2003
DOI: 10.1038/sj.onc.1206699
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The RAS signal transduction pathway and its role in radiation sensitivity

Abstract: RAS has been shown to increase radiation resistance. Upstream and downstream pathways from RAS could thus be targets for manipulation of radiosensitivity. EGFR expression and AKT phosphorylation are also associated with the response to radiation. A retrospective study evaluating EGFR and AKT in patients treated with multimodality therapy found a significant association between P-AKT and treatment failure. Moreover, these data are strengthened by in vitro studies showing that inhibition of EGFR, RAS, PI3K, and … Show more

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Cited by 123 publications
(36 citation statements)
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References 67 publications
(64 reference statements)
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“…Activation of RAS, RAF-1, mitogen-activating protein kinase (MAPK), p38, and PI3K pathways has been associated with radioresistance 92 and could account for hypoxia-induced survival advantages via direct inhibition of apoptosis or enhanced HIF-1α activity. 93,94 Breast cancer, chronic lymphoid leukaemia, and myeloma cells with aberrant notch 1 signalling become chemoresistant upon inhibition of the p53 pathway by the mTOR-dependent PI3K/AKT/PKB pathway. 95,96 Silencing of notch 1 has been shown to promote docetaxel-induced cell growth inhibition, apoptosis, and cell cycle arrest in PC3 cells, 97 whereas expression of the notch 2 homologue protein has been associated with radiosensitivity in patients with locally advanced adenocarcinoma of the rectum.…”
Section: Treatment Resistancementioning
confidence: 99%
“…Activation of RAS, RAF-1, mitogen-activating protein kinase (MAPK), p38, and PI3K pathways has been associated with radioresistance 92 and could account for hypoxia-induced survival advantages via direct inhibition of apoptosis or enhanced HIF-1α activity. 93,94 Breast cancer, chronic lymphoid leukaemia, and myeloma cells with aberrant notch 1 signalling become chemoresistant upon inhibition of the p53 pathway by the mTOR-dependent PI3K/AKT/PKB pathway. 95,96 Silencing of notch 1 has been shown to promote docetaxel-induced cell growth inhibition, apoptosis, and cell cycle arrest in PC3 cells, 97 whereas expression of the notch 2 homologue protein has been associated with radiosensitivity in patients with locally advanced adenocarcinoma of the rectum.…”
Section: Treatment Resistancementioning
confidence: 99%
“…AKT is a serine-threonine kinase; upon phosphorylation at T308 and S473, AKT activates several target proteins that are involved in tumor cell proliferation, apoptosis, and the cell cycle [41, 42]. Deregulation of the PI3K/AKT/mTOR pathway is highly involved in lung carcinogenesis, as this pathway is extensively interconnected with other oncogenic signaling [41, 4345]. Therefore, HMGA1, a regulator of the PI3K/AKT/mTOR pathway, is a potential target for lung cancer treatment.…”
Section: Discussionmentioning
confidence: 99%
“…Second, radiation may reduce the high pressure of tumor cells which serves as an obstacle for virus replication and spread in vivo . Third, Ras mutation is one of the driver mutations for melanoma and is associated with radio-resistance [141-143]. However, reovirus, VSV and HSV have been demonstrated to preferentially target the Ras mutated melanoma cells and induce apoptosis [88, 89].…”
Section: Melanoma Therapies and Emergence Of Oncolytic Virotherapymentioning
confidence: 99%