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Targeted manipulation of apoptosis in cancer treatment
Justin A Call1, S Gail Eckhardt, D Ross Camidge
1Developmental Therapeutics and Gastrointestinal Malignancies Programs, University of Colorado Comprehensive Cancer Center, Aurora, CO, USA.
Abstract:
Apoptosis is a fundamental process in the development and maintenance of multicellular organisms and its regulation is commonly disrupted in human cancers. In vitro and in vivo, effective treatment of cancer with radiotherapy or anticancer drugs (or both) is frequently associated with increased markers of apoptosis. However, clinical resistance to treatment is common in many tumours, particularly with increasing lines of therapy. Diminished ability to undergo apoptosis might cause extensive therapeutic cross-resistance in cancer cells. With increased understanding of the regulatory and effector molecules of apoptosis new drugs have been developed that might manipulate the apoptotic balance in cancer cells in favour of cell death. This Review summarises the rationale for direct manipulation of various elements of apoptosis and describes agents that are currently under investigation in early-phase clinical trials in many different cancer types.
Insights
Targeting apoptosis, programmed cell death, offers new cancer treatment strategies. Manipulating apoptosis pathways can overcome therapeutic resistance and promote cancer cell death, with novel drugs in clinical trials.
Area of Science:
- Cell Biology
- Oncology
- Pharmacology
Background:
- Apoptosis is crucial for multicellular organism development and maintenance.
- Dysregulation of apoptosis is a hallmark of human cancers.
- Cancer treatments like radiotherapy and chemotherapy often induce apoptosis, but resistance is common.
Purpose of the Study:
- To review the rationale for directly targeting apoptosis in cancer therapy.
- To describe novel agents designed to manipulate apoptosis for cancer treatment.
- To highlight agents currently in early-phase clinical trials.
Main Methods:
- Literature review of apoptosis regulation in cancer.
- Summary of preclinical and clinical data on apoptosis-modulating agents.
- Analysis of therapeutic strategies targeting apoptosis pathways.
Main Results:
- Resistance to apoptosis contributes to therapeutic cross-resistance in cancer.
- New drugs targeting apoptosis are being developed.
- Several novel apoptosis-targeting agents are in early clinical trials across various cancer types.
Conclusions:
- Directly manipulating apoptosis holds promise for overcoming cancer treatment resistance.
- Targeting apoptosis offers a rational approach to developing new anticancer therapies.
- Ongoing clinical trials will determine the efficacy of these novel agents.
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