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A Comprehensive Review on MAPK: A Promising Therapeutic Target in Cancer
Cornelia Braicu1, Mihail Buse2, Constantin Busuioc3
1Research Center for Functional Genomics, Biomedicine and Translational Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 23 Marinescu Street, 40015 Cluj-Napoca, Romania. braicucornelia@yahoo.com.
Abstract:
The mitogen-activated protein kinase (MAPK) pathway is an important bridge in the switch from extracellular signals to intracellular responses. Alterations of signaling cascades are found in various diseases, including cancer, as a result of genetic and epigenetic changes. Numerous studies focused on both the homeostatic and the pathologic conduct of MAPK signaling; however, there is still much to be deciphered in terms of regulation and action models in both preclinical and clinical research. MAPK has implications in the response to cancer therapy, particularly the activation of the compensatory pathways in response to experimental MAPK inhibition. The present paper discusses new insights into MAPK as a complex cell signaling pathway with roles in the sustenance of cellular normal conduit, response to cancer therapy, and activation of compensatory pathways. Unfortunately, most MAPK inhibitors trigger resistance due to the activation of compensatory feed-back loops in tumor cells and tumor microenvironment components. Therefore, novel combinatorial therapies have to be implemented for cancer management in order to restrict the possibility of alternative pathway activation, as a perspective for developing novel therapies based on integration in translational studies.
Insights
The mitogen-activated protein kinase (MAPK) pathway regulates cellular responses but can be altered in cancer. Inhibiting MAPK often leads to resistance via compensatory pathways, necessitating novel combinatorial therapies.
Area of Science:
- Cellular Biology
- Molecular Oncology
- Signal Transduction
Background:
- The mitogen-activated protein kinase (MAPK) pathway is crucial for translating extracellular signals into intracellular responses.
- Dysregulation of MAPK signaling cascades is implicated in various diseases, notably cancer, due to genetic and epigenetic alterations.
- While extensively studied, the precise regulation and action models of MAPK signaling in both health and disease require further elucidation.
Purpose of the Study:
- To discuss new insights into the complex cell signaling pathway of MAPK.
- To explore MAPK's roles in maintaining normal cellular function and its implications in cancer therapy.
- To examine the activation of compensatory pathways in response to MAPK inhibition and its impact on cancer treatment.
Main Methods:
- Literature review and synthesis of current research on MAPK signaling.
- Analysis of preclinical and clinical studies investigating MAPK pathway alterations in cancer.
- Discussion of resistance mechanisms to MAPK inhibitors and potential therapeutic strategies.
Main Results:
- MAPK pathway alterations are linked to cancer development and progression.
- MAPK inhibitors frequently encounter resistance mediated by compensatory feedback loops involving tumor cells and the microenvironment.
- Understanding these compensatory mechanisms is vital for overcoming therapeutic resistance.
Conclusions:
- MAPK signaling is a complex pathway with significant roles in cellular homeostasis and cancer.
- Therapeutic resistance to MAPK inhibitors is a major challenge in cancer management.
- Novel combinatorial therapies targeting compensatory pathways are essential for effective cancer treatment and improved patient outcomes.
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