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Updated: May 31, 2026

Establishing Cell Lines Overexpressing DR3 to Assess the Apoptotic Response to Anti-mitotic Therapeutics
Published on: January 11, 2019
[Molecules involved in apoptosis regulation as therapeutic targets in oncology]
Stéphanie Lheureux1, Sylvestre Le Moulec
1CLCC François-Baclesse, service d'oncologie médicale, Caen, France.
Abstract:
Apoptosis is a programmed cellular death, a fast process (between four and six hours) in answer to a cellular stress. It involves a sequence of genetically determined intracellular events, allowing the inhibition of the main functions of the cell and its elimination by phagocytosis. The apoptosis inactivation is implied in tumours carcinogenesis. Although the tumour physiopathology implies a defect in activation-induced cell death, the treatment is designed to kill the transformed cells. The aim of this review is to describe the apoptotic mechanisms and to explain the interest of new therapeutic tools targeting apoptosis. Apoptosis is an orderly and synchronized process, regulated by two different pathways, the intrinsic way (mitochondrial) and extrinsic one (the death receptor). The targeting of apoptosis, a pathway intrinsically deficient in the tumor cells, is a potentially interesting strategy when the mechanism of its inhibition is well-identified. Small molecules targeting B-cell leukemia/lymphoma-2 (Bcl-2), inhibitor of apoptosis protein (IAPs) and tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) receptors are currently under phase I/II studies, which show preliminary efficacy and safety. Their association with standard treatments seems an interesting therapeutic way in order to obtain a synergistic effect on tumor cell death.
Insights
Apoptosis, programmed cell death, is crucial for eliminating stressed cells and preventing cancer. Targeting apoptosis pathways offers promising new cancer therapies by reactivating this cell death mechanism in tumors.
Area of Science:
- Cell Biology
- Molecular Biology
- Oncology
Context:
- Apoptosis, or programmed cell death, is a rapid, genetically controlled process essential for cellular homeostasis.
- Dysregulation of apoptosis is a hallmark of cancer, contributing to tumor development and progression.
- Current cancer treatments aim to eliminate transformed cells, but understanding apoptosis mechanisms is key to novel therapeutic strategies.
Purpose:
- To elucidate the intricate mechanisms of apoptosis, including the intrinsic (mitochondrial) and extrinsic (death receptor) pathways.
- To review the therapeutic potential of targeting apoptosis in cancer treatment.
- To discuss emerging small molecule inhibitors and their clinical investigation.
Summary:
- Apoptosis involves coordinated intracellular events leading to cell elimination via phagocytosis.
- Two primary pathways regulate apoptosis: the intrinsic mitochondrial pathway and the extrinsic death receptor pathway.
- Inactivation of apoptosis is implicated in carcinogenesis, making its reactivation a viable therapeutic approach.
Impact:
- Targeting apoptosis, which is often deficient in cancer cells, presents a promising strategy for novel cancer therapies.
- Small molecules targeting Bcl-2, IAPs, and TRAIL receptors are in early clinical trials, showing preliminary efficacy and safety.
- Combining these novel agents with standard treatments may yield synergistic anti-tumor effects, enhancing cell death induction.
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