Abstract
Deregulation of apoptosis is a hallmark of human cancer and contributes to therapeutic resistance. Recent advances in cancer genomics have revealed a myriad of alterations in key pathways that directly or indirectly increase tumor cell survival. This review outlines the pathways of apoptosis in mammalian cells, and highlights the common alterations of apoptosis regulators found in colon cancer, the role of apoptosis, and underlying mechanisms in colon cancer treatment and prevention, including recent advances in investigational agents, such as kinase inhibitors, proteasome inhibitors, heat shock protein 90 inhibitors, BH3 mimetics, tumor necrosis factor related apoptosis-inducing ligand, and inhibitor of apoptosis protein antagonists. The topics also include novel concepts as well as opportunities and challenges for drug discovery and combination therapy by exploring cancer-specific genetic defects, and therefore selective induction of apoptosis in cancer cells. Although the emphasis is on colon cancer, the main theme and many of the aspects are applicable to other solid tumors.
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Acknowledgments
Research in the authors’ laboratories is supported by National Institutes of Health grants CA106348, CA121105, and CA172136 and the V Foundation for Cancer Research (L.Z.), and American Cancer Society grant RSG-10-124-10-CCE and National Institutes of Health grants CA129829 and U01DK085570 (J.Y.).
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Conflict of Interest
Lin Zhang has received compensation for US patents 5,695,937, 5,866,330, 6,383,743, 6,746,845, and 6,333,152, and has received royalties from Johns Hopkins University for the preparation of genetically engineered cells.
Jian Yu has received compensation for US patent WO 02/064790, and has received royalties from Johns Hopkins University for the preparation of genetically engineered cells.
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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Zhang, L., Yu, J. Role of Apoptosis in Colon Cancer Biology, Therapy, and Prevention. Curr Colorectal Cancer Rep 9, 331–340 (2013). https://doi.org/10.1007/s11888-013-0188-z
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DOI: https://doi.org/10.1007/s11888-013-0188-z
Keywords
- Apoptosis
- Colon cancer
- Bcl-2 family
- BH3-only protein
- Mitochondria
- Death receptor
- Tumor necrosis factor related apoptosis-inducing ligand
- Epidermal growth factor receptor
- KRAS
- B-Raf
- c-Myc
- Phosphatidylinositol 3-kinase
- Inhibitor of apoptosis proteins
- _targeted therapies
- Sorafenib
- Regorafenib
- Vemurafenib
- Protesome inhibitors
- Heat shock protein 90 inhibitors
- Autophagy
- Necrosis
- BH3 mimetics
- SMAC mimetics
- Nonsteroidal anti-inflammatory drugs
- Synthetic lethality