Phase separations in oncogenesis, tumor progressions and metastasis: a glance from hallmarks of cancer

Abstract

Liquid–liquid phase separation (LLPS) is a novel principle for interpreting precise spatiotemporal coordination in living cells through biomolecular condensate (BMC) formation via dynamic aggregation. LLPS changes individual molecules into membrane-free, droplet-like BMCs with specific functions, which coordinate various cellular activities. The formation and regulation of LLPS are closely associated with oncogenesis, tumor progressions and metastasis, the specific roles and mechanisms of LLPS in tumors still need to be further investigated at present. In this review, we comprehensively summarize the conditions of LLPS and identify mechanisms involved in abnormal LLPS in cancer processes, including tumor growth, metastasis, and angiogenesis from the perspective of cancer hallmarks. We have also reviewed the clinical applications of LLPS in oncologic areas. This systematic summary of dysregulated LLPS from the different dimensions of cancer hallmarks will build a bridge for determining its specific functions to further guide basic research, finding strategies to intervene in LLPS, and developing relevant therapeutic approaches.

Background

The spatial and temporal coordination of biochemical reactions is crucial for cellular physiology [1]. While membrane-bound organelles are essential for spatially organized cellular processes, the discovery of membrane-less organelles (MLOs) has shed light on new mechanisms for tightly controlling processes within cells [2]. MLOs, as known as biomolecular condensates (BMCs), include the nucleolus [2], Cajal bodies [3], nucleoli [4], stress granules (SGs) [5,6,7], and super-enhancers (SEs)[8,9,10] etc. These structures typically range from 0.1 to 3 µm [11]and play key roles in facilitating or modulating specific cellular processes. BMCs and MLOs are both formed by the process of phase separation, and in most scenarios, these two concepts are equivalent.

Until the emergence of the concept of liquid–liquid phase separation (LLPS), the formation and organization of MLOs remained unclear [12]. Thus, LLPS provides a reasonable framework to explain the formation mechanism of MLOs and BMCs. This dynamic process involves the transition of biomolecules from a homogeneous environment to sparse and dense phases [11, 13, 14], aiming to reach the lowest-entropy state. Notably, LLPS occurs when multivalent biopolymers instantaneously interact with each other [15,16,17], forming liquid-like entities such as bodies, puncta, granules, droplets, and condensates [18].

Normal BMCs ensure basic cellular functions, whereas their aberrant forms result in cellular dysfunction and possible tumorigenesis. Studies have demonstrated that LLPS are crucial in the regulation of tumor onset, progression [19], including promoting cancer cells proliferations and metastasis. Further, the hallmarks and enabling characteristics of cancer in the 2022 version provide a framework for further oncological studies[20]. However, understanding of the regarding phase separation processes involved in each hallmark is still limited. Therefore, unveiling a novel dimension of its biological functions is in need.

In this review, we include all cutting-edge and typical articles related to liquid–liquid separation in oncology. Firstly, we describe the methods used to investigate LLPS, followed by their role in promoting the formation of BMCs/MLOs. Subsequently, we examine the current understanding of how LLPS influences tumorigenesis, progression and their emerging role in cancer treatment. Finally, we comprehensively summarize the latest insights into methods to interfere with aberrant forms of BMCs.

Mechanisms and methods associated with the phenomenon of LLPS

Concepts and mechanisms

Phase separation is defined as the spontaneous aggregation of molecules when their concentration exceeds a certain threshold, thus forming a membrane-less compartment [21]. Typically, the interactions between macromolecules in LLPS are typically non-covalent and of low affinity [22, 23]. This process is often driven by the modification of intrinsically disordered regions (IDRs) within proteins [24, 25]. The concept of LLPS was first introduced in the biochemical field of biochemistry in 2009 by Hyman and colleagues with various milestone events followed subsequently (Fig. 1), offering a novel perspective on various MLOs distributed in cells (Fig. 2) [26]. Although several in silico tools help forecast the potential of phase-separated molecules (Table 1), comprehensive summaries of the characteristics and conditions that induce LLPS are limited.

