Small Molecules Targeting Programmed Cell Death in Breast Cancer Cells
Subashani Maniam1, Sandra Maniam2
1School of Science, STEM College, RMIT University, Melbourne, VIC 3001, Australia.
Abstract:
Targeted chemotherapy has become the forefront for cancer treatment in recent years. The selective and specific features allow more effective treatment with reduced side effects. Most targeted therapies, which include small molecules, act on specific molecular targets that are altered in tumour cells, mainly in cancers such as breast, lung, colorectal, lymphoma and leukaemia. With the recent exponential progress in drug development, programmed cell death, which includes apoptosis and autophagy, has become a promising therapeutic target. The research in identifying effective small molecules that target compensatory mechanisms in tumour cells alleviates the emergence of drug resistance. Due to the heterogenous nature of breast cancer, various attempts were made to overcome chemoresistance. Amongst breast cancers, triple negative breast cancer (TNBC) is of particular interest due to its heterogeneous nature in response to chemotherapy. TNBC represents approximately 15% of all breast tumours, however, and still has a poor prognosis. Unlike other breast tumours, signature targets lack for TNBCs, causing high morbidity and mortality. This review highlights several small molecules with promising preclinical data that target autophagy and apoptosis to induce cell death in TNBC cells.
Insights
Targeted therapies using small molecules show promise for treating triple-negative breast cancer (TNBC) by inducing programmed cell death (apoptosis and autophagy). This approach aims to overcome chemoresistance in TNBC, a challenging cancer subtype.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Targeted chemotherapy offers effective cancer treatment with fewer side effects by acting on specific molecular targets in tumor cells.
- Programmed cell death pathways, including apoptosis and autophagy, are emerging as crucial therapeutic targets in cancer treatment.
- Triple-negative breast cancer (TNBC) is a heterogeneous subtype with a poor prognosis and lacks specific molecular targets, leading to significant morbidity and mortality.
Purpose of the Study:
- To review small molecules targeting autophagy and apoptosis for inducing cell death in TNBC cells.
- To highlight strategies for overcoming chemoresistance in heterogeneous breast cancer, particularly TNBC.
- To present promising preclinical data on novel therapeutic approaches for TNBC.
Main Methods:
- Literature review of preclinical studies on small molecules targeting cancer cell death pathways.
- Analysis of research identifying mechanisms of chemoresistance in TNBC.
- Focus on small molecules that modulate autophagy and apoptosis.
Main Results:
- Several small molecules demonstrate preclinical efficacy in inducing cell death in TNBC cells.
- Targeting compensatory mechanisms can alleviate drug resistance in cancer therapy.
- Small molecules modulating autophagy and apoptosis show potential for TNBC treatment.
Conclusions:
- Small molecules targeting apoptosis and autophagy pathways represent a promising strategy for TNBC treatment.
- Further research into these small molecules could lead to improved therapeutic outcomes for TNBC patients.
- Addressing chemoresistance through targeted induction of cell death is critical for improving TNBC prognosis.
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