RT info:eu-repo/semantics/article T1 Therapeutic strategies involving survivin inhibition in cancer A1 Martínez García, David A1 Manero Rupérez, Noemí A1 Quesada Pato, Roberto A1 Korrodi Gregório, Luís A1 Soto Cerrato, Vanessa K1 anticancer therapy K1 apoptosis K1 chemoresistance K1 inhibitor ofapoptosis proteins K1 SMAC mimetics K1 survivin inhibitors K1 Química orgánica K1 Chemistry, Organic AB Survivin is a small protein that belongs to the inhibitor of apoptosis protein family. It is abundantly expressed in tumors compared with adult differentiated tissues, being associated with poor prognosis in many human neoplasms. This apoptotic inhibitor has a relevant role in both the promotion of cancer cell survival and in the inhibition of cell death. Consequently, aberrant survivin expression stimulates tumor progression and confers resistance to several therapeutic strategies in a variety of tumors. In fact, efficient survivin downregulation or inhibition results in spontaneous apoptosis or sensitization to chemotherapy and radiotherapy. Therefore, all these features make survivin an attractive therapeutic target to treat cancer. Currently, there are several survivin inhibitors under clinical evaluation, although more specific and efficient survivin inhibitors are being developed. Moreover, novel combination regimens targeting survivin together with other therapeutic approaches are currently being designed and assessed. In this review, recent progress in the therapeutic options targeting survivin for cancer treatment is analyzed. Direct survivin inhibitors and their current development status are explored. Besides, the major signaling pathways implicated in survivin regulation are described and different therapeutic approaches involving survivin indirect inhibition are evaluated. Finally, promising novel inhibitors under preclinical or clinical evaluation as well as challenges of developing survivin inhibitors as a new therapy for cancer treatment are discussed. PB Wiley SN 0198-6325 YR 2019 FD 2019-05 LK http://hdl.handle.net/10259/5703 UL http://hdl.handle.net/10259/5703 LA eng NO Consejería de Educación, Junta de Castilla y León. Grant Number: BU092U16 Instituto de Salud Carlos III. Grant Number: FIS PI18/00441 DS Repositorio Institucional de la Universidad de Burgos RD 25-abr-2024