Fig. 1

History of LLPS research developments. Milestone discoveries are outlined

Fig. 2

Intra-cellular MLOs within a eukaryotic cell. MLOs are distributed in the nucleus, nuclear membrane, cytoplasm, and plasma membranes of cells. Nucleolus, perinucleolar compartments, paraspeckles, Cajal bodies, transcription condensates, Gems, DNA repair foci, nuclear stress bodies, PcG bodies, histone locusbody, PML bodies, DNA replication bodies, polycombs, SPOP/DAXX bodies, super enhancers, heterochromatin, and amyloid bodies (located in nucleolus) are located in the nuclear by the LLPS. Whereas some MLOs are distributed in the nuclear membrane (Babliani bodies), cytoplasm (such as sec bodies, cGAS-DNA condensates, ER associated TIS granules, autophagosome cargo condensates, stress granule, P granules, U bodies, Virus factories, Numb/pon complex, RNA transport granules, centrosome, inclusion bodies, siganling puncta, GW bodies, germ granules, transport RNP, and proteosome bodies, metabolic granules, keratin granules), and cell plasma membrane (such as immune synapse densities, Numb/pon complex, Nephrin adhesion complexes/ signaling clusters, T cell microclusters, and ZO mediated tight junction)

Table 1 Overview of databases related to liquid–liquid phase separation (LLPS)

Structural characteristics and critical components that triggers LLPS

The concept of a driver (or scaffold)/client is widely accepted. Proteins, DNA, and RNA can also be used as scaffolds. With multiple binding sites, these macromolecules facilitate weak interactions and trigger LLPS. The detailed structures are summarized below.

Multi-foldable domains

One of the most common structural features that facilitates LLPS is multivalency, which involves the interaction of various macromolecules (Figs. 3A–C). By using multiple, similar domains to mediate the interactions, these macromolecules effectively trigger LLPS and attract client molecules to form condensates. For example, the proline-rich motif (PRM) domain characteristic of the neural Wiskott-Aldrich syndrome (N-WASP) interacts with the SH3 domain of NCK, thereby inducing LLPS [53]. A similar principle applies to the nephrin/Nck/N-WASP system, wherein the phosphotyrosines of nephrin interact with the SH2 and SH3 domains of NCK to bind to the PRMs (Fig. 3D) [54]. Similarly, higher-order polymerized structures are formed via the tandem dimerization domains of the speckled POZ protein (SPOP) and its interaction with cullin-3-RING ubiquitin ligase and other substrates, promoting its localization in nuclear speckles[55] (Fig. 3E). Dimerization or oligomerization of proteins can also contribute to LLPS. For example, when the dimerization of HP1a is disrupted, the mobility of the droplets increases, hindering the maturation of heterochromatin formations (Fig. 3F)[56].

Fig. 3

Basic condensates promoting features. A-C Interactions between macromolecules that facilitate phase separation. D The SH2 domain of NCK binds to Nephrin, and NCK possesses three SH3 domains that can bind the proline-rich motifs (PRMs) of N-WASP, showing a typical repetitive molecular domain (RMD) that contributes to LLPS. E Oligomerization of SPOP and its interactions with substrates can induce phase separation. F Dimerization of HP1a promotes LLPS. G–I Several classic IDRs, which consist of LCDs. J–N Fundamental interacting force between IDRs. O Formation of BMCs, from dissociation to assembly. P–S Four types of sequence variations that drive phase separation

IDR/low-complexity domains contribute to LLPS

IDRs are distinctive features of certain proteins of the condensates, accounting for 33–55% of eukaryotic proteomes [57, 58]. Like IDRs, low-complexity domains (LCDs) are also distinctive features of proteins comprised by highly biased amino acid compositions [59]. IDRs and LCDs lack stable tertiary structures and have flexible conformations, making them prone to undergo LLPS [11, 60,61,62]. β sheets in TDP34/FUS (Fig. 3G), coiled-coil domains in YAP/TAZ (Fig. 3H) and alpha-helix in TDP43 (Fig. 3I), exemplify the role of LCDs in LLPS [63,64,65,66,67,68,69]. While IDR interactions involve pi-pi interactions, salt bridges between opposing charge residues, pi-cation interactions, dipole-dipole interactions (Van der Waals forces), and hydrophobic forces (Figs. 3J–N) represent different forms of LLPS [70].

