PMID- 16527420 OWN - NLM STAT- MEDLINE DCOM- 20060606 LR - 20181201 IS - 0305-7372 (Print) IS - 0305-7372 (Linking) VI - 32 IP - 3 DP - 2006 May TI - Microtubule stabilizing agents: their molecular signaling consequences and the potential for enhancement by drug combination. PG - 166-79 AB - Microtubule stabilization by chemotherapy is a powerful weapon in the war against cancer. Disruption of the mitotic spindle activates a number of signaling pathways, with consequences that may protect the cell or lead to its death via apoptosis. Taxol, the first microtubule stabilizing drug to be identified, has been utilized successfully in the treatment of solid tumors for two decades. Several features, however, make this drug less than ideal, and the search for next generation stabilizing drugs with increased efficacy has been intense and fruitful. Microtubule stabilizing agents (MSAs), including the taxanes, the epothilones, discodermolide, laulimalide, and eleutherobin, form an important and expanding family of chemotherapeutic agents. A strong understanding of their molecular signaling consequences is essential to their value, particularly in regard to their potential for combinatorial chemotherapy - the use of multiple agents to enhance the efficacy of cancer treatment. Here we present a critical review of research on the signaling mechanisms induced by MSAs, their relevance to apoptosis, and their potential for exploitation by combinatorial therapy. FAU - Bergstralh, Daniel T AU - Bergstralh DT AD - Lineberger Comprehensive Cancer Center, Curriculum in Genetics and Molecular Biology, Campus Box #7295, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7295, USA. FAU - Ting, Jenny P-Y AU - Ting JP LA - eng PT - Journal Article PT - Review DEP - 20060309 PL - Netherlands TA - Cancer Treat Rev JT - Cancer treatment reviews JID - 7502030 RN - 0 (Alkanes) RN - 0 (Antineoplastic Agents) RN - 0 (BIRC5 protein, human) RN - 0 (Carbamates) RN - 0 (Diterpenes) RN - 0 (Epothilones) RN - 0 (Inhibitor of Apoptosis Proteins) RN - 0 (Interleukin-1) RN - 0 (Interleukin-8) RN - 0 (Lactones) RN - 0 (Macrolides) RN - 0 (Microtubule-Associated Proteins) RN - 0 (NF-kappa B) RN - 0 (Neoplasm Proteins) RN - 0 (Pyrones) RN - 0 (Survivin) RN - 0 (Taxoids) RN - 0 (Tumor Suppressor Protein p53) RN - 0 (eleutherobin) RN - 0 (laulimalide) RN - DHG59994DN (discodermolide) RN - EC 1.14.99.1 (Cyclooxygenase 2) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.22 (Maturation-Promoting Factor) RN - EC 2.7.12.2 (MAP Kinase Kinase 1) RN - EC 2.7.12.2 (MAP2K1 protein, human) SB - IM MH - Alkanes/pharmacology MH - Animals MH - Antineoplastic Agents/adverse effects/*pharmacology MH - Antineoplastic Combined Chemotherapy Protocols/pharmacology MH - Carbamates/pharmacology MH - Cyclooxygenase 2/metabolism MH - Diterpenes/pharmacology MH - Epothilones/pharmacology MH - Humans MH - Inhibitor of Apoptosis Proteins/metabolism MH - Interleukin-1/metabolism MH - Interleukin-8/metabolism MH - Lactones/pharmacology MH - MAP Kinase Kinase 1/metabolism MH - MAP Kinase Signaling System/drug effects MH - Macrolides MH - Maturation-Promoting Factor/metabolism MH - Microtubule-Associated Proteins/metabolism MH - Microtubules/*drug effects MH - NF-kappa B/metabolism MH - Neoplasm Proteins/metabolism MH - Neoplasms/drug therapy/metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Pyrones/pharmacology MH - Signal Transduction/drug effects MH - Survivin MH - Taxoids/pharmacology MH - Tumor Suppressor Protein p53/metabolism RF - 193 EDAT- 2006/03/11 09:00 MHDA- 2006/06/07 09:00 CRDT- 2006/03/11 09:00 PHST- 2005/12/16 00:00 [received] PHST- 2006/01/10 00:00 [revised] PHST- 2006/01/10 00:00 [accepted] PHST- 2006/03/11 09:00 [pubmed] PHST- 2006/06/07 09:00 [medline] PHST- 2006/03/11 09:00 [entrez] AID - S0305-7372(06)00011-9 [pii] AID - 10.1016/j.ctrv.2006.01.004 [doi] PST - ppublish SO - Cancer Treat Rev. 2006 May;32(3):166-79. doi: 10.1016/j.ctrv.2006.01.004. Epub 2006 Mar 9.