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“致癌性休克”:通过差异信号衰减解释癌基因成瘾

"Oncogenic shock": explaining oncogene addiction through differential signal attenuation.

作者信息

Sharma Sreenath V, Fischbach Michael A, Haber Daniel A, Settleman Jeffrey

机构信息

Center for Molecular Therapeutics, Massachusetts General Hospital Cancer Center and Harvard Medical School, Charlestown, Massachusetts 02129, USA.

出版信息

Clin Cancer Res. 2006 Jul 15;12(14 Pt 2):4392s-4395s. doi: 10.1158/1078-0432.CCR-06-0096.

Abstract

"Oncogene addiction" describes the curious acquired dependence of tumor cells on an activated oncogene for their survival and/or proliferation, a phenomenon that has important implications for the success of targeted cancer therapies. However, the mechanisms explaining oncogene addiction remain elusive. We propose that "addiction" may be an illusion generated as a consequence of differential attenuation rates of prosurvival and proapoptotic signals emanating from an oncoprotein acutely following its inactivation. According to this model, which we call "oncogenic shock," prosurvival signals dissipate quickly on oncoprotein inactivation whereas proapoptotic signals linger sufficiently long to commit the cell to an apoptotic death. This mechanism may contribute to the rapid and dramatic clinical responses observed in some cancer patients treated with selective tyrosine kinase inhibitors and could yield additional drug targets that determine the balance of signaling outputs from activated oncoproteins.

摘要

“癌基因成瘾”描述了肿瘤细胞对激活的癌基因在生存和/或增殖方面奇怪的后天依赖性,这一现象对靶向癌症治疗的成功具有重要意义。然而,解释癌基因成瘾的机制仍然难以捉摸。我们提出,“成瘾”可能是由于癌蛋白失活后,其产生的促生存信号和促凋亡信号衰减速率不同而产生的一种假象。根据我们称之为“致癌休克”的这一模型,癌蛋白失活后,促生存信号迅速消散,而促凋亡信号持续足够长的时间,使细胞走向凋亡死亡。这种机制可能有助于解释在一些接受选择性酪氨酸激酶抑制剂治疗的癌症患者中观察到的快速而显著的临床反应,并且可能产生额外的药物靶点,这些靶点决定了激活的癌蛋白信号输出的平衡。

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