Nucleic acids regulate LLPS

Nucleic acids, especially the single-stranded nucleic acids, tend to aggregate to form droplets, whereas double-stranded nucleic acids tend to form gel-like aggregates [71]. Via electrostatic interactions and the pairing of repeating molecules, certain RNAs achieve polyvalency, effectively inducing LLPS in combination with proteins, as observed in the RG/RGG-rich domains of the SERPINE1 mRNA-binding protein 1 (SERBP1) system [72]. In contrast, the RNA concentration does not show a strong positive correlation with the phase transition ability [73]. RNA modifications and non-coding RNAs can also induce LLPS spontaneously [74] or by attaching to proteins, facilitating clients recruitment for the condensate assembly [75,76,77].

Head-to-tail polymerization

Occasionally, stable structural domains in proteins, such as SAM and DIX, retain their ability to trigger local condensation [78, 79]. Among the dishevelled and axin components of the Wnt signaling, the DIX domain can assemble in a head-to-tail manner and promote Wnt signaling [80, 81]. The SAM domain of the tankyrase protein forms similar puncta in a head-to-tail manner to bind and ribosylate poly ADP AXIN, thus promoting Wnt signaling [82]. These structural conditions facilitate the formation of condensates (Fig. 3O).

Sequence variations at the gene levels

Disease-related genomic changes regulate LLPS. The NUP98 fusion protein in leukemia, carrying IDRs, serves as a good model for gene fusion [83] (Fig. 3P). Similar results have been obtained with anaplastic lymphoma kinase (ALK) and BCR-ABL1 fusions [84, 85]. Linear motifs that modulate ligand recognition within IDRs control the function of alternatively spliced (AS) proteins [86, 87] and modulate their assemblies (Fig. 3Q). On the contrary, repetitive motifs can induce pathogenic repeat expansions (Fig. 3R). Missense mutations in IDRs and polymerization/modular domains may influence the phase transition status bilaterally (Fig. 3S). For instance, F291S and Y283S mutations in the heterogeneous nuclear ribonucleoprotein A2 scarcely affect the aggregation, whereas D290V and P298L mutations improve the condensation [88].

External conditions and physicochemical properties affect LLPS

In this section, we focus on the conditions and the post-translational modifications (PTMs) which play a crucial role in regulating the dynamic transitions of molecules within the cell.

The interplay of various intracellular conditions, such as the concentration of proteins, pH level, and changes of the cellular milieu, alter the strength of polyvalent interactions. These conditions are key regulators of transitions within the cell. Furthermore, the concentrations of macromolecules are critical. When the concentration exceeds a critical threshold, the interaction between these macromolecules outweighs the forces that maintain homogeneity of the system, making the solution susceptible to phase separation. Conversely, when the concentrations are below this threshold, the components remain evenly distributed [89, 90]. The alterations of pH value can significantly impact LLPS by changing the surface charges of amino acids, the α-carbonyl groups, and the α-amino terminal protonation status. pH alterations affect the stability of specific proteins and change the secondary structure from ordered to disordered. Altering the protonation of amino acids directly influences the chemical properties of macromolecules, further altering their intermolecular interactions and triggering LLPS. For example, the decreased cytoplasmic pH, induced by external stimuli, can promote LLPS of naturally disordered proteins, as observed with Sup35 in yeast cells [91]. The increase in salt concentration and the addition of substances such as PEG3000 and glycerol can also modulate LLPS [73, 92]. Additionally, weak electrostatic interactions, driven by IDRs, are highly sensitive to changes in pH and ionic strength, potentially explaining LLPS induction due to environmental changes [17, 93]. In addition, temperature and stress levels can also trigger or disrupt LLPS by affecting the solubility of macromolecules [11]. Moreover, prion-like domains in proteins can sense pressure, influencing the solubility and phase behavior [94, 95].

