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Anti-mitotic agents: Are they emerging molecules for cancer treatment?
Larissa Siqueira Penna1, João Antonio Pêgas Henriques1, Diego Bonatto1
1Biotechnology Center of the Federal University of Rio Grande do Sul, Department of Molecular Biology and Biotechnology, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
Abstract:
Mutations in cancer cells frequently result in cell cycle alterations that lead to unrestricted growth compared to normal cells. Considering this phenomenon, many drugs have been developed to inhibit different cell-cycle phases. Mitotic phase targeting disturbs mitosis in tumor cells, triggers the spindle assembly checkpoint and frequently results in cell death. The first anti-mitotics to enter clinical trials aimed to target tubulin. Although these drugs improved the treatment of certain cancers, and many anti-microtubule compounds are already approved for clinical use, severe adverse events such as neuropathies were observed. Since then, efforts have been focused on the development of drugs that also target kinases, motor proteins and multi-protein complexes involved in mitosis. In this review, we summarize the major proteins involved in the mitotic phase that can also be targeted for cancer treatment. Finally, we address the activity of anti-mitotic drugs tested in clinical trials in recent years.
Insights
Targeting the mitotic phase disrupts cancer cell growth. New anti-mitotic drugs focus on proteins beyond tubulin, aiming for safer and more effective cancer treatments with fewer side effects.
Area of Science:
- Oncology
- Cell Biology
- Pharmacology
Background:
- Cancer cell mutations often lead to uncontrolled growth by altering the cell cycle.
- Targeting the mitotic phase (mitosis) of the cell cycle is a key strategy in cancer therapy.
- Early anti-mitotic drugs targeting tubulin showed efficacy but caused severe side effects like neuropathy.
Purpose of the Study:
- To review major proteins involved in mitosis that are viable targets for cancer treatment.
- To summarize recent advancements in anti-mitotic drug development beyond tubulin.
- To discuss the clinical trial activity of novel anti-mitotic agents.
Main Methods:
- Literature review of scientific publications and clinical trial data.
- Analysis of proteins critical to mitotic progression and their therapeutic potential.
- Evaluation of the efficacy and safety profiles of anti-mitotic drugs in clinical trials.
Main Results:
- Mitotic phase targeting can induce cell death in tumor cells.
- Development has shifted towards targeting kinases, motor proteins, and multi-protein complexes in mitosis.
- Various novel anti-mitotic drugs targeting different mitotic pathways are under clinical investigation.
Conclusions:
- Targeting mitotic proteins offers a promising avenue for cancer therapy.
- Newer anti-mitotic agents aim to improve efficacy and reduce the adverse events associated with older drugs.
- Ongoing clinical trials will determine the future role of these novel agents in cancer treatment.
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