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Tumor dormancy induction

Molecular classification
Other (tumor dormancy induction is a process, not a molecular family or class)
01

Overview

Tumor dormancy induction refers to mechanisms by which cancer cells cease proliferating yet survive in a metabolically adapted, reversible state of growth arrest, often triggered by microenvironmental stresses, immune pressure, and specific signaling pathways. Central regulators—including p38 MAPK, TGF-β2, BMP-7, unfolded protein response proteins, and others—initiate transcriptional programs in dormant cells, enabling their persistence under adverse conditions (such as limited nutrients or immune attack). These cells can remain undetectable for years but retain potential to reactivate and cause tumor relapse, particularly after therapy. Understanding tumor dormancy induction is critical for developing novel cancer treatments aimed at eradicating minimal residual disease and preventing recurrence[1][2][3][4][5].

Other names
Cellular dormancyTumor mass dormancyDormant cancer cell (DCC) inductionDisseminated tumor cell dormancy
02

Mechanism of action

Not applicable to the "tumor dormancy induction" process per se. However, drugs targeting relevant pathways act by: Inducing cell cycle arrest and senescence (e.g., via p38 MAPK, p21, p27 activation); Modulating ERK/p38 signaling ratios to maintain or disrupt dormancy; Suppressing proliferative signals: inhibition of PI3K/AKT, ERK, Wnt pathways; induction of p38 signaling; Enhancing unfolded protein response (UPR) or ER stress adaptations for cell survival; Targeting stemness markers or cancer stem cell populations for elimination.

03

Biological functions

Cell cycle arrest (G0–G1 phase)Survival signaling adaptationImmune evasionStress response/adaptation (e.g., unfolded protein response, ER stress)Modulation of differentiation and stemnessMetabolic reprogramming for survivalRegulation of apoptosis and proliferation balanceSenescence induction
04

Disease associations

Cancer (most centrally, including relapse and metastasis)
05

Safety considerations

Therapeutic targeting may inadvertently force dormant cells back into proliferation, promoting relapse instead of eradicationMany dormant cells possess high resistance to conventional therapies, complicating management and eliminationDormant cell targeting may impact normal stem/progenitor cells if markers overlap
06

Interacting drugs

Senolytic agents

3 more in the full profile.

07

Biomarkers

p38 MAPK activationCell cycle inhibitors: p21, p27, p15NR2F1, BHLHB3 transcription factorsTGF-β2, BMP-7 pathway markersABCB5 (cancer stem cell marker)NDRG1 expressionUPR chaperones (Grp78, BiP)

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