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Perspectives and mechanisms for targeting mitotic catastrophe in cancer treatment
Zhaoshi Bai1, Yiran Zhou2, Yaling Peng3
1Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, Jiangsu 210009, China.
Abstract:
Mitotic catastrophe is distinct from other cell death modes due to unique nuclear alterations characterized as multi and/or micronucleation. Mitotic catastrophe is a common and virtually unavoidable consequence during cancer therapy. However, a comprehensive understanding of mitotic catastrophe remains lacking. Herein, we summarize the anticancer drugs that induce mitotic catastrophe, including microtubule-targeting agents, spindle assembly checkpoint kinase inhibitors, DNA damage agents and DNA damage response inhibitors. Based on the relationships between mitotic catastrophe and other cell death modes, we thoroughly evaluated the roles played by mitotic catastrophe in cancer treatment as well as its advantages and disadvantages. Some strategies for overcoming its shortcomings while fully utilizing its advantages are summarized and proposed in this review. We also review how mitotic catastrophe regulates cancer immunotherapy. These summarized findings suggest that the induction of mitotic catastrophe can serve as a promising new therapeutic approach for overcoming apoptosis resistance and strengthening cancer immunotherapy.
Insights
Mitotic catastrophe, a cell death mode with unique nuclear changes, is key in cancer therapy. Understanding and inducing it can overcome apoptosis resistance and enhance cancer immunotherapy.
Area of Science:
- Oncology
- Cell Biology
- Cancer Therapeutics
Background:
- Mitotic catastrophe is a distinct cell death pathway characterized by nuclear abnormalities like multi- and micronucleation.
- It is a frequent outcome of cancer treatments, yet a complete understanding is missing.
- Existing knowledge gaps hinder its full therapeutic potential.
Purpose of the Study:
- To review anticancer drugs that induce mitotic catastrophe.
- To evaluate the role, advantages, and disadvantages of mitotic catastrophe in cancer treatment.
- To explore strategies for optimizing its therapeutic use and its impact on cancer immunotherapy.
Main Methods:
- Literature review of anticancer drugs targeting mitosis.
- Analysis of mitotic catastrophe's interplay with other cell death mechanisms.
- Evaluation of current and potential therapeutic strategies involving mitotic catastrophe.
Main Results:
- Identified classes of drugs inducing mitotic catastrophe: microtubule agents, SAC kinase inhibitors, DNA damage agents, and DDR inhibitors.
- Assessed the dual role of mitotic catastrophe in cancer treatment, noting both benefits and drawbacks.
- Explored the regulatory function of mitotic catastrophe in cancer immunotherapy.
Conclusions:
- Mitotic catastrophe induction is a promising strategy to overcome apoptosis resistance in cancer.
- Harnessing mitotic catastrophe can significantly enhance the efficacy of cancer immunotherapy.
- Further research into optimizing mitotic catastrophe induction is warranted for improved cancer treatment outcomes.
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