Chota Alexander, George Blassan P, Abrahamse Heidi
Laser Research Centre, Faculty of Health Sciences, University of Johannesburg, Doornfontein 2028, South Africa.
Oncotarget. 2021 Aug 3;12(16):1615-1626. doi: 10.18632/oncotarget.28031.
Cancer is a global public health concern that is characterized by the uncontrolled growth of tumor cells. It is regarded as the subsequent cause of death after cardiovascular disease. The most common types of cancer include breast, colorectal, lung, and prostate. The risk factors attributed to the development of common types of cancer are tobacco smoking, excessive alcohol consumption, dietary factors, ultraviolet radiation (UV), and lack of physical activities. Two major cellular apoptotic pathways targeted in cancer therapies are intrinsic and extrinsic. These two pathways are regulated by different types of proteins, the multidomain pro-apoptotic proteins (Bak, Bax, and Bok), BH3-only pro-apoptotic proteins (Bid, Bim, Bad, Noxa, and Puma), and the anti-apoptotic proteins (Mcl-1, Bfl-1, Bcl-X, Bcl-2, Bcl-w, and Bcl-B). Other significant molecules/factors that are known to execute cellular apoptotic pathways include bioactive compounds, and reactive oxygen species (ROS). Proteolytic caspases are known to play a vital role in the initiation of apoptotic activities in cancerous cells. Based on their functions, they are categorized into initiators and executioners. Nanotechnology has produced novel outcomes in modern medicine. The green synthesis of nanoparticles has demonstrated prospective improvements in cancer therapies in combination with the existing therapies including photodynamic therapy. This review aims at highlighting the association between pro-apoptotic and anti-apoptotic proteins, and their significance in cancer therapy.
癌症是一个全球公共卫生问题,其特征是肿瘤细胞的无节制生长。它被视为心血管疾病之后的第二大致死原因。最常见的癌症类型包括乳腺癌、结直肠癌、肺癌和前列腺癌。常见癌症类型发展的风险因素包括吸烟、过量饮酒、饮食因素、紫外线辐射(UV)以及缺乏体育活动。癌症治疗中靶向的两条主要细胞凋亡途径是内源性和外源性途径。这两条途径由不同类型的蛋白质调节,即多结构域促凋亡蛋白(Bak、Bax和Bok)、仅含BH3结构域的促凋亡蛋白(Bid、Bim、Bad、Noxa和Puma)以及抗凋亡蛋白(Mcl-1、Bfl-1、Bcl-X、Bcl-2、Bcl-w和Bcl-B)。已知执行细胞凋亡途径的其他重要分子/因素包括生物活性化合物和活性氧(ROS)。蛋白水解半胱天冬酶在癌细胞凋亡活动的启动中起着至关重要的作用。根据其功能,它们被分为起始者和执行者。纳米技术在现代医学中产生了新的成果。纳米颗粒的绿色合成已证明与包括光动力疗法在内的现有疗法相结合在癌症治疗方面有潜在的改进。本综述旨在强调促凋亡蛋白和抗凋亡蛋白之间的关联及其在癌症治疗中的意义。