2011
DOI: 10.1038/nm.2385
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Caspase 3–mediated stimulation of tumor cell repopulation during cancer radiotherapy

Abstract: SummaryIn cancer treatment, apoptosis is a well-recognized cell death mechanism through which cytotoxic agents kill tumor cells. Here we report that dying tumor cells use the apoptotic process to generate potent growth-stimulating signals to stimulate the repopulation of tumors undergoing radiotherapy. Surprisingly, activated caspase 3, a key executioner of apoptosis, plays key roles in the growth stimulation. One downstream effector that caspase 3 regulates is prostaglandin E2, which can potently stimulates g… Show more

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Cited by 721 publications
(744 citation statements)
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References 26 publications
(26 reference statements)
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“…159 Indeed, it was observed that caspase-3 is activated in dying tumor cells and causes increased secretion of PGE 2 that results in tumor cell repopulation and resistance to radiotherapy. 160 Further support to this study comes from human trials where two different cohorts of head and neck cancer patients and breast cancer patients, had high expression of active caspase-3 (cleaved caspase-3) and associated increased recurrence of the disease. This suggests that apoptosis is an essential aspect of tumor growth, and paracrine signals released by dying cells act to promote repopulation of these tumor cells and aids further growth.…”
Section: Caspases In Tumorigenesismentioning
confidence: 63%
“…159 Indeed, it was observed that caspase-3 is activated in dying tumor cells and causes increased secretion of PGE 2 that results in tumor cell repopulation and resistance to radiotherapy. 160 Further support to this study comes from human trials where two different cohorts of head and neck cancer patients and breast cancer patients, had high expression of active caspase-3 (cleaved caspase-3) and associated increased recurrence of the disease. This suggests that apoptosis is an essential aspect of tumor growth, and paracrine signals released by dying cells act to promote repopulation of these tumor cells and aids further growth.…”
Section: Caspases In Tumorigenesismentioning
confidence: 63%
“…9 A recent study showed that when injected into mice, irradiated mouse embryonic fibroblasts can induce sustained growth of feeder tumour cells. 10 Specifically, this study shows that caspase 3, the executioner of apoptosis, stimulates prostaglandin E2 expression and growth of surviving tumour cells. Other studies also demonstrate that mice deficient for the p53 inhibitor, MDM2, develop intestinal hyperplasia due to the activation of the canonical Wnt and EGFR pathways.…”
mentioning
confidence: 74%
“…Increased caspase 3 expression is found in OSCC compared with normal oral epithelium 76. These findings question the apoptotic role of caspase 3, suggesting its nonapoptotic functions in oral cancers, as implicated in other cancers 77, 78, 79.…”
Section: Notch Signaling In Head and Neck Squamous Cell Carcinoma (Hnmentioning
confidence: 87%