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Published on: August 2, 2024
Modulation of death receptors by cancer therapeutic agents
1Department of Hematology and Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Abstract:
Death receptors are important modulators of the extrinsic apoptotic pathway. Activating certain death receptors such as death receptors for tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) (i.e., DR4 and DR5) selectively kills cancer cells via induction of apoptosis while sparing normal cells. Thus, soluble recombinant TRAIL and agonistic antibodies to DR4 or DR5 have progressed to phase I and phase II clinical trials. Many cancer therapeutic drugs including chemotherapeutic agents have been shown to induce the expression or redistribution at the cell surface of death receptors including TRAIL death receptors. In addition, chemotherapeutic agents have also been shown to enhance induction of apoptosis by TRAIL or agonistic antibodies or overcome cell resistance to TRAIL or agonistic antibodies. Targeted induction of apoptosis by activation of the death receptor-mediated extrinsic apoptotic pathway should be an ideal therapeutic strategy to eliminate cancer cells. Therefore, death receptors, particularly TRAIL death receptors, have emerged as an important cancer therapeutic target. This article will focus on reviewing and discussing the modulation of death receptors by cancer therapeutic agents and its implications in cancer therapy.
Insights
Death receptors, especially TRAIL death receptors (DR4/DR5), selectively induce cancer cell apoptosis. Cancer therapies can modulate these receptors to enhance cell death, making them promising therapeutic targets.
Area of Science:
- Molecular Biology
- Cancer Therapeutics
- Apoptosis Signaling
Background:
- Death receptors are key regulators of the extrinsic apoptotic pathway.
- TRAIL death receptors (DR4/DR5) induce apoptosis selectively in cancer cells.
- TRAIL-based therapies are in clinical trials for cancer treatment.
Purpose of the Study:
- To review the modulation of death receptors by cancer therapeutic agents.
- To discuss the implications of this modulation for cancer therapy.
- To highlight death receptors as critical targets for cancer treatment.
Main Methods:
- Review of existing literature on death receptor modulation by cancer drugs.
- Analysis of how chemotherapeutic agents affect death receptor expression and function.
- Discussion of clinical trial data for TRAIL-based therapies.
Main Results:
- Chemotherapeutic agents can induce or redistribute death receptors (DR4/DR5) on cancer cells.
- These agents can enhance TRAIL-induced apoptosis or overcome resistance.
- Targeted activation of death receptors offers a strategy for cancer elimination.
Conclusions:
- Modulating death receptors, particularly TRAIL receptors, is a viable cancer therapeutic strategy.
- Combined approaches using chemotherapy and TRAIL-based therapies show promise.
- Death receptors represent a significant target for future cancer treatments.
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