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Updated: Dec 28, 2025

Measuring Caspase Activity Using a Fluorometric Assay or Flow Cytometry
Published on: March 24, 2023
Targeting apoptotic caspases in cancer
Ashley Boice1, Lisa Bouchier-Hayes1
1Department of Pediatrics, Division of Hematology-Oncology and Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX 77030, USA; William T. Shearer Center for Human Immunobiology, Texas Children's Hospital, Houston, TX 77030, USA.
Abstract:
Members of the caspase family of proteases play essential roles in the initiation and execution of apoptosis. These caspases are divided into two groups: the initiator caspases (caspase-2, -8, -9 and -10), which are the first to be activated in response to a signal, and the executioner caspases (caspase-3, -6, and -7) that carry out the demolition phase of apoptosis. Many conventional cancer therapies induce apoptosis to remove the cancer cell by engaging these caspases indirectly. Newer therapeutic applications have been designed, including those that specifically activate individual caspases using gene therapy approaches and small molecules that repress natural inhibitors of caspases already present in the cell. For such approaches to have maximal clinical efficacy, emerging insights into non-apoptotic roles of these caspases need to be considered. This review will discuss the roles of caspases as safeguards against cancer in the context of the advantages and potential limitations of targeting apoptotic caspases for the treatment of cancer.
Insights
Caspases are key to apoptosis and cancer therapy. Understanding their non-apoptotic roles is crucial for developing effective cancer treatments that target these proteases.
Area of Science:
- Molecular Biology
- Cell Biology
- Oncology
Background:
- Caspases are proteases critical for apoptosis, divided into initiator and executioner types.
- Conventional cancer therapies often induce apoptosis indirectly via caspases.
- Novel therapies aim to directly modulate caspase activity for cancer treatment.
Purpose of the Study:
- To review the roles of caspases in cancer, focusing on both apoptotic and non-apoptotic functions.
- To evaluate the therapeutic potential and limitations of targeting caspases in cancer treatment.
- To highlight the importance of considering non-apoptotic caspase roles for clinical efficacy.
Main Methods:
- Literature review of caspase family proteases.
- Analysis of apoptotic and non-apoptotic functions of caspases.
- Discussion of current and emerging cancer therapeutic strategies targeting caspases.
Main Results:
- Caspases are essential for apoptosis, with distinct initiator and executioner roles.
- Targeting caspases offers promise for novel cancer therapies, including gene therapy and small molecule inhibitors.
- Non-apoptotic functions of caspases present both opportunities and challenges for cancer treatment.
Conclusions:
- Caspase-mediated apoptosis is a central mechanism in cancer therapy.
- Emerging strategies focus on direct caspase activation or inhibition for enhanced anti-cancer effects.
- A comprehensive understanding of all caspase functions is vital for optimizing cancer treatment efficacy and safety.
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