The PTMs are crucial in the regulation of phase transitions by altering molecular interactions or directly modifying the potency of BMCs [96,97,98]. PTMs can induce changes of biomolecules in the spatial structures and state of proteins [96, 99]. PTMs of RNA-binding proteins (RBPs) can directly weaken or enhance the interactions between components, contributing to the formation of RNP granules, serving as an example of an MLO that is composed of RBP and RNA [96]. PTMs can promote or inhibit polyvalent interactions by influencing the condition of proteins, thus affecting the occurrence of LLPS [100]. Notably, the Lys residues within the IDRs are particularly prone to get SUMOylation, a modification that significantly contributes to the formation of the promyelocytic leukemia nuclear bodies (NBs). De-SUMOylation can lead to the release of a constituent protein and the separation of NBs during mitosis [101, 102].

Given the complexity of physicochemical conditions, the manipulation of PTMs is an intriguing approach to influence LLPS. Thus, it is pivotal to understand the possible mechanisms in cancer-related PTMs associated with LLPS (Table 2).

Table 2 Summary of cancer-related PTMs involved in LLPS

Deregulated phase separation in cancer

Emerging evidence has robustly revealed that aberrant BMCs are involved in various biochemical processes in human diseases and various oncogenic signaling pathways [19] (Table 3). Next, we review the role of LLPS in tumors based on several hallmarks (Fig. 4).

Table 3 Oncogenic signaling assosciated condensates that were involved in LLPS

Fig. 4

Summary of deregulated phase separations in cancer. A RTK granule formations activate RTK/MAPK signaling pathways to promote tumor proliferation. B DDX21phase separation activates MCM5, facilitating EMT signaling and modulating metastasis of colon cancer. C LLPS of 53BP1 diminish downstream targets of p53 to evade growth suppressions. D The accumulation of 53BP1 in the nuclear foci is enhanced after DNA damage, activating p53 and regulating cellular senescence. E SUMO ALT-associated PML bodies on the telomeres facilitate the replicative immortality of cancer cells. F Nuclear condensates (nYACs) generated through the LLPS of YTHDC1 (binding with m6A-mRNA) are significantly increased in AML cells. G Mutations in the FERM domain of NF2 (NF2m) robustly inhibited STING-initiated antitumor immunity by forming NF2m-IRF3 condensates. H PML nuclear bodies (NBs) serve as comprehensive ROS sensors associated with antioxidative pathways. I EBNA2 becomes part of BMCs and regulates EBV gene transcriptions. J BRD4 forms condensates with SEs to regulate angiogenesis. K NUP98-HOXA9 fusion proteins attenuate aberrant chromatin organizations. L m⁶A-modified androgen receptor (AR) mRNA phase separated with YTHDF3 responds to AR pathway inhibition (ARPI) stress in prostate cancers. M LLPS of GIRGL-CAPRIN1-GLS1 mRNA suppresses GLS1 translation and adapts to an adverse glutamine-deficient environment. N icFSP1 induces FSP1 condensates to trigger ferroptosis in the dedifferentiation of cancer cells

LLPS promotes the proliferation of cancer cells

Cancer cells can undergo unrestricted division [20, 133,134,135,136], which can occur through gene mutations that activate oncogenic receptor tyrosine kinases (RTKs) and the downstream MAPK signaling involving RAS proteins.

Adaptor proteins involved in RTK and RAS signaling, such as LAT, GRB2 and SOS, undergo phase separation during RTK activation [137]. This phenomenon increases the interaction time between SOS and RTK/RAS, providing a mechanism for kinetic proofreading during RTK activation [125, 138] and preventing the spontaneous membrane localization of SOS, and the downstream activation of RAS. Interestingly, carcinogenic RTK mutations resulting from chromosomal rearrangements cause the loss of membrane localization but not its ability to stimulate downstream pathways. Mechanically, these condensates can assemble the RAS-activating complex GRB2/SOS1, which activates the RAS-MAPK signaling in a membrane-independent manner [123]. Moreover, RTK fusion oncoprotein granules enable the activation of RTK signaling [123, 139]. The close binding to RTK oncoprotein condensates allows GRB2 to concentrate key downstream molecules, achieving the constitutive activation of RAS-MAPK signaling in cancer cells (Fig. 4A). Therefore, BMCs provide a new method for modulating cancer-promoting signaling in a spatially restricted manner.

