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Published on: November 18, 2014
X-linked inhibitor of apoptosis: a chemoresistance factor or a hollow promise
1Institute for Medical Microbiology, Immunology and Hygiene, University of Cologne, Köln, Germany. h.kashkar@uni-koeln.de
Abstract:
The X-linked inhibitor of apoptosis (XIAP) is the only cellular protein that has evolved to potently inhibit the enzymatic activity of mammalian caspases and promotes resistance to apoptosis. Given its role in apoptosis and its frequently elevated expression in malignant cells, XIAP has garnered the most attention as a promising therapeutic target in cancer to overcome drug resistance. Accordingly, XIAP is thought to render tumor cells resistant to chemotherapy through its ability to inhibit caspases, and it is on this basis that XIAP has been proposed as an important adverse biomarker for chemoresistance in cancer patients. Here, the current understanding of the role of XIAP in cancer is reviewed. Further, the notion is explored that the elevated XIAP expression frequently observed in malignant tissues is, at least, not exclusively responsible for the resistance of tumor cells to conventional therapeutic treatment; rather, the function of XIAP seems to be conducive to the process of malignant transformation and/or progression.
Insights
X-linked inhibitor of apoptosis (XIAP) protein inhibits caspases, promoting apoptosis resistance. While XIAP is a cancer drug resistance target, its role in malignant transformation may be more significant than solely causing chemoresistance.
Area of Science:
- Molecular Biology
- Cancer Biology
- Biochemistry
Background:
- X-linked inhibitor of apoptosis (XIAP) is a key cellular regulator of apoptosis.
- XIAP inhibits caspases, enzymes crucial for programmed cell death.
- Elevated XIAP expression is common in malignant cells and linked to apoptosis resistance.
Purpose of the Study:
- To review the role of XIAP in cancer.
- To explore XIAP's contribution to chemoresistance and malignant progression.
- To evaluate XIAP as a therapeutic target and biomarker in oncology.
Main Methods:
- Literature review of XIAP's function in apoptosis and cancer.
- Analysis of XIAP's role in chemoresistance mechanisms.
- Exploration of XIAP's involvement in malignant transformation and progression.
Main Results:
- XIAP potently inhibits caspases, conferring resistance to apoptosis.
- High XIAP expression in tumors is associated with resistance to chemotherapy.
- XIAP's function may also drive malignant transformation and cancer progression, not just resistance.
Conclusions:
- XIAP is a critical inhibitor of apoptosis and a target for cancer therapy.
- The elevated expression of XIAP in cancer may not solely explain chemoresistance.
- XIAP's role in malignant transformation and progression warrants further investigation.
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