Microtubules: a dynamic target in cancer therapy
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Published on: February 20, 2017
Eddy Pasquier1, Maria Kavallaris
1Pharmacoproteomics Program, Children's Cancer Institute Australia for Medical Research, Randwick, NSW, Australia.
Abstract:
The tubulin/microtubule system is an important target for anticancer therapy. Two of the most clinically valuable groups of these agents are the vinca alkaloids and taxanes. In recent years, new tubulin-binding agents have been under preclinical or clinical development. One of these classes of agents, epothilones, has shown great promise in phase III clinical trials. What all these agents share in common, is that they bind to beta-tubulin and disrupt microtubule function during mitosis which in turn leads to mitotic arrest and cell death. In addition, these agents can inhibit angiogenesis. Not withstanding their effectiveness, drug resistance can pose a major clinical problem. This review provides an overview of the mechanisms mediating resistance to tubulin-binding agents related to the cellular target and discusses strategies to overcome this important clinical problem.
Insights
New anticancer drugs targeting the tubulin/microtubule system, like epothilones, show promise by disrupting mitosis. This review examines drug resistance mechanisms and strategies to overcome them.
Area of Science:
- Oncology
- Cell Biology
- Pharmacology
Background:
- The tubulin/microtubule system is a validated target for anticancer therapies, with vinca alkaloids and taxanes being clinically significant.
- Newer agents, including epothilones, are emerging, demonstrating efficacy in clinical trials.
- These agents function by binding to beta-tubulin, disrupting microtubule dynamics during mitosis, inducing mitotic arrest, and promoting cell death, with additional anti-angiogenic effects.
Purpose of the Study:
- To review the mechanisms of resistance to tubulin-binding anticancer agents.
- To discuss strategies for overcoming drug resistance related to the cellular target.
Main Methods:
- Literature review of preclinical and clinical studies on tubulin-binding agents.
- Analysis of mechanisms of drug resistance at the cellular target level.
- Synthesis of current strategies to overcome resistance.
Main Results:
- Tubulin-binding agents disrupt microtubule function, leading to mitotic arrest and cell death.
- Inhibition of angiogenesis is another key effect of these agents.
- Drug resistance remains a significant clinical challenge.
Conclusions:
- Understanding resistance mechanisms is crucial for effective cancer treatment.
- Developing strategies to overcome resistance is essential for improving patient outcomes with tubulin-binding agents.
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