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Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Cellular survival pathways and resistance to cancer therapy
1Division of Experimental Therapeutics and Pharmacology, Johns Hopkins Oncology Center, Baltimore, MD, USA.
Abstract:
Chemotherapy and irradiation induce programmed cell death (apoptosis) in their target cells. Dysregulated apoptosis is a feature that is selected for during tumor formation and contributes to therapeutic resistance. Cell survival in the face of cytotoxic therapy is dictated by both internal properties of the cell, such as status of components of the apoptotic machinery, and its extracellular milieu, such as extracellular matrix (ECM) and growth factor receptor expression and signaling. The importance of extracellular survival signals as key regulators of apoptosis is now being recognized by the ability of growth factors (GFs), GF receptors (GFRs), and GFR signaling to promote cellular survival. GFs can mitigate or abrogate the effectiveness of cancer therapy and protect against other cellular insults. Because survival signals generated by different extracellular sources converge at key molecules, new molecular targets have been identified which could be exploited to maximize the effectiveness of cytotoxic cancer therapy.
Insights
Cancer therapies like chemotherapy and irradiation trigger apoptosis, or programmed cell death. However, cancer cells can resist these treatments by utilizing extracellular survival signals, highlighting new therapeutic targets.
Area of Science:
- Oncology
- Cell Biology
- Molecular Biology
Background:
- Chemotherapy and irradiation induce apoptosis (programmed cell death) in target cells.
- Dysregulated apoptosis is crucial in tumor formation and leads to therapeutic resistance.
- Cell survival depends on internal apoptotic machinery and the extracellular environment, including growth factors and receptors.
Purpose of the Study:
- To investigate the role of extracellular survival signals in regulating apoptosis during cancer therapy.
- To identify molecular targets that can enhance the effectiveness of cytotoxic cancer therapies.
Main Methods:
- The study reviews the mechanisms by which growth factors (GFs), GF receptors (GFRs), and their signaling pathways promote cell survival.
- Analysis of how these extracellular signals interact with internal apoptotic machinery.
Main Results:
- Extracellular survival signals, mediated by GFs and GFRs, play a significant role in protecting cells from cytotoxic insults.
- These survival signals can mitigate or block the efficacy of cancer therapies.
- Convergence of survival signals at key molecular points offers potential therapeutic targets.
Conclusions:
- Understanding extracellular survival mechanisms is critical for overcoming therapeutic resistance in cancer.
- Targeting the convergence points of these survival pathways could enhance the effectiveness of current cancer treatments.
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