LLPS promotes the metastasis of tumors

The ability to invade and metastasize allows the tumors to develop distantly, and the epithelial–mesenchymal transition (EMT) programs are commonly involved [140]. Activated by EMT, the transcription coactivators YAP and TAZ facilitate metastasis [141, 142]. Hu et al. found that YAP fusion proteins undergo LLPS in the nucleus and that the IDR provided by the partner of YAP is required for assembly. This aggregation promotes the YAP/TAZ-specific transcriptions and attenuates metastasis [68]. Similarly, another study revealed that the phase separation of DDX21 activates MCM5, thus triggering EMT signaling and modulating the colon cancer metastasis (Fig. 4B)[143]. Besides, SGs are also involved in malignant invasion and metastasis. EMT markers Cadherin, Vimentin, Snail and Slug are suppressed under SG core component G3BP1 depletion, implying the role of G3BP1 in tumor metastasis [144]. Moreover, G3BP modulates mRNA stability under stress conditions and facilitates the invasion of cancer cells [145]. These carcinogenic mechanisms provide new explanations for tumor metastasis, as well as the inspiring ideas for models of cancer progression regulation by the BMCs.

LLPS helps evade tumor growth suppression, regulate the aging process, and achieve replicative immortality of tumor cells

Cancer cells not only promote their growth but also modify tumor-suppression pathways [20]. By inhibiting tumor suppressors such as SPOP, p53, and RB1 [146,147,148], cancer cells escape intrinsic growth limitations. P53, one of the most well-known tumor suppressors, inhibits tumorigenesis via transcriptional activation, which leads to the disorders of apoptosis, cell cycle, and cell senescence. Tumor-associated stress significantly triggers p53 aggregation [149,150,151,152,153,154]. These findings demonstrate that the disruption of particular BMCs may cause cancer (Fig. 4C). Further studies are needed to validate this approach with other tumor suppressors and to test its potential applications.

Cellular senescence is considered an anticancer mechanism that maintain homeostasis and is associated with cell cycle arrest. The initiation and maintenance of cellular senescence rely on the frequent damage to the P53/Rb signaling pathway. Increased accumulation of 53BP1 in the nuclear foci after DNA damage can activate p53 and has recently been shown to regulate the cellular senescence via LLPS (Fig. 4D) [155].

Cancer cells can overcome the cell senescence and death via telomerase or alternative methods for lengthening telomeres (ALT) [156,157,158]. Multivalent interactions between SUMO and SUMO-interacting motifs were observed in the formation of ALT-associated PML bodies on telomeres in cancer stem cells (Fig. 4E) [159]. The fusion of PML bodies enables the clustering of telomere elements and the recruitment of DNA helicases, and other molecular machinery to extend the length of telomeres [160]. This finding suggests that cancer stem cells achieve replicative immortality through the unchecked cell division, and that this process is associated with LLPS.

LLPS modulates epigenetic reprogramming of various BMCs

Common epigenetic modifications include histone modifications, DNA methylation, and RNA interference [161, 162]. Interactions between epigenetic modifications and their corresponding reader proteins also exhibit polyvalent interactions. M⁶A, known as the most common mRNA modification [163], alters the mRNA structure and interacts with multiple other mRNA modifications and proteins. This modification facilitates YTHDF protein phase separation, further contributing to the forming of various RNA–protein granules, including P bodies and SGs [74, 164]. In addition, YTHDC1 can undergo LLPS in the nucleus by interacting with m⁶A-modified mRNAs. This interaction results in the formation of nuclear YTHDC1-m⁶A condensates (nYACs), which are significantly enhanced in acute myeloid leukemia (AML) cells (Fig. 4F) [105].

