Advances in mitotic inhibitors for cancer treatment

Mini Rev Med Chem. 2006 Aug;6(8):885-95. doi: 10.2174/138955706777934955.

Abstract

Based on their mechanism of action, anti-tumor drugs that target the cell cycle can be generally divided into three categories, namely, blocking DNA synthesis, causing DNA damage, and disrupting mitotic processes. In terms of mitotic inhibitors, most compounds used in the clinic impair the normal function of mitotic spindles by targeting tubulins, basic building blocks of microtubules. In vivo, these compounds often exhibit significant side effects, thus limiting their efficacy. Mitotic processes are under tight control through surveillance mechanisms commonly termed checkpoints. Defects in the regulation of these checkpoints often result in genomic instability, which predisposes the cell to malignant transformation. As cancer is the consequence of uncontrolled cell division, great efforts have been devoted to discover drugs that target mitosis, thereby halting cell division and inducing mitotic catastrophe with minimal cytotoxicity to non-dividing or normally dividing cells. This review primarily focuses on mitotic proteins that have been explored as new targets for anti-cancer drug development during the past decade.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Antimitotic Agents / chemistry
  • Antimitotic Agents / pharmacology*
  • Antimitotic Agents / therapeutic use*
  • Aurora Kinases
  • Cell Cycle / drug effects*
  • Cell Cycle / physiology
  • Cell Cycle Proteins / antagonists & inhibitors
  • Humans
  • Microtubules / metabolism
  • Mitosis / drug effects*
  • Mitosis / physiology
  • Neoplasms / drug therapy*
  • Neoplasms / pathology
  • Protein Serine-Threonine Kinases / antagonists & inhibitors
  • Tumor Cells, Cultured

Substances

  • Antimitotic Agents
  • Cell Cycle Proteins
  • Aurora Kinases
  • Protein Serine-Threonine Kinases