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Genes that modulate the sensitivity for anti-microtubule drug-mediated chemotherapy
1Department of Medicine, Hematology/Oncology Section, University of Oklahoma Health Sciences Center (OUHSC), Oklahoma City, OK 73104, USA. Hiroshi-yamada@ouhsc.edu
Abstract:
Spindle poisons/anti-microtubule drugs are established chemotherapy drugs. These drugs primarily target microtubules and mitotic spindles, activate spindle assembly checkpoint (SAC), resulting in caspase-mediated cell death. However, the terminal phenotypes of drug-treated cells are surprisingly heterogeneous ranging from mitotic catastrophe to apparent senescence, suggesting that input from a variety of signaling pathways influence the cell death process. In recent years, studies revealed several signaling pathways that modulate the efficacy of spindle poisons. In this review, we discuss the genes and pathways whose inhibition or overexpression modulates spindle poison sensitivity. These genes cluster to (i) microtubule, microtubule associating proteins (MAPS) and actin cytoskeleton regulators, (ii) the SAC components, (iii) signaling proteins, (iv) chaperones, (v) cell cycle regulators, (vi) proteasome components, (vii) transcription factors and nuclear receptors, and (viii) apoptotic factors. These gene products would be potential targets for drugs to be combined with spindle poisons. Expression status of these genes would also serve as a prognostic marker for spindle poison-mediated chemotherapy. Understanding signaling pathways involved in drug efficacy will aid to rationally develop synergistic chemotherapy strategy.
Insights
Spindle poisons are chemotherapy drugs targeting microtubules. This review explores genes and pathways influencing their efficacy, identifying potential targets for combination therapies and prognostic markers.
Area of Science:
- Oncology
- Cell Biology
- Pharmacology
Background:
- Spindle poisons are chemotherapy agents targeting microtubules and the mitotic spindle.
- These drugs activate the spindle assembly checkpoint (SAC), leading to cell death.
- Observed heterogeneity in cell death phenotypes suggests involvement of multiple signaling pathways.
Purpose of the Study:
- To review genes and pathways that modulate sensitivity to spindle poisons.
- To identify potential targets for combination chemotherapy strategies.
- To explore the prognostic value of gene expression in spindle poison response.
Main Methods:
- Literature review of studies investigating spindle poison sensitivity.
- Categorization of modulating genes and pathways into functional groups.
- Analysis of signaling pathways influencing drug efficacy.
Main Results:
- Identified eight clusters of genes/pathways affecting spindle poison sensitivity: microtubule/cytoskeleton, SAC components, signaling proteins, chaperones, cell cycle regulators, proteasome components, transcription factors/nuclear receptors, and apoptotic factors.
- These gene products represent potential targets for synergistic drug combinations.
- Gene expression status may serve as a prognostic marker for chemotherapy response.
Conclusions:
- Understanding signaling pathways is crucial for developing rational, synergistic chemotherapy strategies.
- Targeting specific genes and pathways can enhance spindle poison efficacy.
- Gene expression profiling offers potential for predicting patient response to spindle poison therapy.
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