Overview of role of survivin in cancer: expression, regulation, functions, and its potential as a therapeutic target

J Drug Target. 2024 Dec;32(3):223-240. doi: 10.1080/1061186X.2024.2309563. Epub 2024 Feb 1.

Abstract

Survivin holds significant importance as a member of the inhibitor of apoptosis protein (IAP) family due to its predominant expression in tumours rather than normal terminally differentiated adult tissues. The high expression level of survivin in tumours is closely linked to chemotherapy resistance, heightened tumour recurrence, and increased tumour aggressiveness and serves as a negative prognostic factor for cancer patients. Consequently, survivin has emerged as a promising therapeutic target for cancer treatment. In this review, we delve into the various biological characteristics of survivin in cancers and its pivotal role in maintaining immune system homeostasis. Additionally, we explore different therapeutic strategies aimed at targeting survivin.

Keywords: IAP; Survivin; T cell development; apoptosis; cancer; mitosis.

Publication types

  • Review

MeSH terms

  • Adult
  • Apoptosis
  • Humans
  • Inhibitor of Apoptosis Proteins / genetics
  • Inhibitor of Apoptosis Proteins / metabolism
  • Inhibitor of Apoptosis Proteins / therapeutic use
  • Microtubule-Associated Proteins / physiology
  • Microtubule-Associated Proteins / therapeutic use
  • Neoplasms* / drug therapy
  • Survivin / therapeutic use

Substances

  • Survivin
  • Inhibitor of Apoptosis Proteins
  • Microtubule-Associated Proteins