1.Exploring Neonatal NaV1.5 Voltage-Gated Sodium Channel as a Therapeutic Target in Cancer
Mohd Redhuan Mohd Noor ; Siti Yusrina Nadihah Jamaludin ; Mohd Harizal Senik ; Farizan Ahmad ; Noor Fatmawati Mokhtar ; Izuddin Fahmy Abu ; Muhammad Yusran Abdul Aziz
The International Medical Journal Malaysia 2026;25(No. 1):30-40
Voltage-gated sodium channels (VGSCs) play pivotal roles in cancer progression and
have emerged as promising therapeutic targets and biomarkers. VGSCs comprise
multiple subtypes with distinct tissue distributions, influencing tumour characteristics in
different ways. Among these, the tetrodotoxin-sensitive α-subunits and the β1 subunit,
commonly found in breast cancer, have been implicated in metastasis and tumour
aggressiveness. The NaV1.5 channel and its neonatal variant (nNaV1.5) are
overexpressed in aggressive cancers such as breast, prostate, colorectal, and lung cancers,
thereby enhancing their invasive capacity. nNaV1.5 is particularly significant due to its
tumour-specific expression and strong association with poor prognosis, especially
in breast cancer, where it regulates cell proliferation, invasion, and tumour
microenvironment remodelling. This review highlights nNaV1.5 as a critical ion channel
that drives metastasis through ion regulation, extracellular acidification, and cytoskeletal
remodelling. We further evaluate current therapeutic strategies, including siRNA,
monoclonal antibodies, and small-molecule inhibitors, while addressing translational
challenges such as tumour heterogeneity, drug delivery limitations, and off-target
cardiotoxicity due to its similarity with the adult isoform. In addition, we explore the
potential of nNaV1.5 as a biomarker subject to epigenetic regulations by factors
including RE1-silencing transcription factor (REST) and histone deacetylase 2 (HDAC2),
which may facilitate patient stratification and treatment optimization. By integrating
mechanistic insights, therapeutic opportunities, and translational challenges, this review
goes beyond descriptive summaries to provide a framework for advancing nNaV1.5
research from preclinical studies toward clinical application in cancer therapy.
2.Application of Proteomics in Alzheimer’s Disease: A Mini Review
Pariveena Sukumaran ; Ainun Aida Bahardin ; Luqmanul Hakim Abdul Razak ; Mohd Harizal Senik
Malaysian Journal of Medicine and Health Sciences 2023;19(No.5):317-330
Alzheimer’s disease (AD) is classified as one of neurodegenerative disease caused by neuronal death. It is characterized as memory impairment, including the inability to produce new memories. Since AD has low treatment effectiveness, proteomics research opens possibilities for advancement. Proteomics is the study of proteomes produced
by the disease-bearing host to identify and understand diseases. In this case, to investigate the use of protein as a
reliable molecular entity and their involvement in AD. Therefore, this review focused on three main applications of
proteomics; the potential use of proteomics as a diagnostic tool for AD, the use of proteomics to assess the treatment
progression of AD and the advancement in AD research. The review discussed three research areas utilizing the proteomics approach: ageing, behavioural, and demographic research of AD populations. Proteomic approaches have
also been shown to be effective to discover the biomarkers for infectious diseases, cancers, heart diseases, and neurological disorders. Although much work remained to be done, the proteomics approach is an interesting method to be
carried out in detecting AD at an earlier stage and will be very useful for AD treatment and management in the future.


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