From biochemical principles of apoptosis induction by TRAIL to application in tumour therapy
Stefanie M Cordier1, Kerstin Papenfuss, Henning Walczak
1Tumour Immunology Unit, Division of Medicine, Imperial College, London, W12 0NN, UK.
Abstract:
The tumour necrosis factor-related apoptosis-inducing ligand (TRAIL) is a member of the TNF superfamily which has been shown to selectively kill tumour cells, while sparing normal tissue. This attribute makes TRAIL an attractive drug candidate for cancer therapy. Although most primary tumour cells turned out to be primarily TRAIL-resistant, recent studies evidenced that a variety of cancers can be sensitised to TRAIL-induced apoptosis upon pre-treatment with chemotherapeutic agents or irradiation, while normal cells remain TRAIL-resistant. However, biomarkers that reliably predict which patients may benefit from such combinatorial therapies are required. Thus, it is essential to better understand the mechanisms underlying TRAIL resistance versus sensitivity. In this chapter, we introduce the signalling events which take place during TRAIL-induced apoptosis, describe the physiological function of TRAIL and summarise pre-clinical and clinical results obtained so far with TRAIL-receptor agonists.
Insights
Tumour necrosis factor-related apoptosis-inducing ligand (TRAIL) shows promise in cancer therapy by selectively targeting tumor cells. Understanding TRAIL resistance mechanisms is crucial for developing effective combinatorial treatments.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Tumour necrosis factor-related apoptosis-inducing ligand (TRAIL) selectively induces apoptosis in tumor cells, making it a potential cancer therapeutic.
- Most primary tumor cells exhibit TRAIL resistance, limiting its direct application.
- Sensitization of cancer cells to TRAIL via chemotherapy or irradiation, while sparing normal tissues, has been observed.
Purpose of the Study:
- To elucidate the signaling pathways involved in TRAIL-induced apoptosis.
- To understand the mechanisms underlying TRAIL resistance and sensitivity in cancer.
- To review TRAIL's physiological role and summarize clinical/pre-clinical data on TRAIL agonists.
Main Methods:
- Review of signaling events in TRAIL-induced apoptosis.
- Summary of pre-clinical and clinical findings for TRAIL-receptor agonists.
- Analysis of TRAIL resistance and sensitivity mechanisms.
Main Results:
- TRAIL triggers apoptosis through specific signaling cascades.
- Combinatorial approaches can sensitize resistant tumors to TRAIL.
- Biomarkers for predicting patient response to TRAIL-based therapies are needed.
Conclusions:
- TRAIL is a promising cancer drug candidate due to its selective tumor-killing ability.
- Further research into TRAIL resistance mechanisms is essential for optimizing cancer therapy.
- Development of predictive biomarkers is critical for successful clinical application of TRAIL-based treatments.
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