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BET和EZH2抑制剂:靶向癌症的新方法。

BET and EZH2 Inhibitors: Novel Approaches for Targeting Cancer.

作者信息

Genta Sofia, Pirosa Maria Cristina, Stathis Anastasios

机构信息

Medical Oncology, Oncology Institute of Southern Switzerland, Ospedale San Giovanni, 6500, Bellinzona, Switzerland.

出版信息

Curr Oncol Rep. 2019 Feb 4;21(2):13. doi: 10.1007/s11912-019-0762-x.

DOI:10.1007/s11912-019-0762-x
PMID:30715616
Abstract

PURPOSE OF REVIEW

Increasing evidence suggests that epigenome plays a central role in cancer development making it a promising target for anticancer treatments. Here, we review two new classes of epigenome-targeting agents: the bromodomain and extraterminal domain proteins (BET) inhibitors and the enhancer of zeste homolog (EZH2) inhibitors.

RECENT FINDINGS

Clinical research evaluating BET and EZH2 inhibitors is still at an early stage; however, both classes of drugs have demonstrated activity among different hematologic malignancies and solid tumors. Several studies on BETi and EZH2i are ongoing to better define their potential role in cancer treatment, which patients are most likely to benefit and if the association with other drugs can improve their efficacy.

摘要

综述目的

越来越多的证据表明表观基因组在癌症发展中起核心作用,使其成为抗癌治疗的一个有前景的靶点。在此,我们综述两类新型的表观基因组靶向药物:溴结构域和额外末端结构域蛋白(BET)抑制剂以及zeste同源增强子(EZH2)抑制剂。

最新发现

评估BET和EZH2抑制剂的临床研究仍处于早期阶段;然而,这两类药物在不同血液系统恶性肿瘤和实体瘤中均已显示出活性。关于BETi和EZH2i的多项研究正在进行中,以更好地确定它们在癌症治疗中的潜在作用、哪些患者最可能从中获益以及与其他药物联合使用是否能提高其疗效。

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BET and EZH2 Inhibitors: Novel Approaches for Targeting Cancer.BET和EZH2抑制剂:靶向癌症的新方法。
Curr Oncol Rep. 2019 Feb 4;21(2):13. doi: 10.1007/s11912-019-0762-x.
2
Finding an easy way to harmonize: a review of advances in clinical research and combination strategies of EZH2 inhibitors.寻找一种简便的方法来协调:EZH2 抑制剂的临床研究进展和联合策略综述。
Clin Epigenetics. 2021 Mar 24;13(1):62. doi: 10.1186/s13148-021-01045-1.
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Enhancer of zeste homolog 2 (EZH2) inhibitors.zeste 同源物 2(EZH2)抑制剂
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BET inhibitors: a novel epigenetic approach.BET 抑制剂:一种新的表观遗传方法。
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Dysregulation of iron homeostasis by TfR-1 renders EZH2 wild type diffuse large B-cell lymphoma resistance to EZH2 inhibition.

