PMID- 32147543 OWN - NLM STAT- MEDLINE DCOM- 20200721 LR - 20200721 IS - 1879-2561 (Electronic) IS - 0304-419X (Linking) VI - 1873 IP - 2 DP - 2020 Apr TI - Caspase-8: The double-edged sword. PG - 188357 LID - S0304-419X(19)30176-3 [pii] LID - 10.1016/j.bbcan.2020.188357 [doi] AB - Caspase-8 is a cysteine - aspartate specific protease that classically triggers the extrinsic apoptotic pathway, in response to the activation of cell surface Death Receptors (DRs) like FAS, TRAIL-R and TNF-R. Besides it's roles in triggering death receptor-mediated apoptosis, Caspase-8 has also been implicated in the onsets of anoikis, autophagy and pyroptosis. Furthermore, Caspase-8 also plays a crucial pro-survival function by inhibiting an alternative form of programmed cell death called necroptosis. Low expression levels of pro-Caspase-8 is therefore associated with the malignant transformation of cancers. However, the long-held notion that pro-Caspase-8 expression/activity is generally lost in most cancers, thereby contributing to apoptotic escape and enhanced resistance to anti-cancer therapeutics, has been found to be true for only a minority of cancers types. In the majority of cases, pro-Caspase-8 expression is maintained and sometimes elevated, while it's apoptotic activity is regulated through different mechanisms. This supports the notion that the non-apoptotic functions of Caspase-8 offer growth advantage in these cancer types and have, therefore, gained renewed interest in the recent years. In light of these reasons, a number of therapeutic approaches have been employed, with the intent of targeting pro-Caspase-8 in cancer cells. In this review, we would attempt to discuss - the classic roles of Caspase-8 in initiating apoptosis; it's non-apoptotic functions; it's the clinical significance in different cancer types; and the therapeutic applications exploiting the ability of pro-Caspase-8 to regulate various cellular functions. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Mandal, Ranadip AU - Mandal R AD - Johann Wolfgang Goethe University, 60590 Frankfurt am Main, Germany. FAU - Barron, Joan Compte AU - Barron JC AD - Johann Wolfgang Goethe University, 60590 Frankfurt am Main, Germany; Universitat Autonoma de Barcelona, 119-129008035 Barcelona, Spain. FAU - Kostova, Izabela AU - Kostova I AD - Johann Wolfgang Goethe University, 60590 Frankfurt am Main, Germany. FAU - Becker, Sven AU - Becker S AD - Johann Wolfgang Goethe University, 60590 Frankfurt am Main, Germany. FAU - Strebhardt, Klaus AU - Strebhardt K AD - Johann Wolfgang Goethe University, 60590 Frankfurt am Main, Germany; German Cancer Consortium (DKTK), Heidelberg, Germany. Electronic address: strebhardt@em.uni-frankfurt.de. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200305 PL - Netherlands TA - Biochim Biophys Acta Rev Cancer JT - Biochimica et biophysica acta. Reviews on cancer JID - 9806362 RN - 0 (Cytokines) RN - 0 (Inflammasomes) RN - EC 3.4.22.- (CASP8 protein, human) RN - EC 3.4.22.- (Casp8 protein, mouse) RN - EC 3.4.22.- (Caspase 8) SB - IM MH - Animals MH - Apoptosis/genetics/immunology MH - Autophagy/genetics/immunology MH - Caspase 8/genetics/*metabolism MH - Cell Cycle/genetics MH - Cell Line, Tumor MH - Cell Movement/genetics MH - Cell Survival/genetics MH - Cytokines/immunology/metabolism MH - Disease Models, Animal MH - Down-Regulation MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - Inflammasomes/immunology/metabolism MH - Mice MH - Necroptosis/genetics/immunology MH - Neoplasms/genetics/immunology/*pathology MH - Signal Transduction/genetics/immunology MH - Up-Regulation COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/03/10 06:00 MHDA- 2020/07/22 06:00 CRDT- 2020/03/10 06:00 PHST- 2019/12/02 00:00 [received] PHST- 2020/02/13 00:00 [revised] PHST- 2020/03/03 00:00 [accepted] PHST- 2020/03/10 06:00 [pubmed] PHST- 2020/07/22 06:00 [medline] PHST- 2020/03/10 06:00 [entrez] AID - S0304-419X(19)30176-3 [pii] AID - 10.1016/j.bbcan.2020.188357 [doi] PST - ppublish SO - Biochim Biophys Acta Rev Cancer. 2020 Apr;1873(2):188357. doi: 10.1016/j.bbcan.2020.188357. Epub 2020 Mar 5.