Emerging approaches to target mitochondrial apoptosis in cancer cells

Andrew Gilmore1, Louise King1

  • 1Wellcome Centre for Cell-Matrix Research, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.

F1000Research
|November 5, 2019
PubMed

Insights

Apoptosis, a programmed cell death, is crucial for removing damaged cells. Understanding its regulation in cancer reveals new therapeutic strategies targeting cancer cell survival.

Area of Science:

  • Cell Biology
  • Molecular Biology
  • Oncology

Background:

  • Apoptosis is a conserved process for cell elimination, regulated by Bcl-2 family proteins at the mitochondria.
  • The balance of pro- and anti-apoptotic proteins is critical for cell death thresholds and is often dysregulated in cancer.
  • Tumor cells exhibit complex resistance to apoptosis, a key hallmark of cancer progression.

Purpose of the Study:

  • To review the nuanced regulation of apoptosis in cancer.
  • To discuss how understanding apoptosis control has informed new therapeutic strategies.
  • To highlight the mechanisms and limitations of novel apoptosis-targeting drugs like BH3-mimetics.

Main Methods:

  • Literature review of apoptosis regulation in cancer.
  • Analysis of the role of Bcl-2 family proteins in cell death.
  • Discussion of therapeutic approaches targeting apoptosis.

Main Results:

  • Dysregulation of the Bcl-2 protein balance contributes to cancer cell survival.
  • BH3-mimetics represent a new class of drugs directly targeting apoptosis.
  • Current understanding of apoptosis has limitations that impact therapeutic efficacy.

Conclusions:

  • Targeting apoptosis is a viable strategy for cancer therapy.
  • BH3-mimetics offer a promising approach to overcome cancer cell resistance to apoptosis.
  • Further research is needed to fully elucidate apoptosis regulation and optimize therapeutic outcomes.

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