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Front Oncol. 2017 May 05;7:76. doi: 10.3389/fonc.2017.00076. eCollection 2017.

Regulation of Cancer Cell Responsiveness to Ionizing Radiation Treatment by Cyclic AMP Response Element Binding Nuclear Transcription Factor.

Frontiers in oncology

Francesca D'Auria, Lucia Centurione, Maria Antonietta Centurione, Antonio Angelini, Roberta Di Pietro

Affiliations

  1. Department of Cardiac and Vascular Surgery, Campus Bio-Medico University of Rome, Rome, Italy.
  2. Department of Medicine and Ageing Sciences, G. d'Annunzio University, Chieti, Italy.
  3. Institute of Molecular Genetics, National Research Council-Pavia, Chieti, Italy.
  4. Ageing Research Center, CeSI, G. d'Annunzio University Foundation, Chieti, Italy.

PMID: 28529924 PMCID: PMC5418225 DOI: 10.3389/fonc.2017.00076

Abstract

Cyclic AMP response element binding (CREB) protein is a member of the CREB/activating transcription factor (ATF) family of transcription factors that play an important role in the cell response to different environmental stimuli leading to proliferation, differentiation, apoptosis, and survival. A number of studies highlight the involvement of CREB in the resistance to ionizing radiation (IR) therapy, demonstrating a relationship between IR-induced CREB family members' activation and cell survival. Consistent with these observations, we have recently demonstrated that CREB and ATF-1 are expressed in leukemia cell lines and that low-dose radiation treatment can trigger CREB activation, leading to survival of erythro-leukemia cells (K562). On the other hand, a number of evidences highlight a proapoptotic role of CREB following IR treatment of cancer cells. Since the development of multiple mechanisms of resistance is one key problem of most malignancies, including those of hematological origin, it is highly desirable to identify biological markers of responsiveness/unresponsiveness useful to follow-up the individual response and to adjust anticancer treatments. Taking into account all these considerations, this mini-review will be focused on the involvement of CREB/ATF family members in response to IR therapy, to deepen our knowledge of this topic, and to pave the way to translation into a therapeutic context.

Keywords: DNA repair; cancer; cyclic AMP response element binding/activating transcription factor; ionizing radiation; nuclear transcription factors; radio-resistance; radio-sensitivity; radiotherapy

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