How to target apoptosis signaling pathways for the treatment of pediatric cancers

Simone Fulda1

  • 1Institute for Experimental Cancer Research in Pediatrics, Goethe-University Frankfurt, Germany.

Frontiers in Oncology
|February 20, 2013
PubMed

Insights

Apoptosis, a key cell death process, is often disrupted in pediatric cancers, contributing to tumor growth and treatment resistance. Targeting apoptosis pathways offers a promising strategy for developing novel childhood cancer therapies.

Area of Science:

  • Oncology
  • Cell Biology
  • Molecular Medicine

Background:

  • Apoptosis is a critical cell death mechanism in multicellular organisms.
  • Dysregulation of apoptosis is implicated in the development and progression of various cancers, particularly pediatric tumors.
  • Cancer therapies often depend on inducing apoptosis in malignant cells.

Purpose of the Study:

  • To investigate the role of apoptosis dysregulation in pediatric cancers.
  • To identify mechanisms contributing to cell death resistance in childhood malignancies.
  • To explore therapeutic strategies targeting apoptosis pathways for pediatric cancer treatment.

Main Methods:

  • Analysis of genetic and epigenetic alterations affecting apoptosis.
  • Investigation of signaling network dysregulation in cell death resistance.
  • Review of current and potential therapeutic interventions targeting apoptosis.

Main Results:

  • Ineffective apoptosis engagement contributes to pediatric tumor formation and progression.
  • Blockade of cell death signaling pathways leads to therapeutic resistance.
  • Genetic, epigenetic, and signaling network abnormalities underlie cell death resistance in childhood cancers.

Conclusions:

  • Therapeutic exploitation of apoptosis pathways, by enhancing pro-apoptotic or neutralizing anti-apoptotic signals, is a viable strategy.
  • Translating knowledge of apoptosis into innovative treatments for pediatric cancer remains a significant challenge.
  • Future research should focus on developing novel therapeutic approaches based on apoptosis modulation for childhood malignancies.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The Intrinsic Apoptotic Pathway01:31

The Intrinsic Apoptotic Pathway

Internal cellular stress, such as cellular injury or hypoxia, triggers intrinsic apoptosis. The B-cell lymphoma 2 (Bcl-2) family of proteins are the primary regulators of the intrinsic apoptotic pathway. For example, during DNA damage, checkpoint proteins, such as Ataxia Telangiectasia Mutated (ATM protein) and Checkpoints Factor-2 (Chk2) proteins, are activated. These proteins phosphorylate p53 which further activates pro-apoptotic proteins, such as Bax, Bak, PUMA, and Noxa, and inhibits...
The Extrinsic Apoptotic Pathway01:17

The Extrinsic Apoptotic Pathway

The extrinsic apoptotic pathway is initiated when extracellular death-inducing signals, such as specific cytokines, activate the death receptors expressed on the cell surface. The immune cells involved in this pathway are natural killer cells (NK cells) and cytotoxic T-lymphocytes. NK cells are critical in innate immune response, while cytotoxic T-lymphocytes are associated with adaptive immune response. These cells recognize specific receptors expressed on the altered cells and activate...
Interactions Between Signaling Pathways01:19

Interactions Between Signaling Pathways

Signaling cascades usually lack linearity. Multiple pathways interact and regulate one another, allowing cells to integrate and respond to diverse environmental stimuli.
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...