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. 2021 Apr 14;13(8):1882. doi: 10.3390/cancers13081882

Table 3.

Anti-cancer drugs which target the cytoskeletal proteins to alter or inhibit EMT in cancer therapy. The associated cancers and drugs which are resistant to these cancers are also laid out.

Target Cytoskeletal Proteins Features Functions Anti-Cancer Drugs Function of
Anti-Cancer Drugs
Associated Cancers Drugs Resistant to These Cancers
Vimentin Central intermediate filament (IF) protein of mesenchymal cells Organizer of several critical proteins involved in attachment, migration, and cell signaling Moscatilin
FiVe1
Inhibits EMT and sensitizes anoikis
FiVe1 disrupts mitotic progression
Lung cancer [179,180]
Brest cancer [181]
α-Actinin Cellular protrusions, stress fibers, lamellipodia, microvilli, invadopodia of multiple cell types Crosslinks actin into parallel bundles by forming dimers head to tail Not Available clinically Expression in breast, ovary, pancreas, lung, astrocytoma cancers. [55,215,216,217,218,219,220] Docetaxel, carboplatin, tamoxifen (Ovary and breast) [221,222]
γ-actin Distributed along perinuclear and nearby cytoplasm, suggesting a distribution based on diffusion or restriction to nearby cytoplasm. [223] Regulates cellular morphologies, extending processes, and ruffling edges that reflect cell movement [223] Not Available clinically Acute lymphoblastic leukemia Vinblastine, Desoxyepothilone [224]
Distributes β-actin and form actin-rich retraction fibers during mitosis Paclitaxel Targets the microtubule and causes mitotic arrest and apoptosis Breast cancer [225]
Neuroblastoma Paclitaxel, vinblastine, epothilone [224]
F-actin Formed by the polymerization of G-actin under physiological conditions, with the concomitant hydrolysis of ATP. Cell adhesion, migration, and division Jasplakinolide (Jas) Stimulates actin polymerization but disrupts F-actin fibers Breast and prostate cancer [226,227]
Eplin Stress fibers of multiple cell types Actin filament bundling and side-binding Not Available clinically Downregulation correlates with progression and metastasis in prostate cancer. Potential tumor suppressor in breast cancer [228,229,230]
β-Tubulin polymerize into microtubules, a significant component of the eukaryotic
cytoskeleton
Involved in many essential cellular processes, including mitosis Taxanes (paclitaxel), epothilones, and Vinca alkaloids Binds to β-tubulin and disrupts microtubule dynamics by inducing a potent mitotic block and subsequent cell deathVinca alkaloids inhibit MT polymerization. Breast, ovarian, lung cancer [212]
Acute lymphoblastic leukemia Vincristine, vinblastine and desoxyepothilone B [231,232]
Non-small cell lung cancer Paclitaxel [233]
Cytoskeleton-associated protein 5 (CKAP5) A microtubule-associated protein which is encoded by the CKAP5 gene Regulates microtubule organization, nucleation, elongation, and microtubule dynamics by binding to the plus end of the microtubule. Serves as a cell surface target for T-DM1 T-DM1 Upon forming the T-DM1-CKAP5 complex, cell membrane damage occurs, which leads to calcium influx, disrupting microtubule dynamics causing apoptosis Heptocellular carcinoma [214]