Related Experiment Video
Updated: Aug 6, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Different cell thresholds for commitment to death: a link between carcinogenesis and drug resistance
1CRC Molecular and Cellular Pharmacology Group, School of Biological Sciences, University of Manchester, Manchester, UK.
Abstract:
All classes of anticancer drugs induce apoptosis both in vitro and in vivo. Because apoptosis is a genetically controlled process, this implies that death induced by these drugs is genetically controlled at loci different from those involved in their direct mechanisms of action. This is stimulus-response-coupling; the drugs provide the stimulus through imposition of cell damage. Failure to couple damage to the response of death characterizes a pleiotropic form of drug resistance. Different cell phenotypes have different thresholds for the engagement of death, which need not only be by apoptosis. The balance of expression of genes which promote or suppress active cell death defines these thresholds.
Insights
Anticancer drugs trigger genetically controlled cell death (apoptosis) through cell damage. Resistance arises when cells fail to link this damage to death, influenced by gene expression balancing cell survival and death.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Anticancer drugs are known to induce apoptosis (programmed cell death) across various settings.
- Apoptosis is a genetically regulated cellular mechanism.
Purpose of the Study:
- To explore the genetic control of drug-induced cell death beyond the drugs' direct mechanisms.
- To understand the basis of drug resistance related to cell death pathways.
Main Methods:
- The study implies a conceptual framework rather than specific experimental methods.
- Focuses on stimulus-response coupling: drug-induced cell damage as stimulus, and cell death as response.
Main Results:
- Drug-induced cell death is genetically controlled at loci distinct from drug action sites.
- Failure to link cell damage to cell death constitutes a pleiotropic drug resistance.
- Cellular thresholds for death engagement vary, influenced by gene expression balancing pro-death and pro-survival signals.
Conclusions:
- The genetic control of apoptosis by anticancer drugs highlights complex regulatory networks.
- Pleiotropic drug resistance is linked to the cell's ability to execute genetically programmed death pathways.
- Gene expression modulation is critical in determining cell fate and therapeutic response.
Related Concept Videos
Treatment Resistant Cancers
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Cancer Stem Cells and Tumor Maintenance
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Replicative Cell Senescence
Mutagenicity and Carcinogenicity