. Recombinant FAM3B proteins are used in research to further understand its biological activities and potential therapeutic applications. The gene’s expression patterns and regulatory mechanisms continue to be areas of active investigation.