Notch signalling pathway as an oncogenic factor involved in cancer development

Marlena Brzozowa-Zasada1, Adam Piecuch1, Anna Dittfeld1

  • 1Department of Histology and Embryology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.

Contemporary Oncology (Poznan, Poland)
|October 1, 2016
PubMed

Insights

Notch signalling is crucial for cell fate but can drive cancer. Gamma-secretase inhibitors (GSIs) target this pathway but cause side effects due to lack of specificity.

Area of Science:

  • Cellular Biology
  • Oncology
  • Molecular Signalling

Background:

  • Notch signalling is an evolutionarily conserved pathway regulating cell proliferation, differentiation, and apoptosis.
  • Overexpression of Notch signalling acts as an oncogene in various human cancers.
  • Gamma-secretase inhibitors (GSIs) are explored for cancer therapy by blocking Notch activation.

Purpose of the Study:

  • To evaluate the therapeutic potential of targeting Notch signalling in cancer.
  • To address the limitations and side effects associated with current gamma-secretase inhibitors.

Main Methods:

  • Review of preclinical cancer models demonstrating GSI efficacy.
  • Analysis of the mechanism of action for GSIs targeting Notch cleavage.
  • Examination of the off-target effects of GSIs due to gamma-secretase non-specificity.

Main Results:

  • GSIs show promise in suppressing tumour growth in preclinical models of pancreatic, breast, and lung cancers.
  • GSI treatment in vivo is linked to significant gastrointestinal side effects.
  • Gamma-secretase, the target of GSIs, cleaves approximately 55 membrane proteins, indicating broad non-specificity.

Conclusions:

  • While GSIs demonstrate anti-cancer effects, their non-specific inhibition of gamma-secretase leads to undesirable side effects.
  • Development of novel therapeutic agents with higher specificity for Notch pathway components is necessary for effective and safer cancer treatment.

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