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Published on: September 12, 2019
Survivin and gynaecological tumours
Dušan Braný1, Dana Dvorská1, Pavol Slávik2
1BioMed Martin-Division of Molecular Medicine, Jessenius Faculty of Medicine in Martin, Comenius University, Bratislava, Slovakia; Department of Gynaecology and Obstetrics, Jessenius Faculty of Medicine in Martin, Comenius University, Slovakia.
Abstract:
Survivin is the smallest member of the inhibitors of apoptosis (IAP) family. However, participation in inhibition of apoptosis is not the only function of this molecule. Survivin can also affect the proper process of mitosis and even promoting of angiogenesis or DNA repair. High levels of survivin expression are connected with foetal tissues during intrauterine development. In the overwhelming majority of healthy, differentiated adult tissues, amounts of survivin are markedly reduced. On the other hand, survivin is also often abundantly expressed in cases of various types of cancer. Generally, high expression levels of survivin are associated with a poor prognosis, an increased rate of tumour recurrence and high resistance to chemo- as well as radiotherapy, hence survivin can be considered a factor in the initiation and progression of many types of cancer with great significance and potential for cancer therapy. Nonetheless, progress in development of survivin inhibitors or primarily, in survivin-related molecular therapies, is surprisingly not very fast and indeed remains a challenge for the future. The objective of this article is to summarize known facts about survivin, its contribution to inhibition of apoptosis and cell division and its implication in the development of gynaecological tumours. At the end, known survivin inhibitors and their effect on regulation of tumour growth will be referenced.
Insights
Survivin, a protein involved in cell division and apoptosis, is highly expressed in cancers, indicating poor prognosis. Targeting survivin presents a therapeutic challenge but holds potential for cancer treatment.
Area of Science:
- Molecular Biology
- Cancer Research
- Cell Biology
Background:
- Survivin is the smallest member of the Inhibitors of Apoptosis (IAP) protein family.
- It plays roles beyond apoptosis inhibition, including mitosis regulation, angiogenesis promotion, and DNA repair.
- High survivin expression is observed in fetal tissues and various cancers, contrasting with low levels in healthy adult tissues.
Purpose of the Study:
- To summarize the known functions of survivin, focusing on its role in apoptosis inhibition and cell division.
- To review survivin's implication in the development of gynecological tumors.
- To reference existing survivin inhibitors and their impact on tumor growth regulation.
Main Methods:
- Literature review and synthesis of existing research on survivin.
- Analysis of survivin's involvement in cellular processes like apoptosis and mitosis.
- Examination of survivin's correlation with cancer development, prognosis, and treatment resistance.
Main Results:
- Elevated survivin levels are linked to poor cancer prognosis, increased recurrence rates, and resistance to chemotherapy and radiotherapy.
- Survivin is significantly implicated in the initiation and progression of numerous cancer types.
- Despite its significance, the development of effective survivin inhibitors and molecular therapies remains a challenge.
Conclusions:
- Survivin is a crucial factor in cancer development and progression, making it a significant target for cancer therapy.
- Understanding survivin's multifaceted roles is essential for developing novel therapeutic strategies.
- Further research and development are needed to overcome challenges in creating effective survivin-targeted treatments, particularly for gynecological cancers.
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