Royal College of Surgeons in Ireland
cells-09-01503-v2 (3).pdf (1.03 MB)
Download file

Top notch targeting strategies in cancer: a detailed overview of recent insights and current perspectives.

Download (1.03 MB)
journal contribution
posted on 2021-02-18, 17:03 authored by Gillian Moore, Stephanie AnnettStephanie Annett, Lana McClements, Tracy RobsonTracy Robson
Evolutionarily conserved Notch plays a critical role in embryonic development and cellular self-renewal. It has both tumour suppressor and oncogenic activity, the latter of which is widely described. Notch-activating mutations are associated with haematological malignancies and several solid tumours including breast, lung and adenoid cystic carcinoma. Moreover, upregulation of Notch receptors and ligands and aberrant Notch signalling is frequently observed in cancer. It is involved in cancer hallmarks including proliferation, survival, migration, angiogenesis, cancer stem cell renewal, metastasis and drug resistance. It is a key component of cell-to-cell interactions between cancer cells and cells of the tumour microenvironment, such as endothelial cells, immune cells and fibroblasts. Notch displays diverse crosstalk with many other oncogenic signalling pathways, and may drive acquired resistance to targeted therapies as well as resistance to standard chemo/radiation therapy. The past 10 years have seen the emergence of different classes of drugs therapeutically targeting Notch including receptor/ligand antibodies, gamma secretase inhibitors (GSI) and most recently, the development of Notch transcription complex inhibitors. It is an exciting time for Notch research with over 70 cancer clinical trials registered and the first-ever Phase III trial of a Notch GSI, nirogacestat, currently at the recruitment stage.



The original article is available at

Published Citation

Moore G, Annett S, McClements L, Robson T. Top notch targeting strategies in cancer: a detailed overview of recent insights and current perspectives. Cells. 2020;9(6):1503.

Publication Date

20 Jun 2020

PubMed ID



  • School of Pharmacy and Biomolecular Sciences

Research Area

  • Vascular Biology
  • Cancer
  • Immunity, Infection and Inflammation




  • Published Version (Version of Record)