Abstract
Among the cardinal features of malignancy is abrogation of cell death mechanisms, thus endowing cancer and leukemia cells with a selective survival advantage relative to normal cells. Genetic and epigenetic lesions that result in defects in cell death regulation represent an essential characteristic of acute myeloid leukemia (AML), promoting accumulation of leukemia cells by conferring tolerance to oncogene activation, cell cycle checkpoint defects, and genetic instability. Defects in cell death mechanisms also greatly contribute to resistance to cytotoxic anticancer drugs. Bcl-2 family proteins are central regulators of cell life and death, impacting both apoptotic and non-apoptotic cell death. The Bcl-2 family includes both cell survival- and death-promoting members, with the relative levels and activities of these proteins becoming imbalanced in favor of cell survival in AML and most other malignancies. The fundamental mechanisms of Bcl-2 family proteins and some of their roles in AML are reviewed in this chapter.
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Bcl-2 family proteins are intricately involved in the biology of AML. From pathogenesis to progression and resistance to therapy, Bcl-2 family proteins are inextricably linked to AML. The advent of experimental therapeutics targeting anti-apoptotic Bcl-2 family proteins (small molecules) and mRNA (antisense) creates hope that are more effective strategies for treating AML may be near.
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Reed, J. (2015). Roles of Apoptosis-Regulating Bcl-2 Family Genes in AML. In: Andreeff, M. (eds) Targeted Therapy of Acute Myeloid Leukemia. Current Cancer Research. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1393-0_3
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