Pro-oncogenic and anti-oncogenic pathways: opportunities and challenges of cancer therapy

Jiao Zhang1, Yan-Hua Chen, Qun Lu

  • 1Department of Anatomy & Cell Biology, The Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA.

Insights

Cancer development involves gene mutations and signaling pathway disruptions. Targeting these pathways offers potential cures, but their complex roles necessitate integrative cancer therapy strategies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Carcinogenesis is characterized by uncontrolled cell growth and invasion.
  • Gene mutations and dysregulated signaling pathways drive malignant transformation.
  • Targeting oncogenic signaling pathways is a key strategy in cancer therapy.

Purpose of the Study:

  • To highlight the complexity of oncogenic signaling pathways in cancer.
  • To address the challenges in clinical cancer intervention.
  • To propose a new therapeutic concept for oncology.

Main Methods:

  • Review of current literature on carcinogenesis and oncogenic signaling.
  • Analysis of the dual roles of signaling elements in cancer pathogenesis.
  • Conceptualization of integrative cancer therapy.

Main Results:

  • Many oncogenic signaling elements exhibit context-dependent roles (promoting or suppressing cancer).
  • Cancer pathogenesis is influenced by tissue type, cancer stage, gene dosage, and pathway interactions.
  • The complexity of these pathways challenges traditional therapeutic approaches.

Conclusions:

  • Integrative cancer therapy is proposed as a future direction for oncology interventions.
  • Caution is advised when designing anticancer drugs due to signaling pathway complexity.
  • A nuanced understanding of oncogenic signaling is crucial for effective cancer treatment.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Cancer Vaccines01:30

Cancer Vaccines

Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...