LLPS helps cancer cells escape immune destruction and participate in tumor-associated inflammation

The immune system employs the RLR-MAVS and cGAS-STING signaling pathways for protection against microbial invasion and support tumor immune surveillance [165,166,167]. However, tumors often escape immune clearance surveillance. Recent findings by Meng et al. revealed that neurofibromin 2 (NF2) facilitates innate immunity by eliminating tank-binding kinase 1 (TBK1) activation. It is the missense mutations in the FERM domain of NF2 (NF2m) that robustly inhibit the STING-initiated antitumor immunity via the NF2m-IRF3 condensates formations (Fig. 4G), suppressing the TBK1 activation [130]. This offers novel insights into NF2-related cancer treatments.

Notably, inflammation often plays a dual role in cancer. Overproduced in various inflammatory tissues, the reactive oxygen species (ROS) may accelerate the genetic mutations of cells, making them more aggressive and malignant [168]. However, recent research indicates that the PML NB may function as a sensor for ROS in two ways: protecting cancer cells from excessive ROS or promoting ROS-induced apoptosis (Fig. 4H). Given the lack of in-depth research in this field, further tumor microenvironment exploration is required to understand these processes fully.

Tumor-associated viruses, such as human papillomavirus, Kaposi sarcoma herpesvirus, and Epstein–Barr virus (EBV), influence tumor progression through LLPS [169,170,171]. In EBV proteins such as EBNA2 and EBNALP, LLPS regulates host gene expression, forming biomolecule condensates at Runx3 and MYC SE sites to regulate viral and cellular gene transcription (Fig. 4I). Further, the LLPS of EBNA2 can influence the alternative splicing of the pre-MPPE1 gene in cancer [170].

LLPS induce vasculature of the tumors

Vascularization, also known as angiogenesis, is crucial for supplying tumors with nutrients and oxygen for growth. Vascular endothelial growth factor (VEGF) is the leading factor responsible for rapid nutrient supply. Mounting evidence has indicated a correlation between BMC formation and angiogenesis. For example, the constitutive expression of the transcription factor (TF) MYC in metastasizing cells can lead to VEGF transcription by potentially forming phase-separated transcription condensates, promoting promotes angiogenesis [172]. Similarly, the use of 1,6-hexanediol, an inhibitor of LLPS, has recently been shown to regulate angiogenesis by inhibiting cyclin A1-related endothelial functions as well as condensates with BRD4, indicating that targeting condensates can block critical reactions (Fig. 4J) [173, 174].

Genomic arrangements initiate LLPS

Genomic instability contributes to tumor progression. Genomic translocations and rearrangements can lead to the fusion between the IDR of one protein and the DNA- or chromatin-binding domain of another [175]. This fusion acts as a TF, eliciting LLPS and attracting additional partners to initiate transcriptional programs that ultimately contribute to tumorigenesis. A typical example is the NUP98 fusion oncoprotein (FO), which occurs in 50% of patients with chemotherapy-resistant AML [176,177,178,179]. FOs demonstrate that malignancies establish cancerous TF condensates [83, 180, 181] and attenuate aberrant chromatin organization (Fig. 4K).

LLPS of SGs assist in avoiding cell death of cancer cells under the stress

Cancer cells can escape apoptosis by forming SGs (a form of MLOs) when exposed to extreme conditions, such as high temperatures, toxins, mechanical damage, or other stresses. For example, the Y-box binding protein 1 (YB-1) interacts with the 5'-untranslated region (UTR) of G3BP1[182], leading to the increased expression of G3BP1 and SGs, which is elevated in human sarcomas [183,184,185]. Consequently, these cancer cells survive hyperproliferation, chemotherapy and other various stressful conditions. Additional studies on prostate cancer have demonstrated that the m⁶A-modified androgen receptor (AR) mRNA phase separated with YTHDF3, while the unmodified AR mRNA phase separated with G3BP1 to survive AR pathway inhibition stress (Fig. 4L)[186]. Collectively, SGs may serve as novel targets for cancer biology investigations.

