Principles of cancer therapy: oncogene and non-oncogene addiction
Open accessAbstract
Cancer is a complex collection of distinct genetic diseases united by common hallmarks. Here, we expand upon the classic hallmarks to include the stress phenotypes of tumorigenesis. We describe a conceptual framework of how oncogene and non-oncogene addictions contribute to these hallmarks and how they can be exploited through stress sensitization and stress overload to selectively kill cancer cells. In particular, we present evidence for a large class of non-oncogenes that are essential for cancer cell survival and present attractive drug targets. Finally, we discuss the path ahead to therapeutic discovery and provide theoretical considerations for combining orthogonal cancer therapies.
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Synthetic lethal partners of KRAS often play critical roles in stress-response pathways such as DNA damage response, genomic stability, cell survival, metabolic adaptation, proteotoxic and oxidative stress.
“Second, synthetic lethal partners of KRAS often play a critical role in stress-response pathways – such as those involved in DNA damage response, genomic stability, cell survival, metabolic adaption, proteotoxic and oxidative stress – that serve to alleviate various forms of oncogenic stress associated with tumorigenesis (34).”
From KRAS mutation in pancreatic cancer (2021) · cites this paper as [34]
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“̂ Among these are DNA damage, mitotic stress, metabolic stress, and oxidative stress, which are all sensitive to reactive oxygen species-mediated signaling (Luo et al. 2009).”
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- Authors
- Luo, J., Solimini, N. L., & Elledge, S. J.
- Affiliations
- Brigham and Women's Hospital (US)
- Corresponding author
- Elledge, Stephen J.
- Venue
- Cell
- Publisher
- Elsevier BV
- Published
- 2009-03
- Volume
- 136
- Issue
- 5
- Pages
- 823-837
- ISSN
- 0092-8674 (ISSN-L)
- PMC
- PMC2894612
- OpenAlex
- W2077813812
- Cited by
- 1,765
- References
- 124
- Citations by year
- 2026: 48 · 2025: 66 · 2024: 64 · 2023: 72 · 2022: 92 · 2021: 96 · 2020: 102 · 2019: 93 · 2018: 87 · 2017: 107 · 2016: 108 · 2015: 132 · 2014: 153 · 2013: 131 · 2012: 143
- FWCI
- 68.26
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 1635 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Cell (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R33CA140039)
- Topics
- Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Keywords
- cancer hallmarks, oncogene addiction, non-oncogene addiction, stress sensitization, stress overload, tumor cell survival, therapeutic target, combination cancer therapy, cancer therapy
- MeSH terms
- Animals, Hypoxia, Humans, Neoplasms, Oncogenes, Genes, Tumor Suppressor
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