Heudobler, Daniel and Lueke, Florian and Vogelhuber, Martin and Klobuch, Sebastian and Pukrop, Tobias and Herr, Wolfgang and Gerner, Christopher and Pantziarka, Pan and Ghibelli, Lina and Reichle, Albrecht (2019) Anakoinosis: Correcting Aberrant Homeostasis of Cancer Tissue-Going Beyond Apoptosis Induction. FRONTIERS IN ONCOLOGY, 9: 1408. ISSN 2234-943X,
Full text not available from this repository. (Request a copy)Abstract
The current approach to systemic therapy for metastatic cancer is aimed predominantly at inducing apoptosis of cancer cells by blocking tumor-promoting signaling pathways or by eradicating cell compartments within the tumor. In contrast, a systems view of therapy primarily considers the communication protocols that exist at multiple levels within the tumor complex, and the role of key regulators of such systems. Such regulators may have far-reaching influence on tumor response to therapy and therefore patient survival. This implies that neoplasia may be considered as a cell non-autonomous disease. The multi-scale activity ranges from intra-tumor cell compartments, to the tumor, to the tumor-harboring organ to the organism. In contrast to molecularly targeted therapies, a systems approach that identifies the complex communications networks driving tumor growth offers the prospect of disrupting or "normalizing" such aberrant communicative behaviors and therefore attenuating tumor growth. Communicative reprogramming, a treatment strategy referred to as anakoinosis, requires novel therapeutic instruments, so-called master modifiers to deliver concerted tumor growth-attenuating action. The diversity of biological outcomes following pro-anakoinotic tumor therapy, such as differentiation, trans-differentiation, control of tumor-associated inflammation, etc. demonstrates that long-term tumor control may occur in multiple forms, inducing even continuous complete remission. Accordingly, pro-anakoinotic therapies dramatically extend the repertoire for achieving tumor control and may activate apoptosis pathways for controlling resistant metastatic tumor disease and hematologic neoplasia.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | NON-ONCOGENE ADDICTION; ACTIVATED RECEPTOR-GAMMA; PROGRESSION-FREE SURVIVAL; CHRONIC MYELOID-LEUKEMIA; PPAR-GAMMA; STEM-CELLS; SYSTEMS BIOLOGY; METRONOMIC CHEMOTHERAPY; TUMOR MICROENVIRONMENT; MOLECULAR-MECHANISMS; anakoinosis; communicative reprogramming; master modifiers; systems biology; metastatic tumors; reprogramming information flux |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie) |
| Depositing User: | Petra Gürster |
| Date Deposited: | 20 Mar 2020 06:54 |
| Last Modified: | 25 Mar 2020 09:42 |
| URI: | https://pred.uni-regensburg.de/id/eprint/25661 |
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