Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Changing the Landscape of Solid Tumor Therapy From Apoptosis-Promoting to Apoptosis-Inhibiting Strategies

Version 1 : Received: 18 April 2024 / Approved: 19 April 2024 / Online: 22 April 2024 (08:33:06 CEST)

How to cite: Mirzayans, R. Changing the Landscape of Solid Tumor Therapy From Apoptosis-Promoting to Apoptosis-Inhibiting Strategies. Preprints 2024, 2024041322. https://doi.org/10.20944/preprints202404.1322.v1 Mirzayans, R. Changing the Landscape of Solid Tumor Therapy From Apoptosis-Promoting to Apoptosis-Inhibiting Strategies. Preprints 2024, 2024041322. https://doi.org/10.20944/preprints202404.1322.v1

Abstract

The many limitations of implementing anticancer strategies under the term “precision oncology” have been extensively discussed. While some authors propose promising future directions, others are less optimistic and use phrases such as illusion, hype and false hypotheses. The reality is revealed by practicing clinicians and cancer patients in various online publications, one of which has stated that “in the quest for the next cancer cure, few researchers bother to look back at the graveyard of failed medicines to figure out what went wrong.” The message is clear: novel therapeutic strategies with catchy names (e.g., synthetic “lethality”) have not fulfilled their promises despite decades of extensive research and clinical trials. The main purpose of this review is to discuss key challenges in solid tumor therapy that surprisingly continue to be overlooked by the nomenclature committee on cell death and numerous other authors. These challenges include: the impact of chemotherapy-induced genome chaos (e.g., multinucleation) on resistance and relapse, oncogenic function of caspase 3, cancer cell anastasis (recovery from late stages of apoptosis), and pitfalls of ubiquitously used preclinical chemosensitivity assays (e.g., cell “viability” and tumor growth delay studies in live animals) that score such pro-survival responses as “lethal” events. Studies outline herein underscore the need for new direction in the management of solid tumors.

Keywords

solid tumor therapy; intratumor heterogeneity; polyploid giant cancer cells; senescence; anastasis; oncogenic caspases; Phoenix Rising; treacherous apoptosis; preclinical assays; precision oncology

Subject

Medicine and Pharmacology, Oncology and Oncogenics

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.