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Published on: January 26, 2019
Understanding Apoptosis and Apoptotic Pathways Targeted Cancer Therapeutics
Rehmat Jan1, Gul-E-Saba Chaudhry1
1Institute of Marine Biotechnology, Universiti Terengganu Malaysia, 21030 Terengganu, Malaysia.
Abstract:
Various physiological processes involve appropriate tissue developmental process and homeostasis - the pathogenesis of several diseases connected with deregulatory apoptosis process. Apoptosis plays a crucial role in maintaining a balance between cell death and division, evasion of apoptosis results in the uncontrolled multiplication of cells leading to different diseases such as cancer. Currently, the development of apoptosis targeting anticancer drugs has gained much interest since cell death induced by apoptosis causes minimal inflammation. The understanding of complexities of apoptosis mechanism and how apoptosis is evolved by tumor cells to oppose cell death has focused research into the new strategies designed to induce apoptosis in cancer cells. This review focused on the underlying mechanism of apoptosis and the dysregulation of apoptosis modulators involved in the extrinsic and intrinsic apoptotic pathway, which include death receptors (DRs) proteins, cellular FLICE inhibitory proteins (c-FLIP), anti-apoptotic Bcl-2 proteins, inhibitors of apoptosis proteins (IAPs), tumor suppressor (p53) in cancer cells along with various current clinical approaches aimed to selectively induce apoptosis in cancer cells.
Insights
This review explores apoptosis, a programmed cell death process vital for homeostasis. Understanding how cancer cells evade apoptosis informs new anticancer drug development targeting this pathway.
Area of Science:
- Cell Biology
- Oncology
- Biochemistry
Background:
- Apoptosis, or programmed cell death, is essential for tissue development and homeostasis.
- Dysregulation of apoptosis contributes to diseases like cancer, characterized by uncontrolled cell proliferation.
- Targeting apoptosis for cancer therapy is a promising strategy due to minimal inflammation associated with this cell death mechanism.
Purpose of the Study:
- To review the fundamental mechanisms of apoptosis.
- To examine the dysregulation of apoptosis modulators in cancer.
- To discuss current clinical strategies for inducing apoptosis in cancer cells.
Main Methods:
- Review of scientific literature on apoptosis.
- Analysis of the extrinsic and intrinsic apoptotic pathways.
- Examination of key apoptosis-regulating proteins and pathways.
Main Results:
- Apoptosis evasion by tumor cells is a key mechanism in cancer development.
- Specific apoptosis modulators, including death receptors (DRs), c-FLIP, Bcl-2 proteins, IAPs, and p53, are frequently dysregulated in cancer.
- Various clinical approaches are being developed to restore or induce apoptosis in cancer.
Conclusions:
- Targeting apoptosis pathways offers a rational approach to cancer treatment.
- Understanding the complex interplay of apoptosis modulators is crucial for effective cancer therapy.
- Further research into novel strategies to induce apoptosis selectively in cancer cells is warranted.
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