LLPS regulates cellular metabolisms of cancer cells

Malignant cells undergo metabolic reprogramming [187], thereby attracting considerable interest in tumor-related research in the past decades [188]. For example, the reduction of glutaminase-1 (GLS1) enables cancer cells to survive under prolonged glutamine deprivation stress [189, 190]. Wang et al. reported that the lncRNA GIRGL promotes the LLPS of GIRGL-CAPRIN1-GLS1 mRNA to suppress GLS1 translation, thus adapting to an adverse glutamine-deficient environment (Fig. 4M)[191]. CAPRIN1, an RNA-binding protein involved in the SG formation via LLPS, plays a role in this metabolic adaptation. Therefore, alteration of cell adaptation to an adverse metabolic environment is possible by targeting condensates.

Potential role of LLPS in the phenotypic plasticity of tumorigenesis

Tumor cells often exhibit phenotypic plasticity to evade terminal differentiation. This plasticity includes the dedifferentiation, the differentiation inhibition, and the transdifferentiation [20]. During dedifferentiation, specific malignant cells become sensitized to ferroptosis [192,193,194], a form of cell death. Nakamura et al. [195] first demonstrated that the novel FSP1 inhibitor, icFSP1 impairs cell proliferation and induces FSP1 condensation to trigger ferroptosis in cancer cells (Fig. 4N). This highlights the role of iron in tumor progression and the dependence of cancer cells on iron in drug-resistant states.

Clinical applications of LLPS in oncologic fields

Potential of LLPS in cancer treatments

Considering that various regulatory mechanisms of LLPS are closely associated with tumorigenesis, it is imperative to explore therapeutic approaches against abnormal LLPS. These strategies can be categorized into three main approaches (Table 4).

Table 4 Summary of strategies and drugs that use phase separation to intervene in tumorigenesis and progression

Disruptions of the formation of BMCs

The direct disruption of the driving force behind LLPS offers a straightforward approach (Fig. 5A). For example, certain drugs can intervene in the LLPS process by targeting IDRs of proteins. Notably, the anti-HIV drug elvitegravir directly binds to the highly disordered steroid receptor coactivator 1, effectively inhibiting oncogene YAP transcription by disrupting SRC1/YAP/TEAD condensates (Table 4) [117]. Similarly, Yu et al. reported that the nuclear translocation of YAP and LLPS are affected by IFN treatment in cancer cells. Therefore, interrupting the LLPS of YAP can inhibit cancer cell proliferation and enhance the immune response, indicating its potential as a predictive biomarker in immune checkpoint blockade [67]. Further, altering interactions between LCDs indirectly modulates the transcriptional subunits, thus offering a promising approach for targeting disease-causing TFs.

Fig. 5

Potential approaches to developing new cancer treatments by regulating BMCs. A Targeting driving forces to disrupt condensate formation. B Changing the modifications of components or physicochemical interaction. C Drug concentrations influenced by dynamic condensates

Modifications of PTMs and physicochemical conditions

As previously mentioned, certain post-transitional modifications and physiochemical conditions contribute to LLP dynamics (Fig. 5B). For example, nYACs protect mRNAs from degradation and strengthen the role of YTHDC1 in leukemogenesis, which inspires us to disrupt m⁶A to violate deleterious condensates[105]. Further, studies have reported that modulating PTMs in LLPS proteins is also significant [25, 96, 102, 218,219,220,221]. In the case of colon cancer, SENP1 has been reported to decrease RNF168 SUMOylation, inhibit nuclear condensate formation, and promote DNA damage repair (DDR) and drug resistance. Given these observations, strategies to curb the harmful effects of protein aggregation by influencing protein modifications warrant further investigation.

