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Adhesion molecules as targets for the treatment of neoplastic diseases
Konstantinos N Syrigos1, Anastasios J Karayiannakis
1Oncology Unit, 3rd Department of Medicine, Athens School of Medicine, Sotiria General Hospital, Athens, Greece. knsyrigos@usa.net
Abstract:
The quest for therapeutic specificity is implicit in all branches of medicine. In cancer treatment, cytotoxic agents, such as chemotherapy and radiotherapy, comprise the current therapeutic modality. Unfortunately, when used against most solid malignancies, their therapeutic indices are relatively low due to the significant damage they inflict on normal tissues. Furthermore, cure rates have remained essentially static over the last two decades. Specificity in killing neoplastic cells, while sparing healthy ones is therefore the only alternative approach, with several molecules qualifying as candidates for targeting therapy. Reduction of cell-cell and cell-matrix adhesion are, early tumorigenesis events also implicated in the invasive and metastatic process. The fact that abnormal adhesive marker expression is a feature commonly shared by most malignancies, along with its tendency to occur as both an early and late event in neoplastic development, makes these molecules potential candidates for antineoplastic targeted therapies. This review presents the perspectives of specific anti-adhesion molecule targeting as a possible therapeutic approach in neoplastic diseases.
Insights
Targeting anti-adhesion molecules offers a novel cancer therapy approach. This strategy aims to specifically kill cancer cells while sparing healthy tissues, improving treatment efficacy.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Current cancer treatments like chemotherapy and radiotherapy have low therapeutic indices, damaging healthy tissues and leading to static cure rates.
- Neoplastic cell specificity is crucial for effective cancer treatment, necessitating alternative therapeutic strategies.
- Abnormal cell-adhesion molecule expression is common in malignancies and linked to invasion and metastasis.
Purpose of the Study:
- To explore the potential of targeting anti-adhesion molecules as a novel therapeutic strategy for neoplastic diseases.
- To evaluate anti-adhesion molecules as candidates for targeted cancer therapies due to their role in tumorigenesis.
Main Methods:
- This review analyzes the role of cell-cell and cell-matrix adhesion in tumorigenesis, invasion, and metastasis.
- It examines the expression patterns of adhesion molecules in various malignancies.
- The review discusses the therapeutic potential of targeting these molecules.
Main Results:
- Reduced cell-cell and cell-matrix adhesion are early events in tumorigenesis, implicated in cancer spread.
- Abnormal adhesive marker expression is a common feature across most malignancies.
- These molecules are present throughout neoplastic development, from early to late stages.
Conclusions:
- Targeting anti-adhesion molecules presents a promising strategy for developing specific antineoplastic therapies.
- This approach holds potential for improving cancer treatment by selectively eliminating cancer cells.
- Further research into anti-adhesion molecule targeting could lead to more effective cancer interventions.
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