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A promising "TRAIL" of tanshinones for cancer therapy
Tsing-Fen Ho1, Chia-Che Chang2,3,4,5
1Department of Medical Laboratory Science and Biotechnology, Central Taiwan University of Science and Technology, 406, Taichung, Taiwan.
Abstract:
An ideal cancer therapy specifically targets cancer cells while sparing normal tissues. Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) elicits apoptosis by engaging its cognate death receptors (DRs-namely, DR4 and DR5. The cancer cell-selective proapoptotic action of TRAIL is highly attractive for cancer therapy, but clinical application of TRAIL is rather limited due to tumors' inherent or acquired TRAIL resistance. Combining TRAIL with agents that reverse resistance to it has proved promising in the sensitization of TRAIL-induced apoptosis. Noteworthy, natural compounds have already been validated as potential resources for TRAIL sensitizers. In this review, we focus on the recently identified TRAILsensitizing effect of tanshinones, the anticancer ingredients of the medicinal plant Salvia miltiorrhiza (Danshen in Chinese). Research from our laboratories and others have revealed the synergy of a tanshinones-TRAIL combination in diverse types of cancer cells through up-regulation of DR5 and/or down-regulation of antiapoptotic proteins such as survivin. Thus, in addition to their anticancer mechanisms, tanshinones as TRAIL sensitizers hold great potential to be translated to TRAIL-based therapeutic modalities for combatting cancer.
Insights
Tanshinones, derived from Salvia miltiorrhiza, enhance cancer cell death when combined with Tumor Necrosis Factor-Related Apoptosis-Inducing Ligand (TRAIL) therapy. This combination overcomes TRAIL resistance by modulating key apoptosis-related proteins.
Area of Science:
- Oncology
- Pharmacology
- Natural Products Chemistry
Background:
- The development of targeted cancer therapies remains a critical challenge.
- Tumor Necrosis Factor-Related Apoptosis-Inducing Ligand (TRAIL) shows promise for cancer treatment due to its selective induction of apoptosis in cancer cells.
- However, clinical applications of TRAIL are hindered by intrinsic or acquired resistance in tumors.
Purpose of the Study:
- To review the TRAIL-sensitizing effects of tanshinones, natural compounds from Salvia miltiorrhiza.
- To explore the potential of tanshinones as adjuncts to TRAIL-based cancer therapies.
Main Methods:
- Literature review focusing on studies investigating tanshinones and their interaction with TRAIL signaling pathways.
- Analysis of research demonstrating the synergistic effects of tanshinones and TRAIL in various cancer cell types.
- Examination of the molecular mechanisms underlying tanshinone-mediated sensitization, including receptor modulation and anti-apoptotic protein regulation.
Main Results:
- Tanshinones, the active components of Salvia miltiorrhiza, exhibit significant TRAIL-sensitizing properties.
- The combination of tanshinones with TRAIL effectively induces apoptosis in diverse cancer cell lines.
- Sensitization is achieved through mechanisms such as up-regulation of death receptor 5 (DR5) and down-regulation of anti-apoptotic proteins like survivin.
Conclusions:
- Tanshinones hold considerable potential as TRAIL sensitizers, offering a strategy to overcome TRAIL resistance in cancer.
- The synergistic combination of tanshinones and TRAIL presents a promising avenue for developing novel, effective cancer therapeutics.
- Further research and clinical translation of tanshinone-TRAIL combination therapies are warranted.
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