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LIFE01200604005 Shri Somnath Ghosh - Homi Bhabha National ...

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CHAPTER 1<br />

INTRODUCTION<br />

Cytoprotective Response Cascade<br />

The term cytoprotective describes the summation of responses which favor cell survival<br />

and may span from enhanced repair functions to stimulation of proliferation. These<br />

responses may be initiated at the level of the plasma membrane through activation of<br />

ERBB receptor tyrosine kinases and other related molecules [172]. Several lines of<br />

investigation support that the loss of EGFR/ERBB2 function radiosensitizes tumor cells<br />

[172-174].<br />

The radiation-induced activation of EGFR has been linked mechanistically to<br />

enhanced signaling through critical components of the MAPK and MAPK8 pathways<br />

[172, 175]. These links are based on inhibition of the function of EGFR by over<br />

expression of dominant-negative mutants [173, 176] or the use of specific<br />

pharmacological inhibitors, such as the tyrphostin AG1478 [172]. The disruption of<br />

function of ERBB2 may exert similar effects. The radiation-induced activation of EGFR<br />

at doses between 1 and 5 Gy [169] results in the activation of several immediate<br />

downstream effectors. Tyr phosphorylation of EGFR at positions Tyr1068, Tyr1148 and<br />

Tyr1173 (30) permits interaction with adapter proteins GRB2 and SHC, which in turn act<br />

through factors to stimulate GTP for GDP exchange in RAS. Radiation-induced<br />

activation of EGFR also results in the stimulation of PLCγ with production of<br />

diacylglyceride and inositol trisphosphate (IP3)[172, 177]. Diacylglyceride activates<br />

protein kinase C (PRKC) and IP3 induces release of Ca 2+ from intracellular stores [172,<br />

178, 179]. RAS-GTP recruits RAF1 to the plasma membrane; this activation is dependent<br />

on the release of Ca 2+ from intracellular stores [177, 178, 180]. RAF1 primarily signals<br />

along the MAPK cascade involving MAP2K1/2 and p90S6 kinase [180]. MAPK and<br />

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