本文引用的文献

1
Emerging EZH2 Inhibitors and Their Application in Lymphoma.新型EZH2抑制剂及其在淋巴瘤中的应用
Curr Hematol Malig Rep. 2018 Oct;13(5):369-382. doi: 10.1007/s11899-018-0466-6.
2
Tazemetostat, an EZH2 inhibitor, in relapsed or refractory B-cell non-Hodgkin lymphoma and advanced solid tumours: a first-in-human, open-label, phase 1 study.他泽莫司他,一种 EZH2 抑制剂,用于治疗复发/难治性 B 细胞非霍奇金淋巴瘤和晚期实体瘤:一项首次人体、开放标签、I 期研究。
Lancet Oncol. 2018 May;19(5):649-659. doi: 10.1016/S1470-2045(18)30145-1. Epub 2018 Apr 9.
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Enhancer of zeste homolog 2 (EZH2) inhibitors.
TfR-1 导致铁稳态失调使 EZH2 野生型弥漫性大 B 细胞淋巴瘤对 EZH2 抑制产生耐药性。
Acta Pharmacol Sin. 2023 Oct;44(10):2113-2124. doi: 10.1038/s41401-023-01097-4. Epub 2023 May 25.
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Regulation of CCL2 by EZH2 affects tumor-associated macrophages polarization and infiltration in breast cancer.EZH2 对 CCL2 的调控影响乳腺癌中肿瘤相关巨噬细胞的极化和浸润。
Cell Death Dis. 2022 Aug 29;13(8):748. doi: 10.1038/s41419-022-05169-x.
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MYC inhibitors in multiple myeloma.多发性骨髓瘤中的MYC抑制剂
Cancer Drug Resist. 2021 Aug 13;4(4):842-865. doi: 10.20517/cdr.2021.55. eCollection 2021.
6
Exploring Methods of Targeting Histone Methyltransferases and Their Applications in Cancer Therapeutics.探讨靶向组蛋白甲基转移酶的方法及其在癌症治疗中的应用。
ACS Chem Biol. 2022 Apr 15;17(4):744-755. doi: 10.1021/acschembio.2c00062. Epub 2022 Apr 1.
7
A phase 1b dose-escalation/expansion study of BET inhibitor RO6870810 in patients with advanced multiple myeloma.BET抑制剂RO6870810用于晚期多发性骨髓瘤患者的1b期剂量递增/扩展研究。
Blood Cancer J. 2021 Sep 3;11(9):149. doi: 10.1038/s41408-021-00545-w.
8
Bromodomain Inhibition Attenuates the Progression and Sensitizes the Chemosensitivity of Osteosarcoma by Repressing GP130/STAT3 Signaling.溴结构域抑制通过抑制GP130/STAT3信号通路减弱骨肉瘤进展并增强其化疗敏感性。
Front Oncol. 2021 Jun 8;11:642134. doi: 10.3389/fonc.2021.642134. eCollection 2021.
9
Inhibitors of bromodomain and extra-terminal proteins for treating multiple human diseases.溴结构域和末端外结构域蛋白抑制剂治疗多种人类疾病。
Med Res Rev. 2021 Jan;41(1):223-245. doi: 10.1002/med.21730. Epub 2020 Sep 14.
10
Chromatin regulators in retinoblastoma: Biological roles and therapeutic applications.视网膜母细胞瘤中的染色质调控因子:生物学作用和治疗应用。
J Cell Physiol. 2021 Apr;236(4):2318-2332. doi: 10.1002/jcp.30022. Epub 2020 Aug 25.
zeste 同源物 2(EZH2)抑制剂
Leuk Lymphoma. 2018 Jul;59(7):1574-1585. doi: 10.1080/10428194.2018.1430795. Epub 2018 Feb 23.
4
BET Proteins as Targets for Anticancer Treatment.BET 蛋白作为抗癌治疗的靶点。
Cancer Discov. 2018 Jan;8(1):24-36. doi: 10.1158/2159-8290.CD-17-0605. Epub 2017 Dec 20.
5
Novel approaches to targeting BRD4.靶向BRD4的新方法。
Drug Discov Today Technol. 2017 Jun;24:19-24. doi: 10.1016/j.ddtec.2017.10.003. Epub 2017 Oct 28.
6
Targeting the cancer epigenome: synergistic therapy with bromodomain inhibitors.靶向癌症表观基因组:溴结构域抑制剂的协同治疗。
Drug Discov Today. 2018 Jan;23(1):76-89. doi: 10.1016/j.drudis.2017.09.011. Epub 2017 Sep 22.
7
EZH2 inhibitors: a patent review (2014-2016).EZH2抑制剂:专利综述(2014 - 2016年)
Expert Opin Ther Pat. 2017 Jul;27(7):797-813. doi: 10.1080/13543776.2017.1316976. Epub 2017 Apr 20.
8
BET Bromodomain Inhibition Promotes Anti-tumor Immunity by Suppressing PD-L1 Expression.BET结构域抑制通过抑制PD-L1表达促进抗肿瘤免疫。
Cell Rep. 2016 Sep 13;16(11):2829-2837. doi: 10.1016/j.celrep.2016.08.032.
9
Bromodomain inhibitor OTX015 in patients with lymphoma or multiple myeloma: a dose-escalation, open-label, pharmacokinetic, phase 1 study.溴结构域抑制剂OTX015用于淋巴瘤或多发性骨髓瘤患者:一项剂量递增、开放标签、药代动力学1期研究。
Lancet Haematol. 2016 Apr;3(4):e196-204. doi: 10.1016/S2352-3026(16)00021-1. Epub 2016 Mar 18.
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Bromodomain inhibitor OTX015 in patients with acute leukaemia: a dose-escalation, phase 1 study.急性白血病患者使用溴结构域抑制剂OTX015:剂量递增的1期研究。
Lancet Haematol. 2016 Apr;3(4):e186-95. doi: 10.1016/S2352-3026(15)00247-1. Epub 2016 Mar 18.