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Drugs interfering with apoptosis in breast cancer
Daniela Grimm1, Markus Wehland, Jessica Pietsch
1Department of Pharmacology, Aarhus University, Denmark. daniela.grimm@farm.au.dk
Abstract:
Apoptosis plays an important role in development, growth, differentiation, altered gravity conditions, tissue homeostasis, immune defense, and cancer. It can be initiated by external signals via death receptors, but may also emerge from mitochondria. Today most of the key players in cellular apoptosis regulation are identified and can be targeted by therapeutic strategies. In this review we focus on recent development of drugs, which interfere with apoptosis and are currently used or tested for treatment of breast cancer. These novel agents include those targeting the extrinsic pathway such as Fas, tumor necrosis factor-alpha and tumor necrosis factor related apoptosis-inducing ligand, as well as drugs targeting the intrinsic Bcl-2 family pathway, or drugs inhibiting repair enzymes such as Poly (ADP-ribose) polymerase (PARP) inhibitors. Their function will be explained, their role in tumor biology and actual clinical studies will be discussed.
Insights
This review explores novel drugs targeting apoptosis for breast cancer treatment. It covers agents affecting death receptors, Bcl-2 family pathways, and DNA repair enzymes like PARP inhibitors.
Area of Science:
- Cellular Biology
- Molecular Oncology
- Pharmacology
Background:
- Apoptosis is crucial for development, homeostasis, and disease, including cancer.
- Cellular apoptosis can be triggered extrinsically via death receptors or intrinsically via mitochondria.
- Key apoptosis regulators are identified and represent therapeutic targets.
Purpose of the Study:
- To review recent drug developments targeting apoptosis for breast cancer treatment.
- To discuss novel agents interfering with apoptosis pathways.
- To examine their role in tumor biology and clinical studies.
Main Methods:
- Literature review of recent advancements in apoptosis-targeting drugs.
- Analysis of agents targeting extrinsic (death receptor) and intrinsic (Bcl-2 family) pathways.
- Discussion of Poly (ADP-ribose) polymerase (PARP) inhibitors.
Main Results:
- Novel drugs targeting apoptosis pathways are in clinical use or trials for breast cancer.
- Agents include those affecting Fas, TNF-alpha, TRAIL, Bcl-2 family proteins, and PARP inhibitors.
- These drugs offer new therapeutic strategies by modulating programmed cell death.
Conclusions:
- Targeting apoptosis pathways presents promising therapeutic strategies for breast cancer.
- Understanding drug mechanisms and clinical efficacy is vital for advancing treatment.
- Further research into these novel agents will refine breast cancer therapy.
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