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Published on: January 11, 2019
Apoptosis as anticancer mechanism: function and dysfunction of its modulators and targeted therapeutic strategies
Giuseppa Pistritto1, Daniela Trisciuoglio2, Claudia Ceci1
1Department of Systems Medicine, University "Tor Vergata", 00133 Rome, Italy.
Abstract:
Apoptosis is a form of programmed cell death that results in the orderly and efficient removal of damaged cells, such as those resulting from DNA damage or during development. Apoptosis can be triggered by signals from within the cell, such as genotoxic stress, or by extrinsic signals, such as the binding of ligands to cell surface death receptors. Deregulation in apoptotic cell death machinery is an hallmark of cancer. Apoptosis alteration is responsible not only for tumor development and progression but also for tumor resistance to therapies. Most anticancer drugs currently used in clinical oncology exploit the intact apoptotic signaling pathways to trigger cancer cell death. Thus, defects in the death pathways may result in drug resistance so limiting the efficacy of therapies. Therefore, a better understanding of the apoptotic cell death signaling pathways may improve the efficacy of cancer therapy and bypass resistance. This review will highlight the role of the fundamental regulators of apoptosis and how their deregulation, including activation of anti-apoptotic factors (i.e., Bcl-2, Bcl-xL, etc) or inactivation of pro-apoptotic factors (i.e., p53 pathway) ends up in cancer cell resistance to therapies. In addition, therapeutic strategies aimed at modulating apoptotic activity are briefly discussed.
Insights
Apoptosis, or programmed cell death, is crucial for removing damaged cells. Its dysregulation fuels cancer development and therapy resistance, highlighting the need for targeted apoptosis modulation strategies.
Area of Science:
- Molecular Biology
- Cell Biology
- Oncology
Background:
- Apoptosis (programmed cell death) removes damaged cells via internal or external signals.
- Dysregulation of apoptosis is a key factor in cancer development, progression, and therapeutic resistance.
- Current cancer therapies often rely on intact apoptotic pathways for efficacy.
Purpose of the Study:
- To review the fundamental regulators of apoptosis.
- To explore how deregulation of apoptosis contributes to cancer cell resistance to therapies.
- To briefly discuss therapeutic strategies targeting apoptosis.
Main Methods:
- Literature review focusing on apoptosis regulators and their role in cancer.
- Analysis of how anti-apoptotic (e.g., Bcl-2, Bcl-xL) and pro-apoptotic (e.g., p53) factors influence therapy resistance.
- Overview of therapeutic approaches modulating apoptotic activity.
Main Results:
- Activation of anti-apoptotic factors and inactivation of pro-apoptotic factors lead to cancer cell resistance.
- Defects in apoptotic pathways limit the efficacy of conventional anticancer drugs.
- Understanding apoptosis signaling is vital for overcoming drug resistance.
Conclusions:
- Targeting apoptotic pathways offers potential for improving cancer therapy efficacy.
- Modulating apoptosis regulators can help bypass or overcome therapeutic resistance.
- Further research into apoptosis mechanisms is crucial for advancing cancer treatment.
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