Caspase-mediated programmed cell death pathways as potential therapeutic targets in cancer
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Updated: May 23, 2026

Evaluation of Caspase Activation to Assess Innate Immune Cell Death
Published on: January 20, 2023
1State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.
Abstract:
The caspase family is well characterized as playing a crucial role in modulation of programmed cell death (PCD), which is a genetically regulated, evolutionarily conserved process with numerous links to many human diseases, most notably cancer. In this review, we focus on summarizing the intricate relationships between some members of the caspase family and their key apoptotic mediators, involving tumour necrosis factor receptors, the Bcl-2 family, cytochrome c, Apaf-1 and IAPs in cancer initiation and progression. We elucidate new emerging types of cross-talk between several caspases and autophagy-related genes (Atgs) in cancer. Moreover, we focus on presenting several PCD-modulating agents that may target caspases-3, -8 and -9, and their substrates PARP-1 and Beclin-1, which may help us harness caspase-modulated PCD pathways for future drug discovery.
Insights
This review details how caspases, key regulators of programmed cell death (PCD), interact with apoptotic mediators and autophagy genes in cancer. It highlights PCD-modulating agents targeting caspases for future cancer drug discovery.
Area of Science:
- Molecular Biology
- Cellular Biology
- Oncology
Background:
- Programmed cell death (PCD) is a vital, genetically controlled process implicated in numerous diseases, especially cancer.
- The caspase family is central to regulating PCD pathways.
Purpose of the Study:
- To review the complex interactions between caspases and apoptotic mediators in cancer initiation and progression.
- To explore the cross-talk between caspases and autophagy-related genes (Atgs) in cancer.
- To present agents targeting caspases for potential cancer drug discovery.
Main Methods:
- Literature review focusing on caspase family roles in cancer.
- Analysis of interactions with apoptotic mediators: tumor necrosis factor receptors, Bcl-2 family, cytochrome c, Apaf-1, and IAPs.
- Investigation of caspase cross-talk with autophagy-related genes (Atgs).
Main Results:
- Caspases are intricately linked with key apoptotic mediators in cancer development.
- Emerging evidence shows cross-talk between caspases and Atgs in the context of cancer.
- Several PCD-modulating agents targeting specific caspases (e.g., caspase-3, -8, -9) and their substrates (PARP-1, Beclin-1) have been identified.
Conclusions:
- Understanding caspase-mediated PCD pathways is crucial for cancer research.
- Targeting caspases and their associated pathways offers promising avenues for novel cancer therapeutics.
- Further research into caspase-autophagy interactions may yield new drug targets.
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