Mutagenic Consequences of Sublethal Cell Death Signaling

Many human cancers exhibit defects in key DNA damage response elements that can render tumors insensitive to the cell death-promoting properties of DNA-damaging therapies. Using agents that directly induce apoptosis by targeting apoptotic components, rather than relying on DNA damage to indirectly s...

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Main Authors: Christine J. Hawkins, Mark A. Miles
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/11/6144
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author Christine J. Hawkins
Mark A. Miles
author_facet Christine J. Hawkins
Mark A. Miles
author_sort Christine J. Hawkins
collection DOAJ
description Many human cancers exhibit defects in key DNA damage response elements that can render tumors insensitive to the cell death-promoting properties of DNA-damaging therapies. Using agents that directly induce apoptosis by targeting apoptotic components, rather than relying on DNA damage to indirectly stimulate apoptosis of cancer cells, may overcome classical blocks exploited by cancer cells to evade apoptotic cell death. However, there is increasing evidence that cells surviving sublethal exposure to classical apoptotic signaling may recover with newly acquired genomic changes which may have oncogenic potential, and so could theoretically spur the development of subsequent cancers in cured patients. Encouragingly, cells surviving sublethal necroptotic signaling did not acquire mutations, suggesting that necroptosis-inducing anti-cancer drugs may be less likely to trigger therapy-related cancers. We are yet to develop effective direct inducers of other cell death pathways, and as such, data regarding the consequences of cells surviving sublethal stimulation of those pathways are still emerging. This review details the currently known mutagenic consequences of cells surviving different cell death signaling pathways, with implications for potential oncogenic transformation. Understanding the mechanisms of mutagenesis associated (or not) with various cell death pathways will guide us in the development of future therapeutics to minimize therapy-related side effects associated with DNA damage.
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spelling doaj.art-f11ef17f35334db59e09a2ba9eff8ef62023-11-21T23:06:27ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-06-012211614410.3390/ijms22116144Mutagenic Consequences of Sublethal Cell Death SignalingChristine J. Hawkins0Mark A. Miles1Department of Biochemistry and Genetics, La Trobe Institute for Molecular Science, La Trobe University, Bundoora, VIC 3086, AustraliaDepartment of Biochemistry and Genetics, La Trobe Institute for Molecular Science, La Trobe University, Bundoora, VIC 3086, AustraliaMany human cancers exhibit defects in key DNA damage response elements that can render tumors insensitive to the cell death-promoting properties of DNA-damaging therapies. Using agents that directly induce apoptosis by targeting apoptotic components, rather than relying on DNA damage to indirectly stimulate apoptosis of cancer cells, may overcome classical blocks exploited by cancer cells to evade apoptotic cell death. However, there is increasing evidence that cells surviving sublethal exposure to classical apoptotic signaling may recover with newly acquired genomic changes which may have oncogenic potential, and so could theoretically spur the development of subsequent cancers in cured patients. Encouragingly, cells surviving sublethal necroptotic signaling did not acquire mutations, suggesting that necroptosis-inducing anti-cancer drugs may be less likely to trigger therapy-related cancers. We are yet to develop effective direct inducers of other cell death pathways, and as such, data regarding the consequences of cells surviving sublethal stimulation of those pathways are still emerging. This review details the currently known mutagenic consequences of cells surviving different cell death signaling pathways, with implications for potential oncogenic transformation. Understanding the mechanisms of mutagenesis associated (or not) with various cell death pathways will guide us in the development of future therapeutics to minimize therapy-related side effects associated with DNA damage.https://www.mdpi.com/1422-0067/22/11/6144DNA damageDNA repairmutagenesisapoptosisnecroptosisferroptosis
spellingShingle Christine J. Hawkins
Mark A. Miles
Mutagenic Consequences of Sublethal Cell Death Signaling
International Journal of Molecular Sciences
DNA damage
DNA repair
mutagenesis
apoptosis
necroptosis
ferroptosis
title Mutagenic Consequences of Sublethal Cell Death Signaling
title_full Mutagenic Consequences of Sublethal Cell Death Signaling
title_fullStr Mutagenic Consequences of Sublethal Cell Death Signaling
title_full_unstemmed Mutagenic Consequences of Sublethal Cell Death Signaling
title_short Mutagenic Consequences of Sublethal Cell Death Signaling
title_sort mutagenic consequences of sublethal cell death signaling
topic DNA damage
DNA repair
mutagenesis
apoptosis
necroptosis
ferroptosis
url https://www.mdpi.com/1422-0067/22/11/6144
work_keys_str_mv AT christinejhawkins mutagenicconsequencesofsublethalcelldeathsignaling
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