TRAIL and chemotherapeutic drugs in cancer therapy
Xiu-Xian Wu1, Osamu Ogawa, Yoshiyuki Kakehi
1Department of Urology, Kagawa University, Kagawa 761-0793, Japan.
Abstract:
Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL/Apo2L) is a recently identified member of the TNF ligand family that selectively induces apoptosis in tumor cells in vitro and in vivo but not in most normal cells. Chemotherapeutic drugs induce apoptosis and the upregulation of death receptors or activation of intracellular signaling pathways of TRAIL. Numerous chemotherapeutic drugs have been shown to sensitize tumor cells to TRAIL-mediated apoptosis. Studies from our laboratory have also shown that TRAIL-resistant renal cell carcinoma, prostate gland cancer, and bladder cancer cells are sensitized by subtoxic concentrations of chemotherapeutic drugs including doxorubicin, epirubicin, pirarubicin, and cisplatin. TRAIL, particularly in combination with chemotherapeutic agents, is thus potentially promising in the treatment of cancer. This review addresses the putative role of TRAIL in cancer treatment and discusses the molecular basis of the synergistic effect of TRAIL and chemotherapeutic drugs.
Insights
Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) shows promise in cancer treatment. Combining TRAIL with chemotherapy sensitizes resistant cancer cells, offering a potential new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL/Apo2L) induces apoptosis in tumor cells selectively.
- Chemotherapeutic drugs can enhance TRAIL-mediated apoptosis by upregulating death receptors or activating intracellular signaling pathways.
Purpose of the Study:
- To review the role of TRAIL in cancer treatment.
- To discuss the molecular basis for the synergistic effects of TRAIL and chemotherapeutic drugs.
Main Methods:
- Review of existing literature on TRAIL and chemotherapy interactions.
- Analysis of studies demonstrating TRAIL sensitization of cancer cells by chemotherapeutic agents.
Main Results:
- TRAIL selectively induces apoptosis in tumor cells.
- Chemotherapy, including doxorubicin and cisplatin, sensitizes TRAIL-resistant cancers like renal, prostate, and bladder cancer cells to TRAIL-mediated apoptosis.
- Subtoxic concentrations of chemotherapy agents enhance TRAIL's efficacy.
Conclusions:
- TRAIL, especially when combined with chemotherapeutic agents, holds significant promise for cancer therapy.
- Understanding the synergistic mechanisms can lead to improved cancer treatment strategies.
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