What are the implications of understanding apoptosis better for disease treatment?
What are the implications of understanding apoptosis better for disease treatment?
Great question! By understanding the regulation of caspases and how they control apoptosis we can better recognize the diseased state and ways to enhance treatment. To elaborate, I can think of two types of examples: (1) Imagine small molecules being able to control whether a cell lives or dies. In neurodegenerative diseases such as Alzheimer’s or Huntington’s disease, control of caspase activity could prevent the excess apoptosis that occurs as a result of these diseases. Conversely, many cancer cells overexpress certain kinases that phosphorylate caspases and make the cell immune to cell death. For example, PAK2 is overexpressed in a variety of cancer cell lines and inactivates caspase-7 via phosphorylation. This immunity to apoptosis poses a serious threat to cancer therapies that rely on cell death. However, if you administered a small molecule drug that activated caspase-7 it could enhance other therapeutic treatments. (2) Recently there have been a plethora of novel strategies to deliver proteins. Delivery of an executioner caspase, specifically to tumors, would result in apoptosis events in cancerous cells.
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