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Published on: August 21, 2013
Programmed Cell Death in Cancer
Yuang Wei1,2,3,4, William Hankey5, Dongliang Xu2,3,4
1Cancer Research Center School of Integrative Medicine, Shanghai University of Traditional Chinese Medicine Shanghai China.
Abstract:
Cancer remains the most lethal disease globally, despite the significant progress made in early screening, surgery, and therapeutic development in recent decades. Programmed cell death (PCD) is a genetically regulated process essential for eliminating aberrant cells, yet its dysregulation drives tumorigenesis and therapy resistance. In this review, we present a complete discovery timeline of them and comprehensively synthesize the roles and mechanisms of major PCD forms, such as apoptosis, necroptosis, autophagy, pyroptosis, ferroptosis, and cuproptosis, across diverse cancer types. We not only detail the molecular mechanisms, dual functions, and alterations of these PCD modalities in cancers, but also summarize their interconnections and intrinsic crosstalk. Furthermore, we comprehensively discuss how diverse therapies, including chemotherapy, radiotherapy, immunotherapy, targeted agents, and hormone therapy, engage and manipulate specific PCD pathways, revealing the involvement of PCD in cancer treatment mechanisms. This review integrates extensive preclinical and clinical evidence on PCD-targeted therapies with an in-depth focus on ferroptosis, including its regulatory networks and therapeutic relevance. Special emphasis is placed on prostate cancer, highlighting the PCD-based translational opportunities in this common malignancy. Taken together, we provide novel insights into the complex interplay between PCD and cancer biology and offer a framework for developing precision oncology therapies.
Insights
Programmed cell death (PCD) pathways are crucial for eliminating aberrant cells, but their dysregulation fuels cancer development and treatment resistance. This review synthesizes PCD mechanisms and their therapeutic manipulation in diverse cancers, focusing on ferroptosis and prostate cancer.
Area of Science:
- Oncology
- Cell Biology
- Molecular Medicine
Background:
- Cancer remains a leading global cause of death despite advances in treatment.
- Dysregulation of programmed cell death (PCD) pathways contributes to cancer initiation and resistance to therapies.
- Understanding PCD mechanisms is vital for developing effective cancer treatments.
Purpose of the Study:
- To provide a comprehensive review of the discovery, roles, and mechanisms of major PCD forms in cancer.
- To explore the interconnections and crosstalk between different PCD modalities.
- To discuss the manipulation of PCD pathways by various cancer therapies and highlight therapeutic opportunities, with a focus on ferroptosis and prostate cancer.
Main Methods:
- Comprehensive literature review of preclinical and clinical evidence.
- Synthesis of molecular mechanisms, dual functions, and alterations of PCD pathways in various cancer types.
- Analysis of therapeutic strategies targeting PCD, including chemotherapy, radiotherapy, immunotherapy, and targeted agents.
Main Results:
- Detailed overview of apoptosis, necroptosis, autophagy, pyroptosis, ferroptosis, and cuproptosis in cancer.
- Elucidation of the complex crosstalk and interconnections among different PCD pathways.
- Demonstration of how diverse cancer therapies engage and modulate specific PCD pathways.
Conclusions:
- Programmed cell death pathways are intricately linked to cancer biology and therapeutic responses.
- Targeting specific PCD modalities, particularly ferroptosis, offers promising translational opportunities for precision oncology.
- Further research into PCD mechanisms and their manipulation can lead to novel and more effective cancer treatment strategies, especially in malignancies like prostate cancer.
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