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New Cell Cycle Inhibitors Target Aneuploidy in Cancer Therapy
Masanori Kawakami1, Xi Liu1, Ethan Dmitrovsky1,2,3
1Department of Thoracic/Head and Neck Medical Oncology, MD Anderson Cancer Center, The University of Texas, Houston, Texas 77030, USA.
Abstract:
Aneuploidy is a hallmark of cancer. Defects in chromosome segregation result in aneuploidy. Multiple pathways are engaged in this process, including errors in kinetochore-microtubule attachments, supernumerary centrosomes, spindle assembly checkpoint (SAC) defects, and chromosome cohesion defects. Although aneuploidy provides an adaptation and proliferative advantage in affected cells, excessive aneuploidy beyond a critical level can be lethal to cancer cells. Given this, enhanced chromosome missegregation is hypothesized to limit survival of aneuploid cancer cells, especially when compared to diploid cells. Based on this concept, proteins and pathways engaged in chromosome segregation are being exploited as candidate therapeutic targets for aneuploid cancers. Agents that induce chromosome missegregation and aneuploidy now exist, including SAC inhibitors, those that alter centrosome fidelity and others that are under active study in preclinical and clinical contexts. This review explores the therapeutic potentials of such new agents, including the benefits of combining them with other antineoplastic agents.
Insights
Aneuploidy, common in cancer, arises from chromosome segregation errors. Targeting these errors, particularly with agents inducing missegregation, offers a promising therapeutic strategy for cancer treatment.
Area of Science:
- Oncology
- Cell Biology
- Genetics
Background:
- Aneuploidy, characterized by abnormal chromosome numbers, is a common feature in cancer cells.
- Defects in chromosome segregation, including kinetochore-microtubule attachments, centrosome abnormalities, spindle assembly checkpoint (SAC) dysfunction, and cohesion defects, lead to aneuploidy.
- While aneuploidy can confer a proliferative advantage, excessive levels can be detrimental to cancer cell survival.
Purpose of the Study:
- To review the therapeutic potential of targeting chromosome missegregation in aneuploid cancers.
- To explore novel agents that induce chromosome missegregation and aneuploidy.
- To discuss the combination of these agents with existing antineoplastic therapies.
Main Methods:
- Literature review of existing research on aneuploidy and chromosome segregation pathways.
- Analysis of preclinical and clinical data on agents targeting chromosome missegregation.
- Exploration of therapeutic strategies involving SAC inhibitors and agents affecting centrosome fidelity.
Main Results:
- Aneuploidy is a critical hallmark of cancer, driven by various chromosome segregation defects.
- Targeting proteins and pathways involved in chromosome segregation presents a viable therapeutic strategy.
- Agents that induce chromosome missegregation are under active investigation and show therapeutic promise.
Conclusions:
- Exploiting chromosome missegregation pathways offers a novel approach to cancer therapy.
- Agents inducing aneuploidy, such as SAC inhibitors, are being developed for clinical use.
- Combining these novel agents with other antineoplastic drugs may enhance treatment efficacy.
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