# Pax6 as a Therapeutic Target: Convergent Molecular Pathways in the Regulation of Aniridia, Neurogenesis, Neurodegeneration and Oncology

**Authors:** Marina Skorkina, Tatiana Kovaleva, Irina Predeina, Nikita Smirnov, Irina Mukhina

PMC · DOI: 10.3390/cells15040324 · 2026-02-10

## TL;DR

Pax6 is a key protein that controls cell growth and survival, acting as both a tumor suppressor and oncogene depending on the context, and could be a target for treating diseases like aniridia and cancer.

## Contribution

The paper highlights Pax6's dual role in health and disease and proposes it as a potential therapeutic target with context-specific strategies.

## Key findings

- Pax6 regulates cell proliferation, differentiation, and survival in health and disease.
- Pax6 can function as a tumor inhibitor or oncogene depending on the context.
- Targeting Pax6 isoforms may lead to new therapies for aniridia, cancer, and neurodegeneration.

## Abstract

What are the main findings?
Pax6 functions as a pivotal transcription factor that controls the balance between cell proliferation, differentiation, and survival, thereby influencing tissue homeostasis in both health and disease.Pax6 can behave as either a tumor inhibitor or an oncogene during tumor development, demonstrating a context-dependent dual function.

Pax6 functions as a pivotal transcription factor that controls the balance between cell proliferation, differentiation, and survival, thereby influencing tissue homeostasis in both health and disease.

Pax6 can behave as either a tumor inhibitor or an oncogene during tumor development, demonstrating a context-dependent dual function.

What are the implications of the main findings?
Pax6 may represent a viable target in selected pathophysiological settings.Future investigations should prioritize understanding the precise regulation of Pax6 isoforms, and developing isoform-specific inhibitors tailored to the predominant form driving a given disease, such as aniridia, specific cancers, or metabolic disorders.

Pax6 may represent a viable target in selected pathophysiological settings.

Future investigations should prioritize understanding the precise regulation of Pax6 isoforms, and developing isoform-specific inhibitors tailored to the predominant form driving a given disease, such as aniridia, specific cancers, or metabolic disorders.

Pax6 is a multifunctional transcription factor that orchestrates cell cycle progression at distinct stages of early embryonic neurogenesis and serves as a molecular mediator integrating multiple signaling pathways associated with pathological processes. Within this framework, Pax6 is regarded as an attractive molecular target for developing new drugs aimed at combating neurodegeneration, oncology, and aniridia. The present review aims to examine published studies describing various Pax6-dependent molecular pathways to identify common principles and condition-specific differences in Pax6-regulated cascades in health and disease. These insights may contribute to the conceptual foundation for developing new therapeutic strategies targeting Pax6 as a molecular regulator. This review summarizes the data demonstrating a central role of Pax6 in governing the neuronal cell cycle in health and pathology. It is possible that Pax6 may act as a therapeutic target in certain pathophysiological conditions; however, the effectiveness of such a strategy will depend on the substrate chain in the signaling pathway, its branching, and the redundancy of mediators involved.

## Linked entities

- **Genes:** PAX6 (paired box 6) [NCBI Gene 5080]
- **Diseases:** aniridia (MONDO:0019172), cancer (MONDO:0004992)

