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Updated: May 27, 2026

Defining Gene Functions in Tumorigenesis by Ex vivo Ablation of Floxed Alleles in Malignant Peripheral Nerve Sheath Tumor Cells
Published on: August 25, 2021
Targeted cancer therapy: what if the driver is just a messenger?
Jonathan H Schatz1, Hans-Guido Wendel
1Cancer Biology and Genetics Program, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. schatzj@mskcc.org
Abstract:
"Shoot the driver" is the paradigm of targeted cancer therapy. However, resistance to targeted inhibitors of signaling pathways is a major problem. In part the redundancy of signaling networks can bypass targeted inhibitors and thereby reduce their biological effect. In this case the driver turns out to be one of several potential messengers and is easily replaced. Cocktails of multiple targeted inhibitors are an obvious solution. This is limited, however, by the lack of potent inhibitors and may also produce increased toxicity. Therefore we explored the direct blockade of a key biological activity downstream from multiple converging oncogenic signals. Specifically, several oncogenic signaling pathways including AKT, MAPK and PIM kinase signals converge on the activation of cap-dependent translation. In cancer cells, aberrant activation of cap-dependent translation favors the increased expression of short-lived oncoproteins like c-MYC, MCL1, CYCLIN D1 and the PIM kinases. Intriguingly, cancer cells are especially sensitive to even temporary reductions in these proteins. We will discuss our findings concerning translational inhibitor therapy in cancer.
Insights
Targeted cancer therapies face resistance due to signaling network redundancy. Blocking cap-dependent translation offers a novel strategy by inhibiting multiple oncogenic pathways simultaneously, showing promise for effective cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Targeted cancer therapies aim to inhibit specific signaling pathways.
- Resistance to targeted inhibitors is a significant challenge, often due to signaling network redundancy.
- Overcoming resistance requires alternative therapeutic strategies beyond single-target inhibition.
Purpose of the Study:
- To explore the blockade of cap-dependent translation as a therapeutic strategy against cancer.
- To investigate the convergence of oncogenic signaling pathways on translation.
- To assess the sensitivity of cancer cells to reduced expression of key oncoproteins.
Main Methods:
- Analysis of converging oncogenic signaling pathways (AKT, MAPK, PIM kinase).
- Investigation of cap-dependent translation activation in cancer cells.
- Evaluation of the impact of translational inhibition on oncoprotein expression.
Main Results:
- Multiple oncogenic pathways converge on the activation of cap-dependent translation.
- Aberrant translation activation promotes expression of oncoproteins like c-MYC, MCL1, CYCLIN D1, and PIM kinases.
- Cancer cells exhibit heightened sensitivity to reductions in these critical proteins.
Conclusions:
- Direct blockade of cap-dependent translation is a viable strategy to target multiple oncogenic signals.
- Translational inhibitor therapy presents a promising approach to overcome resistance in cancer treatment.
- Targeting translation offers a novel way to exploit cancer cell vulnerabilities.
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