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Cited by 420

The DOI matches its Crossref record; 132 of the 132 references it cites were found in a registry or an index.

The Apoptosis Paradox in Cancer

Open access
Morana, Ornella, Wood, Will, Gregory, Christopher D.·2022·International Journal of Molecular Sciences

Abstract

Cancer growth represents a dysregulated imbalance between cell gain and cell loss, where the rate of proliferating mutant tumour cells exceeds the rate of those that die. Apoptosis, the most renowned form of programmed cell death, operates as a key physiological mechanism that limits cell population expansion, either to maintain tissue homeostasis or to remove potentially harmful cells, such as those that have sustained DNA damage. Paradoxically, high-grade cancers are generally associated with high constitutive levels of apoptosis. In cancer, cell-autonomous apoptosis constitutes a common tumour suppressor mechanism, a property which is exploited in cancer therapy. By contrast, limited apoptosis in the tumour-cell population also has the potential to promote cell survival and resistance to therapy by conditioning the tumour microenvironment (TME)—including phagocytes and viable tumour cells—and engendering pro-oncogenic effects. Notably, the constitutive apoptosis-mediated activation of cells of the innate immune system can help orchestrate a pro-oncogenic TME and may also effect evasion of cancer treatment. Here, we present an overview of the implications of cell death programmes in tumour biology, with particular focus on apoptosis as a process with “double-edged” consequences: on the one hand, being tumour suppressive through deletion of malignant or pre-malignant cells, while, on the other, being tumour progressive through stimulation of reparatory and regenerative responses in the TME.

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Metadata

Authors
Morana, O., Wood, W., & Gregory, C. D.
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2022-01-25
Volume
23
Issue
3
Pages
1328
ISSN
1422-0067 (ISSN-L)
OpenAlex
W4210378179
Cited by
420
References
132
FWCI
23.62
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: The Apoptosis Paradox in Cancer. https://app.cochat.ai/papers/10.3390/ijms23031328
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Morana, O., Wood, W., & Gregory, C. D. (2022). The Apoptosis Paradox in Cancer. International Journal of Molecular Sciences. https://doi.org/10.3390/ijms23031328

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