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Analysis of Combinatorial miRNA Treatments to Regulate Cell Cycle and Angiogenesis
Published on: March 30, 2019
Targeting cell cycle and apoptosis for the treatment of human malignancies
1Molecular Therapeutics Unit Oral and Pharyngeal Cancer Branch, National Institute of Dental and Craniofacial Research, National Institutes of Health, 30 Convent Drive, Building 30, Room 212, Bethesda, Maryland 20892, USA. sendero@helix.nih.gov
Abstract:
Oncogenic transformation leads to cell cycle aberration and apoptosis dysregulation. Targeting cell cycle and apoptosis pathways has emerged as an attractive approach for the treatment of cancer. The activity of cdks can be modulated by targeting these kinases with small molecules that bind to the ATP binding pocket of cdks, or by altering the composition of the cdk/endogenous cdk inhibitor complexes by different mechanisms. Apoptosis can be modulated by targeting pro-apoptotic or pro-survival pathways. Several proteins relevant to oncogenic and proliferative processes, such as p53, bcl-2, AKT, ras and epidermal growth factor receptor, are also important in blocking apoptosis. Several small molecules that modulate cell cycle control and apoptosis have been approved recently and many will be approved in the near future. Several challenges remain, including finding ways of targeting these agents specifically to tumors (sparing normal cells), and the development of rationales for combining these new agents with standard therapies and for prioritizing the development of an overwhelming number of novel small molecules targeting cell cycle and apoptosis. Novel technologies such as genomics and proteomics will be instrumental in designing combinatorial regimens tailored to patients on the basis of the genetic makeup of tumors. Irrespective of all shortcomings, the future of modulation of apoptosis and cell cycle machinery for oncology therapy is quite exciting.
Insights
Targeting cancer cell cycle and apoptosis pathways with small molecules offers a promising therapeutic strategy. Future research will focus on targeted delivery and personalized combinations for improved oncology treatments.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Oncogenic transformation disrupts normal cell cycle progression and apoptosis regulation.
- Targeting cell cycle and apoptosis pathways is a key strategy in cancer treatment.
- Dysregulation of proteins like p53, bcl-2, AKT, and EGFR impacts apoptosis and proliferation.
Purpose of the Study:
- To review current strategies for modulating cell cycle and apoptosis in cancer therapy.
- To discuss the mechanisms of action for small molecule inhibitors targeting cell cycle kinases (CDKs) and apoptosis pathways.
- To highlight challenges and future directions in developing targeted cancer therapies.
Main Methods:
- Review of small molecule inhibitors targeting cell cycle (CDK) and apoptosis pathways.
- Discussion of protein targets including p53, bcl-2, AKT, ras, and EGFR.
- Exploration of novel technologies like genomics and proteomics for personalized medicine.
Main Results:
- Several small molecules targeting cell cycle and apoptosis have been recently approved or are in late-stage development.
- Modulation of CDKs via ATP-binding pocket inhibitors or altering inhibitor complexes is a viable approach.
- Targeting pro-apoptotic or pro-survival pathways offers therapeutic potential.
Conclusions:
- Targeting cell cycle and apoptosis pathways holds significant promise for cancer therapy.
- Challenges include achieving tumor-specific targeting and developing effective combination therapies.
- Genomics and proteomics will be crucial for tailoring combinatorial regimens to individual patients.
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