Death receptors: targets for cancer therapy
Zafar Mahmood1, Yogeshwer Shukla
1Proteomics Laboratory, Indian Institute of Toxicology Research, Mahatma Gandhi Marg, Lucknow 226001, India.
Abstract:
Apoptosis is the cell's intrinsic program to death, which plays an important role in physiologic growth control and homeostasis. Apoptosis can be triggered by death receptors (DRs), without any adverse effects. DRs are the members of tumor necrosis factor (TNF) receptor superfamily, known to be involved in apoptosis signaling, independent of p53 tumor-supressor gene. Selective triggering of DR-mediated apoptosis in cancer cells is a novel approach in cancer therapy. So far, the best characterized DRs are CD95 (Fas/Apo1), TNF-related apoptosis-inducing ligand receptor (TRAILR) and tumor necrosis factor receptor (TNFR). Among these, TRAILR is emerging as most promising agent for cancer therapy, because it induces apoptosis in a variety of tumor and transformed cells without any toxicity to normal cells. TRAIL treatment in combination with chemotherapy or radiotherapy enhances TRAIL sensitivity or reverses TRAIL resistance by regulating downstream effectors. This review covers the current knowledge about the DRs, summarizes main signaling in DRs and also summarizes the preclinical approaches of these DRs in cancer therapy.
Insights
Death receptors (DRs) trigger programmed cell death. TRAIL receptor (TRAILR) shows promise in cancer therapy by selectively inducing apoptosis in tumor cells with minimal toxicity to normal cells.
Area of Science:
- Cell Biology
- Immunology
- Oncology
Background:
- Apoptosis, or programmed cell death, is crucial for physiological growth and homeostasis.
- Death receptors (DRs), part of the tumor necrosis factor (TNF) receptor superfamily, mediate apoptosis independently of the p53 gene.
- Targeting DR-mediated apoptosis offers a novel strategy for cancer therapy.
Purpose of the Study:
- To review current knowledge on DRs and their signaling pathways.
- To summarize preclinical approaches utilizing DRs in cancer treatment.
- To highlight the potential of TRAIL receptor (TRAILR) as a targeted cancer therapeutic.
Main Methods:
- Literature review of studies on DRs, including CD95, TRAILR, and TNFR.
- Analysis of DR signaling mechanisms.
- Evaluation of preclinical data on DR-targeted cancer therapies.
Main Results:
- DRs, particularly TRAILR, can selectively induce apoptosis in cancer cells.
- TRAILR exhibits minimal toxicity to normal cells, making it a promising therapeutic candidate.
- Combination therapies involving TRAIL and chemotherapy/radiotherapy can enhance treatment efficacy.
Conclusions:
- DRs represent a viable therapeutic target for cancer treatment.
- TRAILR-based therapies hold significant potential for selective cancer cell apoptosis induction.
- Further preclinical investigation is warranted to optimize DR-targeted cancer treatments.
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