1. Copper: An Intracellular Achilles' Heel Allowing the Targeting of Epigenetics, Kinase Pathways, and Cell Metabolism in Cancer Therapeutics.
- Author
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Michniewicz F, Saletta F, Rouaen JRC, Hewavisenti RV, Mercatelli D, Cirillo G, Giorgi FM, Trahair T, Ziegler D, and Vittorio O
- Subjects
- Antineoplastic Agents chemistry, Coordination Complexes chemistry, Copper chemistry, Epigenesis, Genetic drug effects, Epigenesis, Genetic genetics, Humans, Neoplasms metabolism, Protein Kinase Inhibitors chemistry, Protein-Tyrosine Kinases genetics, Protein-Tyrosine Kinases metabolism, Antineoplastic Agents pharmacology, Coordination Complexes pharmacology, Copper pharmacology, Neoplasms drug therapy, Protein Kinase Inhibitors pharmacology, Protein-Tyrosine Kinases antagonists & inhibitors
- Abstract
Copper is an essential transition metal frequently increased in cancer known to strongly influence essential cellular processes. Targeted therapy protocols utilizing both novel and repurposed drug agents initially demonstrate strong efficacy, before failing in advanced cancers as drug resistance develops and relapse occurs. Overcoming this limitation involves the development of strategies and protocols aimed at a wider targeting of the underlying molecular changes. Receptor Tyrosine Kinase signaling pathways, epigenetic mechanisms and cell metabolism are among the most common therapeutic targets, with molecular investigations increasingly demonstrating the strong influence each mechanism exerts on the others. Interestingly, all these mechanisms can be influenced by intracellular copper. We propose that copper chelating agents, already in clinical trial for multiple cancers, may simultaneously target these mechanisms across a wide variety of cancers, serving as an excellent candidate for targeted combination therapy. This review summarizes the known links between these mechanisms, copper, and copper chelation therapy., (© 2021 Wiley-VCH GmbH.)
- Published
- 2021
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