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Acid ceramidase inhibition: a novel target for cancer therapy
Xiang Liu1, Saeed Elojeimy, Lorianne S Turner
1Department of Microbiology & Immunology, Medical University of South Carolina, Charleston, SC 29425, USA.
Abstract:
During the last decade, sphingolipid deregulation, namely the balance between the pro-apoptotic molecule ceramide and the anti-apoptotic sphingolipid sphingosine-1-phosphate, has emerged as an important factor in cancer pathology and resistance to therapy. Thus, our research has been focused on developing drugs that are able to restore normal sphingolipid balance, precisely through increasing the levels of ceramide and decreasing sphingosine-1-phosphate. Particularly, inhibition of the ceramide metabolizing enzyme acid ceramidase, whose over-expression in cancer cells has been implicated in resistance to treatment, is proving to be an efficient and promising strategy. In this review, we consider our recent work with acid ceramidase inhibitors, in combination with radiation or gene therapy as a sensitizer that enhance cancer therapy.
Insights
Restoring sphingolipid balance by inhibiting acid ceramidase increases ceramide and decreases sphingosine-1-phosphate. This approach sensitizes cancer cells to radiation and gene therapy, enhancing treatment efficacy.
Area of Science:
- Biochemistry
- Oncology
- Pharmacology
Background:
- Sphingolipid deregulation, particularly the ceramide/sphingosine-1-phosphate balance, is crucial in cancer pathology and therapeutic resistance.
- Over-expression of acid ceramidase in cancer cells contributes to treatment resistance.
Purpose of the Study:
- To develop drugs that restore normal sphingolipid balance by increasing ceramide and decreasing sphingosine-1-phosphate.
- To investigate the potential of acid ceramidase inhibitors as sensitizers in cancer therapy.
Main Methods:
- Targeting the ceramide metabolizing enzyme, acid ceramidase.
- Utilizing acid ceramidase inhibitors in combination with radiation or gene therapy.
Main Results:
- Inhibition of acid ceramidase effectively modulates sphingolipid metabolism.
- Acid ceramidase inhibitors act as sensitizers, enhancing the efficacy of radiation and gene therapy.
Conclusions:
- Targeting acid ceramidase is a promising strategy for restoring sphingolipid balance in cancer.
- Combination therapy involving acid ceramidase inhibitors offers a novel approach to overcome cancer resistance and improve treatment outcomes.
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