School of Life Science and Technology, Harbin Institute of Technology, Harbin, 150001, China.
Guangzhou Municipal and Guangdong Provincial Key Labrotory of Protein Modification and Degradation, State Key Labrotory of Respiratory Disease, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, 510095, China.
Semin Cancer Biol. 2021 Jan;68:105-122. doi: 10.1016/j.semcancer.2019.12.013. Epub 2019 Dec 26.
The ubiquitin-proteasome system (UPS) plays a central role in the degradation of cellular proteins. Targeting protein degradation has been validated as an effective strategy for cancer therapy since 2003. Several components of the UPS have been validated as potential anticancer targets, including 20S proteasomes, 19S proteasome-associated deubiquitinases (DUBs) and ubiquitin ligases (E3s). 20S proteasome inhibitors (such as bortezomib/BTZ and carfilzomib/CFZ) have been approved by the U.S. Food and Drug Administration (FDA) for the treatment of multiple myeloma (MM) and some other liquid tumors. Although survival of MM patients has been improved by the introduction of BTZ-based therapies, these clinical 20S proteasome inhibitors have several limitations, including emergence of resistance in MM patients, neuro-toxicities, and little efficacy in solid tumors. One of strategies to improve the current status of cancer treatment is to repurpose old drugs with UPS-inhibitory properties as new anticancer agents. Old drug reposition represents an attractive drug discovery approach compared to the traditional de novo drug discovery process which is time-consuming and costly. In this review, we summarize status of repurposed inhibitors of various UPS components, including 20S proteasomes, 19S-associated DUBs, and ubiquitin ligase E3s. The original and new mechanisms of action, molecular targets, and potential anticancer activities of these repurposed UPS inhibitors are reviewed, and their new uses including combinational therapies for cancer treatment are discussed.
泛素-蛋白酶体系统(UPS)在细胞蛋白降解中发挥核心作用。自 2003 年以来,靶向蛋白降解已被验证为癌症治疗的有效策略。UPS 的几个组件已被验证为潜在的抗癌靶点,包括 20S 蛋白酶体、19S 蛋白酶体相关去泛素化酶(DUBs)和泛素连接酶(E3s)。20S 蛋白酶体抑制剂(如硼替佐米/BTZ 和卡非佐米/CFZ)已被美国食品和药物管理局(FDA)批准用于治疗多发性骨髓瘤(MM)和一些其他液体肿瘤。尽管 BTZ 为基础的治疗方法的引入改善了 MM 患者的生存率,但这些临床 20S 蛋白酶体抑制剂存在几个局限性,包括 MM 患者出现耐药性、神经毒性和对实体瘤疗效有限。改善癌症治疗现状的策略之一是将具有 UPS 抑制特性的旧药物重新用作新的抗癌药物。与传统的从头药物发现过程相比,旧药再利用代表了一种有吸引力的药物发现方法,因为传统的从头药物发现过程耗时且昂贵。在这篇综述中,我们总结了各种 UPS 成分的再利用抑制剂的现状,包括 20S 蛋白酶体、19S 相关 DUBs 和泛素连接酶 E3s。综述了这些再利用 UPS 抑制剂的原始和新作用机制、分子靶标和潜在的抗癌活性,并讨论了它们的新用途,包括联合治疗癌症。
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