Targeted regulated cell death with small molecule compounds in colorectal cancer: Current perspectives of targeted
1Innovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, State Key Laboratory of Biotherapy and Cancer Center, Management Department of Scientific Research Laboratory, West China Hospital, Sichuan University /West China School of Nursing, Sichuan University, Chengdu, 610041, China.
Abstract:
Colorectal cancer (CRC), a tumor of the digestive system, is characterized by high malignancy and poor prognosis. Currently, targeted therapy of CRC is far away from satisfying. The molecular mechanisms of regulated cell death (RCD) have been clearly elucidated, which can be intervened by drug or genetic modification. Numerous studies have provided substantial evidence linking these mechanisms to the progression and treatment of CRC. The RCD includes apoptosis, autophagy-dependent cell death (ADCD), ferroptosis, necroptosis, and pyroptosis, and immunogenic cell death, etc, which provide potential targets for anti-cancer treatment. For the last several years, small-molecule compounds targeting RCD have been a well concerned therapeutic strategy for CRC. This present review aims to describe the function of small-molecule compounds in the targeted therapy of CRC via targeting apoptosis, ADCD, ferroptosis, necroptosis, immunogenic dell death and pyroptosis, and their mechanisms. In addition, we prospect the application of newly discovered cuproptosis and disulfidptosis in CRC. Our review may provide references for the targeted therapy of CRC using small-molecule compounds targeting RCD, including the potential targets and candidate compounds.
Insights
Targeted therapies using small molecules that induce regulated cell death (RCD) show promise for colorectal cancer (CRC). This review explores RCD mechanisms like apoptosis and ferroptosis as potential CRC treatment targets.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Colorectal cancer (CRC) presents a significant therapeutic challenge due to its high malignancy and poor prognosis.
- Current targeted therapies for CRC remain insufficient, necessitating novel treatment strategies.
- Regulated cell death (RCD) mechanisms are increasingly recognized for their role in cancer progression and treatment response.
Purpose of the Study:
- To review the role of small-molecule compounds targeting various RCD pathways in CRC therapy.
- To elucidate the mechanisms by which these compounds exert anti-cancer effects.
- To explore emerging RCD modalities like cuproptosis and disulfidptosis for CRC treatment.
Main Methods:
- Literature review of studies on small-molecule compounds and RCD in CRC.
- Analysis of molecular mechanisms underlying different RCD types (apoptosis, autophagy-dependent cell death, ferroptosis, necroptosis, pyroptosis, immunogenic cell death).
- Discussion of potential applications of novel RCD types (cuproptosis, disulfidptosis) in CRC.
Main Results:
- Small-molecule compounds targeting RCD pathways offer a promising therapeutic strategy for CRC.
- Specific RCD mechanisms, including apoptosis and ferroptosis, are key targets for CRC intervention.
- Emerging RCD pathways present new avenues for CRC drug development.
Conclusions:
- Small-molecule compounds targeting RCD pathways represent a viable strategy for advancing CRC targeted therapy.
- Understanding RCD mechanisms is crucial for identifying effective therapeutic targets and candidate compounds for CRC.
- Further research into novel RCDs like cuproptosis and disulfidptosis may yield future CRC treatments.
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