Yan Jingxue, Zhuang Lili, Wang Yong, Jiang Yiqing, Tu Zhenlin, Dong Chao, Chen Yadong, Zhu Yong
School of Science, China Pharmaceutical University, Nanjing, P.R. China.
Expert Opin Ther Pat. 2022 Dec;32(12):1217-1244. doi: 10.1080/13543776.2022.2166827. Epub 2023 Jan 19.
DNA damage repair in most malignancies with mutation of p53 is more dependent on the G2/M checkpoint. Wee1 kinase is a key regulator of the G2/M checkpoint. If Wee1 is inhibited, it results in cells with unrepaired DNA damage entering mitosis prematurely, leading to mitotic catastrophe and subsequent cell death via the apoptotic program. Therefore, inhibition of Wee1 kinase which overexpressed in several cancer cell lines has emerged as a promising therapy for cancer treatment.
This review summarizes for the first time the structures of small-molecule inhibitors of Wee1 reported in patents published from 2003 to 2022 and the recent clinical developments. It also provides perspectives on the challenges and the future directions. We used different methods to search different databases (PubMed, Reaxys, clinicaltrials.gov)for the literature we needed.
Although the small-molecule inhibitors of Wee1, Adavosertib, and ZN-C3 have entered the clinical phase II, the clinical toxicity exhibited by Adavosertib remains the subject of greater concern. The use of Wee1 inhibitors as monotherapy or in combination therapy remains the main trend in Wee1 inhibitors at present.
在大多数p53发生突变的恶性肿瘤中,DNA损伤修复更依赖于G2/M检查点。Wee1激酶是G2/M检查点的关键调节因子。如果抑制Wee1,会导致DNA损伤未修复的细胞过早进入有丝分裂,引发有丝分裂灾难,并随后通过凋亡程序导致细胞死亡。因此,抑制在多种癌细胞系中过表达的Wee1激酶已成为一种有前景的癌症治疗方法。
本综述首次总结了2003年至2022年公布的专利中报道的Wee1小分子抑制剂的结构以及近期的临床进展。它还对挑战和未来方向提供了观点。我们使用不同方法在不同数据库(PubMed、Reaxys、clinicaltrials.gov)中搜索我们所需的文献。
尽管Wee1小分子抑制剂阿伐替尼和ZN-C3已进入临床II期,但阿伐替尼表现出的临床毒性仍是更受关注的问题。目前,将Wee1抑制剂作为单一疗法或联合疗法使用仍是Wee1抑制剂的主要趋势。