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Updated: Aug 7, 2026

Detection and Isolation of Apoptotic Bodies to High Purity
Published on: August 12, 2018
Apoptosis: a relevant tool for anticancer therapy
1Section of Medical Oncology, Department of Surgical and Oncology, Università di Palermo, Italy. lab-oncobiologia@usa.net
Abstract:
Apoptosis is a form of cell death that permits the removal of damaged, senescent or unwanted cells in multicellular organisms, without damage to the cellular microenvironment. Defective apoptosis represents a major causative factor in the development and progression of cancer. The majority of chemotherapeutic agents, as well as radiation, utilize the apoptotic pathway to induce cancer cell death. Resistance to standard chemotherapeutic strategies also seems to be due to alterations in the apoptotic pathway of cancer cells. Recent knowledge on apoptosis has provided the basis for novel targeted therapies that exploit apoptosis to treat cancer. These new target include those acting in the extrinsic/intrinsic pathway, proteins that control the apoptosis machinery such as the p53 and proteosome pathway. Most of these forms of therapy are still in preclinical development because of their low specifity and susceptibility to drug resistance, but several of them have shown promising results. In particular, this review specifically aims at providing an update of certain molecular players that are already in use in order to target apoptosis (such as bortezomib) or which are still being clinically evaluated (such ONYX-015, survivin and exisulind/aptosyn) or which, following preclinical studies, might have the necessary requirements for becoming part of the anticancer drug programs (such as TRAIL/Apo2L, apoptin/VP3).
Insights
Targeting apoptosis, a crucial cell death process, offers new cancer treatment strategies. While some therapies are in development, targeting apoptosis pathways shows promise for overcoming cancer drug resistance.
Area of Science:
- Oncology
- Cell Biology
- Molecular Biology
Background:
- Apoptosis is essential for removing damaged cells and preventing cancer.
- Defective apoptosis is a key factor in cancer development and progression.
- Cancer cells often develop resistance to chemotherapy and radiation by altering apoptotic pathways.
Purpose of the Study:
- To review novel targeted therapies that exploit apoptosis for cancer treatment.
- To update on molecular players targeting apoptosis, including those in clinical use or evaluation.
- To highlight potential future anticancer drug programs targeting apoptosis.
Main Methods:
- Review of current literature on apoptosis and cancer.
- Analysis of molecular targets within the extrinsic and intrinsic apoptotic pathways.
- Evaluation of therapeutic agents targeting apoptosis machinery (e.g., p53, proteasome).
Main Results:
- Several targeted therapies exploiting apoptosis are in preclinical or clinical development.
- Agents like bortezomib are already in use, while others (e.g., ONYX-015, TRAIL/Apo2L) show promise.
- Drug resistance remains a challenge, but novel approaches offer potential.
Conclusions:
- Targeting apoptosis pathways represents a promising strategy for novel cancer therapies.
- Further research and clinical evaluation are needed for many apoptosis-targeting agents.
- Exploiting apoptosis offers a route to overcome resistance in cancer treatment.
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