Monday, September 12, 2016

Guest blogging: inhibitor of apoptosis proteins (IAPs) as key players of tumoral progression and resistance.


This time we are going to do a guest blogging with our partners of the ELISaassays (www.elisaassays.com) and Molecutools (www.molecutools.com) companies, who will talk about inhibitor of apoptosis protein sor IAPs as a fundamental components involved in tumoral growth and development, as well as in chemotherapy resistance. In the same way, they have published in the ELISAassays blog our post about migraines. This kind of online colaboration is a great way to spread and divulge knowledge in some respects.

We hope to be the first of many collaborations!


 Tumours develop due to rapid proliferation, decreased cell death, or the combination of both factors. In most cases tumour cells do not have the chance to develop due to the elimination of these cells by the induction of apoptosis or programmed cell death, but sometimes the tumour can become resistant to this effect. Resistance to apoptotic stimuli is a hallmark feature of various cancers. Defects in apoptotic mechanisms also play an important role in resistance to chemotherapy and radiation and have been implicated in the acceleration of tumour progression and metastasis (Thompson, 1995). One mechanism of resistance to apoptotic stimuli involves the over-expression of the inhibitor of apoposis proteins or IAPs. Clearly, the up-regulation of IAP family members would be advantageous for tumours (Nachmias et al., 2004).

Studies using biopsy material from cancer patients indicate a direct association between IAP expression levels and the malignancy of individual tumours. High expression of XIAP (X-linked inhibitor of apoptosis protein), a concrete IAP also called IAP3, has been reported in many malignant tumour types, such as carcinomas of the breast, ovaries, lung (Gerhard et al., 2002), pancreas, cervix (Liu et al., 2001) and prostate, as well as leukaemia (Tamm et al., 2000). High levels of XIAP have been detected in primary cells of Hodgkin’s disease (HD), a kind of malignant linfoma. The malignant Hodgkin and Reed Sternberg cells (HR-S) of Hodgkin Lymphoma (HL) and HL-derived B cell lines had previously been shown to be resistant to different apoptotic stimuli. Kashkar et al observed in 2003 that XIAP is expressed constitutively and at high levels in HL-derived B cells as well as in HR-S cells of tumour biopsies. In addition, they detected that cytochrome C, as well as caspase-8 or granzyme B-induced activation of caspase 3 is severely impaired in lysates of HL-derived B cell lines. Functional neutralisation of XIAP by the inhibitor Smac/DIABLO restored the apoptotic response in both lysates and intact HL-derived B cells, suggesting that XIAP is a main mediator of apoptotic resistance in HL (Kashkar et al., 2003).

XIAP structure (https://www.rcsb.org/pdb/)


A study carried out by Yan et al in 2004 in renal cell carcinomas (RCCs) to explore the relevance and function of XIAP and Smac/DIABLO in tumour progression revealed that XIAP and Smac/DIABLO mRNA expression was found in all RCCs. Significantly, XIAP mRNA expression levels considerably increased from early to advanced tumour stages and also with tumour differentiation. In contrast mRNA and protein expression levels of Smac/DIABLO did not significantly alter between high and low tumour grades. This investigation demonstrated for the first time a stage and grade-dependent increase of anti-apoptotic XIAP expression in human RCCs. The balance between XIAP and Smac/DIABLO expression is gradually disturbed during progression of RCC, possibly contributing to the resistance to apoptosis in RCCs (Yan et al., 2004).

www.ourbodiesourselves.org



Concluding, these studies show the role XIAP plays in tumour development and progression. IAPs appear to be crucial in keeping the tumour cells alive and triggering resistance to chemotherapeutic drugs. Thus understanding the biological role of these inhibitors will facilitate the design of more efficient and selective drugs that could overcome apoptosis resistance in certain cell types.

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