Drug interventions of the dynamics of condensates

Drugs can significantly influence the dynamics of the condensates, affecting their anticancer effects and potentially leading to drug resistance (Fig. 5C). For example, in luminal breast cancer, tamoxifen accumulates in MED1 condensates, preventing the incorporation of ERα into these condensates, partially inhibiting cancer progression. However, when MED1 is overexpressed, larger condensates dilute the drug concentration, ultimately leading to the development of resistance [202]. Several drugs, such as cisplatin, mitoxantrone, and THZ1, selectively partition into BMCs formed by MED1 (Table 4). Drug resistance can occur via selective partitioning into BMCs or changes in properties. Notably, cisplatin exerts its anticancer activity by dissolving SEs, indicating that changes in the condensate properties may improve therapeutic outcomes[202]. This finding highlights the potential of altering the properties of condensates to improve therapeutic outcomes. In some cases, promoting the formation of BMCs may have therapeutic effects. For example, in APL, fusion proteins of PML-retinoic acid receptor α (RARA) hinder the assembly of PML bodies and result in the suppression of differentiation genes. Successful APL treatment involves the restoration of PML nuclear bodies using empirically discovered drugs (Table 4) [222].

Roles of LLPS in vesicular trafficking and drugs’ delivery

Although LLPS and traditional vesicles are two different concepts with distinctive definitions, the vesicular trafficking role of LLPS is still rarely described and attractive. Conventional approaches typically utilize nanoscale carriers that are confined within the compartments of the intranuclear body. Nevertheless, recent findings have demonstrated that micron-scale polypeptide clusters, formed through phase separation, possess the ability to traverse the cell membrane via a non-canonical endocytic pathway. These clusters undergo glutathione-induced release of their cargo and exhibit the capacity to rapidly incorporate various macromolecules into microdroplets, such as RNA, small peptides and enzymes [223]. Loaded with polysomes, they can provide new approaches for vaccine carriers based on mRNAs and intracellular transportations for cancer treatments.

Likewise, as previously mentioned, droplets of drugs formed by LLPS can unexpectedly raise the inner drug concentration up to 600 times higher than that outside the condensate [202]. Furthermore, MED1 predominantly acts on oncogene promoters, thereby enabling cisplatin to ultimately target the corresponding DNA through its toxic platinum atoms, effectively assaulting the vital components of the cancer cells. Besides, the phosphopeptide KYp has been observed to induce LLPS level at the cell membrane, thus enhancing the permeation and internalization of the peptide drug [224]. KYp has the ability to interact with alkaline phosphatase, resulting in the dephosphorylation and in situ self-assembly at the cell membrane [224]. The process induces the aggregation of alkaline phosphatase and the separation of proteolipid phases at the membrane, ultimately enhancing membrane leakage and facilitating the entry of the peptide drug. These great discoveries provide inspirations for designing drug delivery systems and more similar ideas are worth exploring.

Conclusions and future perspectives

In the past decades, crucial advances have been made in figuring out the role of LLPS in a variety of cellular processes and biological functions. Since the update of the new version of “Hallmarks of cancer 2022”, cancer hallmarks and their enabling characteristics help distill the oncogenic complexity into an evidently logical science, which have been gradually proven to be closely associated with LLPS. In this review, we summarize the mechanism of LLPS formations, recent discoveries and the individual role of LLPS in oncology. These findings collectively reveal its vital role in solving undruggable targets and multiple clinical problems.

The role of specific proteins and post-translational mechanisms in the formation and regulation of LLPS are being investigated. These efforts aim to identify abnormal conditions and gain insights into the mechanisms regulating the formation of the condensates. These studies have already begun to help find new strategies for targeting disease-related condensates. Notably, while previous drugs were designed to inhibit each protein directly, LLPS offers a novel and unexpected possibility of interfering with the pathological process and does not necessitate targeting each protein individually. This approach achieves disruption of the condensates formed by IDRs of TFs.

Despite the steady progress in targeting BMCs using LLPS, several fundamental questions need to be answered. For example, what are the functional differences between LLPS-formed assemblies and typical protein complexes? What factors contribute to dynamic condensation and decondensation, and how do different BMCs communicate in vitro and in vivo? Moreover, the role of PTMs in tumorigenesis requires further exploration (Table 5). Clarifying these aspects will improve our understanding of the conversion of physiological into pathological condensates in cancer. Future research will require collaborative efforts, innovative approaches, and a holistic approach to studying cancer-associated LLPS, which may lead to novel anti-tumor therapies directly targeting BMCs.

Table 5 Outlook and reflection on the future of the field