Microtubule Targeting Agents in Disease: Classic Drugs, Novel Roles

Microtubule-targeting agents (MTAs) represent one of the most successful first-line therapies prescribed for cancer treatment. They interfere with microtubule (MT) dynamics by either stabilizing or destabilizing MTs, and in culture, they are believed to kill cells via apoptosis after eliciting mitot...

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Autores principales: Linda Wordeman, Juan Jesus Vicente
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:7d109383dac147d292134b4c2ce578582021-11-25T17:02:17ZMicrotubule Targeting Agents in Disease: Classic Drugs, Novel Roles10.3390/cancers132256502072-6694https://doaj.org/article/7d109383dac147d292134b4c2ce578582021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5650https://doaj.org/toc/2072-6694Microtubule-targeting agents (MTAs) represent one of the most successful first-line therapies prescribed for cancer treatment. They interfere with microtubule (MT) dynamics by either stabilizing or destabilizing MTs, and in culture, they are believed to kill cells via apoptosis after eliciting mitotic arrest, among other mechanisms. This classical view of MTA therapies persisted for many years. However, the limited success of drugs specifically targeting mitotic proteins, and the slow growing rate of most human tumors forces a reevaluation of the mechanism of action of MTAs. Studies from the last decade suggest that the killing efficiency of MTAs arises from a combination of interphase and mitotic effects. Moreover, MTs have also been implicated in other therapeutically relevant activities, such as decreasing angiogenesis, blocking cell migration, reducing metastasis, and activating innate immunity to promote proinflammatory responses. Two key problems associated with MTA therapy are acquired drug resistance and systemic toxicity. Accordingly, novel and effective MTAs are being designed with an eye toward reducing toxicity without compromising efficacy or promoting resistance. Here, we will review the mechanism of action of MTAs, the signaling pathways they affect, their impact on cancer and other illnesses, and the promising new therapeutic applications of these classic drugs.Linda WordemanJuan Jesus VicenteMDPI AGarticlemicrotubules (MTs)microtubule-targeting agent (MTA)pathogentauopathiescancermigrationNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5650, p 5650 (2021)
institution DOAJ
collection DOAJ
language EN
topic microtubules (MTs)
microtubule-targeting agent (MTA)
pathogen
tauopathies
cancer
migration
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle microtubules (MTs)
microtubule-targeting agent (MTA)
pathogen
tauopathies
cancer
migration
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Linda Wordeman
Juan Jesus Vicente
Microtubule Targeting Agents in Disease: Classic Drugs, Novel Roles
description Microtubule-targeting agents (MTAs) represent one of the most successful first-line therapies prescribed for cancer treatment. They interfere with microtubule (MT) dynamics by either stabilizing or destabilizing MTs, and in culture, they are believed to kill cells via apoptosis after eliciting mitotic arrest, among other mechanisms. This classical view of MTA therapies persisted for many years. However, the limited success of drugs specifically targeting mitotic proteins, and the slow growing rate of most human tumors forces a reevaluation of the mechanism of action of MTAs. Studies from the last decade suggest that the killing efficiency of MTAs arises from a combination of interphase and mitotic effects. Moreover, MTs have also been implicated in other therapeutically relevant activities, such as decreasing angiogenesis, blocking cell migration, reducing metastasis, and activating innate immunity to promote proinflammatory responses. Two key problems associated with MTA therapy are acquired drug resistance and systemic toxicity. Accordingly, novel and effective MTAs are being designed with an eye toward reducing toxicity without compromising efficacy or promoting resistance. Here, we will review the mechanism of action of MTAs, the signaling pathways they affect, their impact on cancer and other illnesses, and the promising new therapeutic applications of these classic drugs.
format article
author Linda Wordeman
Juan Jesus Vicente
author_facet Linda Wordeman
Juan Jesus Vicente
author_sort Linda Wordeman
title Microtubule Targeting Agents in Disease: Classic Drugs, Novel Roles
title_short Microtubule Targeting Agents in Disease: Classic Drugs, Novel Roles
title_full Microtubule Targeting Agents in Disease: Classic Drugs, Novel Roles
title_fullStr Microtubule Targeting Agents in Disease: Classic Drugs, Novel Roles
title_full_unstemmed Microtubule Targeting Agents in Disease: Classic Drugs, Novel Roles
title_sort microtubule targeting agents in disease: classic drugs, novel roles
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/7d109383dac147d292134b4c2ce57858
work_keys_str_mv AT lindawordeman microtubuletargetingagentsindiseaseclassicdrugsnovelroles
AT juanjesusvicente microtubuletargetingagentsindiseaseclassicdrugsnovelroles
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