PMID- 18698017 OWN - NLM STAT- MEDLINE DCOM- 20080930 LR - 20240109 IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 14 IP - 16 DP - 2008 Aug 15 TI - Survivin: key regulator of mitosis and apoptosis and novel target for cancer therapeutics. PG - 5000-5 LID - 10.1158/1078-0432.CCR-08-0746 [doi] AB - Survivin, a member of the family of inhibitor of apoptosis proteins, functions as a key regulator of mitosis and programmed cell death. Initially, survivin was described as an inhibitor of caspase-9. However, over the last years, research studies have shown that the role of survivin in cancer pathogenesis is not limited to apoptosis inhibition but also involves the regulation of the mitotic spindle checkpoint and the promotion of angiogenesis and chemoresistance. Survivin gene expression is transcriptionally repressed by wild-type p53 and can be deregulated in cancer by several mechanisms, including gene amplification, hypomethylation, increased promoter activity, and loss of p53 function. This article reviews the multiple functions of survivin in the regulation of apoptosis, the promotion of tumorigenesis, and the development of survivin inhibitors as a novel anticancer therapeutic strategy. FAU - Mita, Alain C AU - Mita AC AD - Institute for Drug Development, Cancer Therapy and Research Center at the University of Texas Health Science Center, 7979 Wurzbach Road, San Antonio, TX 78229, USA. amita@idd.org FAU - Mita, Monica M AU - Mita MM FAU - Nawrocki, Steffan T AU - Nawrocki ST FAU - Giles, Francis J AU - Giles FJ LA - eng PT - Journal Article PT - Review PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antineoplastic Agents) RN - 0 (BIRC5 protein, human) RN - 0 (Inhibitor of Apoptosis Proteins) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Neoplasm Proteins) RN - 0 (Survivin) SB - IM MH - Animals MH - Antineoplastic Agents/pharmacology MH - Apoptosis/*physiology MH - Humans MH - Inhibitor of Apoptosis Proteins MH - Microtubule-Associated Proteins/*physiology MH - Mitosis/*physiology MH - Neoplasm Proteins/*physiology MH - Neoplasms/drug therapy/*metabolism MH - Signal Transduction/*physiology MH - Survivin RF - 85 EDAT- 2008/08/14 09:00 MHDA- 2008/10/01 09:00 CRDT- 2008/08/14 09:00 PHST- 2008/08/14 09:00 [pubmed] PHST- 2008/10/01 09:00 [medline] PHST- 2008/08/14 09:00 [entrez] AID - 14/16/5000 [pii] AID - 10.1158/1078-0432.CCR-08-0746 [doi] PST - ppublish SO - Clin Cancer Res. 2008 Aug 15;14(16):5000-5. doi: 10.1158/1078-0432.CCR-08-0746.