Several proteins that inhibit apoptosis have been identified, including the members of the bcl-2 family, such as bcl-2
and bcl-xL, and the IAPs. The anti-apoptotic proteins bcl-2 and bcl-xL block the apoptotic event of mitochondrial cytochrome c release into the cytosol, and have been shown to mainly inhibit these two above-mentioned pathways. The gene encoding the IAP survivin has been cloned, and the protein characterized . Survivin is Raf inhibitor thought to be expressed in the G2/M phase of the cell cycle in a cell cycle-regulated manner, and to be associated with microtubule formation of the mitotic spindle[19, 20]. As a member of the IAP family, survivin can block apoptosis triggered by a variety of apoptotic-stimulating factors. It can directly bind to and inhibit caspase-3 and caspase-7, which act at a common downstream part of the two major apoptotic pathways, and its this website overexpression in tumors has been implicated in resistance to a variety of apoptotic stimuli, including chemotherapy[17, 20]. For this reason, the survivin antisense
gene may facilitate both apoptotic pathways. Although survivin has long been considered a potential target for cancer therapy [18, 19, 21–25], the use of antisense cDNA and oligonucleotides to inhibit its expression has only recently been described [26, 27]. Previous studies have shown that reduction of survivin expression achieved by antisense strategies results in apoptotic cell death and sensitization to anticancer drugs in several tumor cell lines [26, 27]. These results suggest that survivin expression 4SC-202 chemical structure is likely important for cell survival or resistance to chemotherapy in carcinomas. CDDP acts in the G2/M phase of the cell cycle. Previous studies have shown that an increase in chemosensitivity is negatively correlated with survivin expression and positively correlated with rates of apoptosis. The results of the study by Kojima et al
are consistent with expression of survivin in the G2/M phase. These observations are consistent with an earlier finding  that interaction between survivin and microtubules of the mitotic spindle apparatus is necessary to prevent a default induction of apoptosis at Cyclic nucleotide phosphodiesterase the G2/M phase of the cell cycle. And it is reported that cisplatin induced caspase-9 activation and apoptosis in cisplatin-sensitive tumors. Moreover, in a combination therapy experiment with CDDP, evidence was obtained that antisense-mediated downregulation of survivin can sensitize tumor cells to chemotherapy in vitro and in vivo . Conclusions The survivin mutant had originally gained attention because it widely and specifically promoted apoptosis and enhanced chemotherapy, and its function and mechanism have been studied in various tumor types [9, 11, 12, 29]. However, there are many aspects of its mechanisms that are still unclear.