## Full-text entities

- **Genes:** MMP2 (matrix metallopeptidase 2) [NCBI Gene 4313] {aka CLG4, CLG4A, MMP-2, MMP-II, MONA, TBE-1}, Myb (Myb proto-oncogene, transcription factor) [NCBI Gene 17863] {aka c-myb}, ENO2 (enolase 2) [NCBI Gene 2026] {aka HEL-S-279, NSE}, Pgr (progesterone receptor) [NCBI Gene 18667] {aka 9930019P03Rik, NR3C3, PR, PR-A, PR-B}, BDNF (brain derived neurotrophic factor) [NCBI Gene 627] {aka ANON2, BULN2}, E2f1 (E2F transcription factor 1) [NCBI Gene 13555] {aka E2F-1, Tg(Wnt1-cre)2Sor, mKIAA4009}, CASP3 (caspase 3) [NCBI Gene 836] {aka CPP32, CPP32B, SCA-1}, NEUROG2 (neurogenin 2) [NCBI Gene 63973] {aka Atoh4, Math4A, NGN2, bHLHa8, ngn-2}, POU5F1 (POU class 5 homeobox 1) [NCBI Gene 5460] {aka OCT3, OCT4, OCT4Borf1, OTF-3, OTF3, OTF4}, Pax9 (paired box 9) [NCBI Gene 18511] {aka Pax-9}, WNT3 (Wnt family member 3) [NCBI Gene 7473] {aka INT4, TETAMS}, Gcg (glucagon) [NCBI Gene 14526] {aka GLP-1, Glu, PPG}, PAX6 (paired box 6) [NCBI Gene 5080] {aka AN, AN1, AN2, ASGD5, D11S812E, FVH1}, MAF (MAF bZIP transcription factor) [NCBI Gene 4094] {aka AYGRP, CCA4, CTRCT21, c-MAF}, Sfrp1 (secreted frizzled-related protein 1) [NCBI Gene 84402] {aka sFRP-1}, RHOA (ras homolog family member A) [NCBI Gene 387] {aka ARH12, ARHA, EDFAOB, RHO12, RHOH12}, HGF (hepatocyte growth factor) [NCBI Gene 3082] {aka DFNB39, F-TCF, HGFB, HPTA, SF}, Mitf (melanogenesis associated transcription factor) [NCBI Gene 17342] {aka BCC2, Bhlhe32, Gsfbcc2, Vitiligo, Wh, bw}, CDK1 (cyclin dependent kinase 1) [NCBI Gene 983] {aka CDC2, CDC28A, P34CDC2}, Gsk3b (glycogen synthase kinase 3 beta) [NCBI Gene 56637] {aka 7330414F15Rik, 8430431H08Rik, GSK-3, GSK-3beta, GSK3}, MIR135B (microRNA 135b) [NCBI Gene 442891] {aka MIRN135B, mir-135b}, Wnt5a (Wnt family member 5A) [NCBI Gene 64566], MAFA (MAF bZIP transcription factor A) [NCBI Gene 389692] {aka INSDM, RIPE3b1, hMafA}, RET (ret proto-oncogene) [NCBI Gene 5979] {aka CDHF12, CDHR16, HSCR1, MEN2A, MEN2B, MTC1}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, PDX1 (pancreatic and duodenal homeobox 1) [NCBI Gene 3651] {aka GSF, IDX-1, IPF1, IUF1, MODY4, PAGEN1}, MIR182 (microRNA 182) [NCBI Gene 406958] {aka MIRN182, miRNA182, mir-182}, Pax4 (paired box 4) [NCBI Gene 18506] {aka Pax-4}, KRT6B (keratin 6B) [NCBI Gene 3854] {aka CK-6B, CK6B, K6B, KRTL1, PC2, PC4}, PTEN (phosphatase and tensin homolog) [NCBI Gene 5728] {aka 10q23del, BZS, CWS1, DEC, GLM2, MHAM}, AIF1 (allograft inflammatory factor 1) [NCBI Gene 199] {aka AIF-1, IBA1, IRT-1, IRT1}, Sfrp2 (secreted frizzled-related protein 2) [NCBI Gene 310552], Cd1 (CD1 antigen complex) [NCBI Gene 111334], Snca (synuclein, alpha) [NCBI Gene 20617] {aka NACP, alpha-Syn, alphaSYN}, Cdh7 (cadherin 7) [NCBI Gene 29162] {aka Cad7}, RB1 (RB transcriptional corepressor 1) [NCBI Gene 5925] {aka OSRC, PPP1R130, RB, p105-Rb, p110-RB1, pRb}, SCG5 (secretogranin V) [NCBI Gene 6447] {aka 7B2, P7B2, SGNE1, SgV}, CTTN (cortactin) [NCBI Gene 2017] {aka EMS1}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, BAX (BCL2 associated X, apoptosis regulator) [NCBI Gene 581] {aka BCL2L4}, S100B (S100 calcium binding protein B) [NCBI Gene 6285] {aka NEF, S100, S100-B, S100beta}, KMT5C (lysine methyltransferase 5C) [NCBI Gene 84787] {aka SUV420H2, Suv4-20h2}, Neurog2 (neurogenin 2) [NCBI Gene 11924] {aka Atoh4, Math4A, bHLHa8, ngn-2, ngn2}, CETN1 (centrin 1) [NCBI Gene 1068] {aka CEN1, CETN}, TGFBR2 (transforming growth factor beta receptor 2) [NCBI Gene 7048] {aka AAT3, FAA3, LDS1B, LDS2, LDS2B, MFS2}, LOC106007492 (enhancer in intron 4 of Pax6) [NCBI Gene 106007492] {aka P alpha, Rr366621, ele4}, SMYD5 (SMYD family member 5) [NCBI Gene 10322] {aka NN8-4AG, RAI15, RRG1, ZMYND23}, KRT12 (keratin 12) [NCBI Gene 3859] {aka K12, MECD1}, Pxn (paxillin) [NCBI Gene 19303] {aka Pax}, GLP1R (glucagon like peptide 1 receptor) [NCBI Gene 2740] {aka GLP-1, GLP-1-R, GLP-1R}, CDH4 (cadherin 4) [NCBI Gene 1002] {aka CAD4, R-CAD, RCAD}, Pax6 (paired box 6) [NCBI Gene 25509], CTNND2 (catenin delta 2) [NCBI Gene 1501] {aka GT24, NPRAP}, Fabp7 (fatty acid binding protein 7) [NCBI Gene 80841], STAT5A (signal transducer and activator of transcription 5A) [NCBI Gene 6776] {aka MGF, STAT5}, VIM (vimentin) [NCBI Gene 7431], GCG (glucagon) [NCBI Gene 2641] {aka GLP-1, GLP1, GLP2, GRPP}, SPHK1 (sphingosine kinase 1) [NCBI Gene 8877] {aka SPHK}, AR (androgen receptor) [NCBI Gene 367] {aka AIS, AR8, DHTR, HPCX3, HUMARA, HYSP1}, Pax2 (paired box 2) [NCBI Gene 18504] {aka Opdc, Pax-2}
