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Published on: January 7, 2019
"Oncogenic shock": explaining oncogene addiction through differential signal attenuation
Sreenath V Sharma1, Michael A Fischbach, Daniel A Haber
1Center for Molecular Therapeutics, Massachusetts General Hospital Cancer Center and Harvard Medical School, Charlestown, Massachusetts 02129, USA.
Abstract:
"Oncogene addiction" describes the curious acquired dependence of tumor cells on an activated oncogene for their survival and/or proliferation, a phenomenon that has important implications for the success of targeted cancer therapies. However, the mechanisms explaining oncogene addiction remain elusive. We propose that "addiction" may be an illusion generated as a consequence of differential attenuation rates of prosurvival and proapoptotic signals emanating from an oncoprotein acutely following its inactivation. According to this model, which we call "oncogenic shock," prosurvival signals dissipate quickly on oncoprotein inactivation whereas proapoptotic signals linger sufficiently long to commit the cell to an apoptotic death. This mechanism may contribute to the rapid and dramatic clinical responses observed in some cancer patients treated with selective tyrosine kinase inhibitors and could yield additional drug targets that determine the balance of signaling outputs from activated oncoproteins.
Insights
Oncogene addiction may be an illusion caused by differing signal decay rates after oncoprotein inactivation. This "oncogenic shock" model explains rapid cancer therapy responses and suggests new drug targets.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- "Oncogene addiction" describes tumor cell dependence on activated oncogenes, crucial for targeted cancer therapies.
- The underlying mechanisms of oncogene addiction are not fully understood.
- This dependence has significant implications for the efficacy and development of cancer treatments.
Purpose of the Study:
- To propose a novel mechanism explaining oncogene addiction.
- To introduce the "oncogenic shock" model for oncogene addiction.
- To identify potential new drug targets based on this model.
Main Methods:
- The study proposes a theoretical model based on signal transduction pathways.
- It analyzes the differential attenuation rates of prosurvival and proapoptotic signals.
- The model is conceptual and does not involve direct experimental procedures in this abstract.
Main Results:
- The "oncogenic shock" model suggests oncogene addiction is an illusion.
- This illusion arises from rapid decay of prosurvival signals versus slower decay of proapoptotic signals upon oncoprotein inactivation.
- Differential signal attenuation explains rapid tumor cell death after targeted therapy.
Conclusions:
- Oncogene addiction may be explained by the "oncogenic shock" phenomenon.
- This model provides a framework for understanding rapid clinical responses to targeted therapies like tyrosine kinase inhibitors.
- The model highlights potential new therapeutic targets focused on modulating oncoprotein signaling outputs.
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