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[Cancer Research 61, 4301-4305, June 1, 2001]
© 2001 American Association for Cancer Research


Review

Exploiting Cancer Cell Cycling for Selective Protection of Normal Cells

Mikhail V. Blagosklonny1 and Arthur B. Pardee

Medicine Branch, National Cancer Institute, NIH, Bethesda, Maryland 20892 [M. V. B.], and Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts 02115 [A. B. P.]

Chemotherapy of cancer is limited by its toxicity to normal cells. On the basis of discoveries in signal transduction and cell cycle regulation, novel mechanism-based therapeutics are being developed. Although these cell cycle modulators were designed to target cancer cells, some of them can also be applied for a different purpose, i.e., to protect normal cells against the lethality of chemotherapy. Loss of sensitivity of cancer cells to cell cycle inhibitors can be exploited for selective protection of normal cells that retain this response. Indeed, inhibition of redundant or overactivated pathways (e.g., growth factor-activated pathways) or stimulation of absent pathways in cancer cells (e.g., p53, Rb, and p16) may not arrest cycling of cancer cells. But growth arrest of normal cells will then permit selective killing of cancer cells by cycle-dependent chemotherapy.




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Copyright © 2001 by the American Association for Cancer Research.