- **Diseases:** unilateral polymicrogyria (MESH:D065706), isolated foveal hypoplasia (MESH:C565005), nystagmus (MESH:D009759), obesity (MESH:D009765), anterior segment dysgenesis (MESH:C537775), neonatal lethality (MESH:C537510), neurofibrillary tangle (MESH:D055956), muscle paralysis (MESH:D012133), Aniridia (MESH:D015783), foveal hypoplasia (MESH:C537858), non-small cell lung cancer (MESH:D002289), panophthalmologic disorder (MESH:D009358), impaired olfactory bulb function (MESH:D000857), seizures (MESH:D012640), Metabolic Disorders (MESH:D008659), Pancreatic cancer (MESH:D010190), Parkinson's disease (MESH:D010300), dyslipidemia (MESH:D050171), small cell lung cancer (MESH:D055752), hyperglycemia (MESH:D006943), NEPC (MESH:D011471), glioma (MESH:D005910), inflammation (MESH:D007249), Neurodegeneration (MESH:D019636), injury to (MESH:D014947), optic nerve defects (MESH:D000080344), impaired glucose homeostasis (MESH:D044882), eye loss (MESH:D005134), autism (MESH:D001321), congenital (MESH:D008209), cancer (MESH:D009369), microphthalmia (MESH:D008850), diabetes (MESH:D003920), HD (MESH:D006816), eye malformations (MESH:D005124), neurotoxicity (MESH:D020258), Lung cancer (MESH:D008175), Alzheimer's disease (MESH:D000544), cortical malformations (MESH:D054220), pineal gland hypoplasia or absence (MESH:D010871), Breast tumor (MESH:D001943), Retinoblastoma (MESH:D012175), speech impairments (MESH:D013064), excitotoxic neuronal death (MESH:D009410), type 2 diabetes mellitus (MESH:D003924), cataracts (MESH:D002386), anaplastic astrocytomas (MESH:D001254), neuropathy (MESH:D009422), Glioblastoma (MESH:D005909), neurodevelopmental disorders (MESH:D002658), ketosis (MESH:D007662), Liver cancer (MESH:D006528), absence of eyes (MESH:D005128), abdominal obesity (MESH:D056128), corneal keratopathy (MESH:C562399), hyperglycemic (MESH:D006944), brain abnormalities (MESH:D001927), Amyotrophic lateral sclerosis (MESH:D000690), metastasis (MESH:D009362), impaired insulin secretion (MESH:D007333)
- **Chemicals:** Glutamate (MESH:D018698), GABA (MESH:D005680), agar (MESH:D000362), lipid (MESH:D008055), 1 methyl-4 phenyl-1,2,3,6-tetrahydropyridine (MESH:D015632), Thiazolidinediones (MESH:D045162), rotenone (MESH:D012402), glutathione (MESH:D005978), taurine (MESH:D013654), Glucose (MESH:D005947), dopamine (MESH:D004298), lysophospholipid (MESH:D008246), tetracycline (MESH:D013752), retinoic acid (MESH:D014212), bile acid (MESH:D001647), Taurolithcholate-3 sulfate (-), cisplatin (MESH:D002945), hydrogen peroxide (MESH:D006861), carbohydrate (MESH:D002241), etoposide (MESH:D005047)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Drosophila melanogaster (fruit fly, species) [taxon 7227], Gallus gallus (bantam, species) [taxon 9031], Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116]
- **Mutations:** N222D, Leu46Val
- **Cell lines:** MCF-7 — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_0031), U251 — Homo sapiens (Human), Astrocytoma, Cancer cell line (CVCL_0021), LNCaP — Homo sapiens (Human), Prostate carcinoma, Cancer cell line (CVCL_0395), SH-SY5Y — Homo sapiens (Human), Neuroblastoma, Cancer cell line (CVCL_0019), PC-12 — Rattus norvegicus (Rat), Rat adrenal gland pheochromocytoma, Cancer cell line (CVCL_0481), MDA-MB-231 — Homo sapiens (Human), Breast adenocarcinoma, Cancer cell line (CVCL_0062)

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12939529/full.md

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Source: https://tomesphere.com/paper/PMC12939529