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Perspective

DICE

A novel tumor surveillance mechanism—a new therapy for cancer?

Pages 1373-1378 | Received 26 Feb 2014, Accepted 26 Mar 2014, Published online: 01 Apr 2014
 

Abstract

The conventional view of CD95 (Fas/APO-1) is that it is a dedicated apoptosis-inducing receptor with important functions in immune cell homeostasis and in viral and tumor defense. There is an emerging recognition, however, that CD95 also has multiple non-apoptotic activities. In the context of cancer, CD95 was shown to have tumor-promoting activities, and the concept of this new function of CD95 in cancer is gaining traction. Recently, we showed that not only is CD95 a growth promoter for cancer cells, but, paradoxically, when either CD95 or CD95 ligand (CD95L) is removed, that virtually all cancer cells die through a process we have named DICE (death induced by CD95R/L elimination). In this perspective, I outline a hypothesis regarding the physiological function of DICE, and why it may be possible to use induction of DICE to treat many, if not most, cancers.

Disclosure of Potential Conflicts of Interest

No potential conflicts of interest were disclosed.

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