Apoptosis: its role in the development of malignancies and its potential as a novel therapeutic target
S C Dixon1, B J Soriano, R M Lush
1Clinical Pharmacokinetics Section, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Objective:
To review the current literature regarding the role of apoptosis in the development of malignant cells and how the induction of this pathway could be used in cancer therapy.
Data Source:
A MEDLINE search of basic science articles pertinent to the understanding of the normal physiologic process of apoptosis was conducted.
Study Selection:
Because of the rapidly growing literature regarding apoptosis, only articles describing key processes in the biology of the cell and the genetic control of apoptosis were included.
Data Synthesis:
Apoptosis is imperative for host survival since it discards unwanted, damaged, and atypical cells. The process is therefore implicated in the continuous regulation of development, differentiation, and homeostasis. Furthermore, apoptosis is a response to physiologic and pathologic stresses that disrupt the balanced rates of cell generation and elimination. In a disease such as cancer, there is a lack of equilibrium between the rates of cell division and cell death; agents that promote or suppress apoptosis can manipulate these rates, influencing the anomalous accumulation of neoplastic cells. Pharmacologic manipulation of apoptosis can manipulate these rates, influencing the anomalous accumulation represents a novel approach in targeting malignant cells and has far-reaching implications for new directions in cancer therapy.
Conclusions:
Apoptosis is a highly organized physiologic mechanism of destroying injured and abnormal cells as well as maintaining homeostasis in multicellular organisms. Both the activation and inhibition of apoptosis are tightly controlled. Pharmacologic manipulation of this pathway is a novel therapeutic target in cancer therapy.
Insights
Programmed cell death (apoptosis) is crucial for eliminating abnormal cells and maintaining health. Manipulating apoptosis offers a promising new strategy for developing targeted cancer therapies.
Area of Science:
- Cell Biology
- Oncology
- Molecular Biology
Background:
- Apoptosis, or programmed cell death, is a fundamental biological process essential for organismal survival.
- It plays a critical role in development, differentiation, homeostasis, and eliminating damaged or abnormal cells.
- Dysregulation of apoptosis contributes to diseases like cancer, characterized by an imbalance in cell proliferation and death.
Purpose of the Study:
- To review the literature on the role of apoptosis in cancer development.
- To explore the potential of inducing apoptosis as a cancer therapy strategy.
Main Methods:
- A comprehensive MEDLINE search was conducted.
- Included articles focused on key cellular processes and genetic control of apoptosis.
- Literature review of basic science articles was performed.
Main Results:
- Apoptosis is vital for discarding unwanted, damaged, and atypical cells, regulating development, differentiation, and homeostasis.
- Cancer involves an imbalance between cell division and elimination.
- Targeting apoptosis can influence neoplastic cell accumulation, offering a novel therapeutic approach.
Conclusions:
- Apoptosis is a highly organized physiological mechanism for cell destruction and homeostasis.
- Both activation and inhibition of apoptosis are tightly regulated processes.
- Pharmacological manipulation of apoptosis represents a novel therapeutic target in oncology.
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