Molecular Diagnosis & Therapy

, Volume 17, Issue 6, pp 331–342 | Cite as

Monitoring Survivin Expression in Cancer: Implications for Prognosis and Therapy

  • Rodrigo Santa Cruz Guindalini
  • Maria Cecília Mathias Machado
  • Bernardo Garicochea
Review Article


Survivin, a member of the inhibitor of apoptosis protein family, is one of the most cancer-specific proteins identified to date. Survivin expression is low or undetectable in most adult tissues, but, alternatively, is overexpressed in a large number of tumors. This multifunctional protein is recognized as a key regulator in apoptosis, proliferation and angiogenesis in the tumor environment. Several studies have shown a correlation between survivin upregulation and poor cancer prognosis, and, as expected, its downregulation or inactivation leads to inhibition of tumor growth. Therefore, survivin has attracted increasing attention both as a potential cancer biomarker and as a new target for anticancer therapies. This review summarizes and discusses survivin expression and its potential as a prognostic and diagnostic biomarker in different types of tumors, as well as provides an overview of the current therapeutic challenges of targeting survivin as a treatment strategy.


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Copyright information

© Springer International Publishing Switzerland 2013

Authors and Affiliations

  • Rodrigo Santa Cruz Guindalini
    • 1
  • Maria Cecília Mathias Machado
    • 2
  • Bernardo Garicochea
    • 3
  1. 1.Instituto do Câncer do Estado de São PauloFaculdade de Medicina da Universidade de São PauloSão PauloBrazil
  2. 2.Escola Bahiana de Medicina e Saúde PúblicaBahiaBrazil
  3. 3.Centro de Oncologia e Instituto de Pesquisa e Ensino, Hospital Sírio LibanêsSão PauloBrazil

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