Platinum Complexes in Colorectal Cancer and Other Solid Tumors

Cisplatin is one of the most commonly used drugs for the treatment of various solid neoplasms, including testicular, lung, ovarian, head and neck, and bladder cancers. Unfortunately, the therapeutic efficacy of cisplatin against colorectal cancer is poor. Various mechanisms appear to contribute to c...

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Main Authors: Beate Köberle, Sarah Schoch
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/9/2073
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author Beate Köberle
Sarah Schoch
author_facet Beate Köberle
Sarah Schoch
author_sort Beate Köberle
collection DOAJ
description Cisplatin is one of the most commonly used drugs for the treatment of various solid neoplasms, including testicular, lung, ovarian, head and neck, and bladder cancers. Unfortunately, the therapeutic efficacy of cisplatin against colorectal cancer is poor. Various mechanisms appear to contribute to cisplatin resistance in cancer cells, including reduced drug accumulation, enhanced drug detoxification, modulation of DNA repair mechanisms, and finally alterations in cisplatin DNA damage signaling preventing apoptosis in cancer cells. Regarding colorectal cancer, defects in mismatch repair and altered p53-mediated DNA damage signaling are the main factors controlling the resistance phenotype. In particular, p53 inactivation appears to be associated with chemoresistance and poor prognosis. To overcome resistance in cancers, several strategies can be envisaged. Improved cisplatin analogues, which retain activity in resistant cancer, might be applied. Targeting p53-mediated DNA damage signaling provides another therapeutic strategy to circumvent cisplatin resistance. This review provides an overview on the DNA repair pathways involved in the processing of cisplatin damage and will describe signal transduction from cisplatin DNA lesions, with special attention given to colorectal cancer cells. Furthermore, examples for improved platinum compounds and biochemical modulators of cisplatin DNA damage signaling will be presented in the context of colon cancer therapy.
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spelling doaj.art-2d558ffcb9e04c3c9cdf0ba0e1be86ad2023-11-21T17:04:27ZengMDPI AGCancers2072-66942021-04-01139207310.3390/cancers13092073Platinum Complexes in Colorectal Cancer and Other Solid TumorsBeate Köberle0Sarah Schoch1Department of Food Chemistry and Toxicology, Karlsruhe Institute of Technology, Adenauerring 20a, 76131 Karlsruhe, GermanyDepartment of Laboratory Medicine, Lund University, Scheelevägen 2, 223 81 Lund, SwedenCisplatin is one of the most commonly used drugs for the treatment of various solid neoplasms, including testicular, lung, ovarian, head and neck, and bladder cancers. Unfortunately, the therapeutic efficacy of cisplatin against colorectal cancer is poor. Various mechanisms appear to contribute to cisplatin resistance in cancer cells, including reduced drug accumulation, enhanced drug detoxification, modulation of DNA repair mechanisms, and finally alterations in cisplatin DNA damage signaling preventing apoptosis in cancer cells. Regarding colorectal cancer, defects in mismatch repair and altered p53-mediated DNA damage signaling are the main factors controlling the resistance phenotype. In particular, p53 inactivation appears to be associated with chemoresistance and poor prognosis. To overcome resistance in cancers, several strategies can be envisaged. Improved cisplatin analogues, which retain activity in resistant cancer, might be applied. Targeting p53-mediated DNA damage signaling provides another therapeutic strategy to circumvent cisplatin resistance. This review provides an overview on the DNA repair pathways involved in the processing of cisplatin damage and will describe signal transduction from cisplatin DNA lesions, with special attention given to colorectal cancer cells. Furthermore, examples for improved platinum compounds and biochemical modulators of cisplatin DNA damage signaling will be presented in the context of colon cancer therapy.https://www.mdpi.com/2072-6694/13/9/2073platinum drugscolorectal cancermismatch repair defectp53 signaling
spellingShingle Beate Köberle
Sarah Schoch
Platinum Complexes in Colorectal Cancer and Other Solid Tumors
Cancers
platinum drugs
colorectal cancer
mismatch repair defect
p53 signaling
title Platinum Complexes in Colorectal Cancer and Other Solid Tumors
title_full Platinum Complexes in Colorectal Cancer and Other Solid Tumors
title_fullStr Platinum Complexes in Colorectal Cancer and Other Solid Tumors
title_full_unstemmed Platinum Complexes in Colorectal Cancer and Other Solid Tumors
title_short Platinum Complexes in Colorectal Cancer and Other Solid Tumors
title_sort platinum complexes in colorectal cancer and other solid tumors
topic platinum drugs
colorectal cancer
mismatch repair defect
p53 signaling
url https://www.mdpi.com/2072-6694/13/9/2073
work_keys_str_mv AT beatekoberle platinumcomplexesincolorectalcancerandothersolidtumors
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