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21 January 2026 : Review article  

Role of Oxysterol-Binding Protein Family in Cholesterol Metabolism and Cancer Progression: A Review

Yu Wu ABCDEF 1, Xinhui Lv BC 1, Jiyuan Yang BC 1, Sicong Liu C 1, Yafang Chen A 1, Ziwen Yuan F 1, Xudong Wang AEG 2*

DOI: 10.12659/MSM.949032

Med Sci Monit 2026; 32:e949032

Table 2 Oxysterol-binding protein–related proteins (ORPs), their roles in cancer and other diseases, and associated therapeutic agents.

ProteinCancerFunctional roleDiseasesTherapeutic agents
OSBPn/an/aAn attractive target for the treatment of multiple RNA viruses []129 OSW-1 is a highly specific OSBP antagonist []137
ORP2CRC []89 Inhibition of CRC cell migration and invasion []89 Deficiency can lead to hypercholesterolemia and deafness []133 n/a
ORP3CRC [], GC [], LIHC [], BC []96 Promoting the migration and invasion of CRC [], GC [], and LIHC [] cells, but inhibiting the invasion of BC cancer cells []96 n/aItraconazole binds to the ORP3-VAP-A complex and inhibits tumor cell proliferation and migration []138
ORP4Ovarian cancer []80 Ability to drive the proliferation of hematopoietic and ovarian cancer cells []80 n/aOSW-1 is a highly specific ORP4 antagonist []137
ORP5Pancreatic cancer[], CC[], RCC[]11 Ability to promote migration and invasion of pancreatic cancer [], CC [], and RCC [] cells11 n/an/a
ORP8HCC [], GC []12 Inhibition of HCC [],GC [] cell growth and proliferation12 Playing a key role in the development of T2DM []134 n/a
ORP9PDAC [], PAAD []114 Correlating with immune infiltration of PDAC [] and PAAD [] cells114 Knockdown delays maturation of junction-associated endocytosis structures in the testis and leads to impaired sperm release []139 n/a
ORP10Breast cancer [], pancreatic cancer []119 Mutations can drive breast cancer [].Promoting proliferation and metastasis of pancreatic cancer []119 n/an/a
ORP11n/an/aObesity-related diseases []16 n/a
OSBP – oxysterol-binding protein; CRC – colorectal cancer; GC – gastric cancer; LIHC – liver hepatocellular carcinoma; BC – breast cancer; CC – cervical cancer; RCC – renal cell carcinoma; HCC – hepatocellular carcinoma; PDAC – pancreatic ductal adenocarcinoma; PAAD – pancreatic adenocarcinoma; T2DM – type II diabetes mellitus; VAP-A – vesicle-associated membrane protein-associated protein A.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750