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靶向癌症中不可成药的MYC:使用XPO1抑制剂的原理

Targeting the undruggable MYC in cancer: the rationale of using XPO1 inhibitors.

作者信息

Benetatos Leonidas, Hatzimichael Eleftheria, Kapsali Eleni

机构信息

Department of Hematology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, 45500, Greece.

出版信息

Mol Biol Rep. 2025 Apr 11;52(1):386. doi: 10.1007/s11033-025-10497-0.

DOI:10.1007/s11033-025-10497-0
PMID:40214838
Abstract

MYC is an important transcription factor involved in physiological processes such as cell growth, proliferation and differentiation. However, aberrant MYC expression has oncogenic-driving potential and is observed in the majority of human cancers. XPO1 is a member of the exportin family of proteins which regulate protein and RNA export from the nucleus to the cytoplasm. XPO1 is aberrantly expressed in cancer, especially with the advancing of the disease. XPO1 inhibition is able to decrease MYC levels through various pathways leading to decreased cancer cell viability. These pathways include other undruggable targets such as p53 and KRAS, DNA damage repair proteins, immune response mediators including IκB, and other transcription factors such as eIF4E. Herein, we describe the potential pathways and mechanisms through which XPO1 inhibition promotes MYC downregulation and subsequent downregulation of its targets. We also describe possible drug combinations with potential clinical applications.

摘要

MYC是一种重要的转录因子,参与细胞生长、增殖和分化等生理过程。然而,MYC的异常表达具有致癌驱动潜力,在大多数人类癌症中都有观察到。XPO1是蛋白质输出蛋白家族的成员,该家族调节蛋白质和RNA从细胞核到细胞质的输出。XPO1在癌症中异常表达,尤其是随着疾病的进展。抑制XPO1能够通过各种途径降低MYC水平,从而导致癌细胞活力下降。这些途径包括其他难以成药的靶点,如p53和KRAS、DNA损伤修复蛋白、包括IκB在内的免疫反应介质,以及其他转录因子,如eIF4E。在此,我们描述了抑制XPO1促进MYC下调及其后续靶点下调的潜在途径和机制。我们还描述了可能具有潜在临床应用的药物组合。

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本文引用的文献

1
A common druggable signature of oncogenic c-Myc, mutant KRAS and mutant p53 reveals functional redundancy and competition among oncogenes in cancer.致癌基因 c-Myc、突变型 KRAS 和突变型 p53 的常见可药物靶标签名揭示了癌症中致癌基因之间的功能冗余和竞争。
Cell Death Dis. 2024 Aug 31;15(8):638. doi: 10.1038/s41419-024-06965-3.
2
CDK4/6 inhibition augments anti-tumor efficacy of XPO1 inhibitor selinexor in natural killer/T-cell lymphoma.CDK4/6 抑制增强了 XPO1 抑制剂 selinexor 在自然杀伤/T 细胞淋巴瘤中的抗肿瘤疗效。
Cancer Lett. 2024 Aug 10;597:217080. doi: 10.1016/j.canlet.2024.217080. Epub 2024 Jun 20.
3
Notch signaling pathway in cancer: from mechanistic insights to targeted therapies.
Notch 信号通路与癌症:从机制研究到靶向治疗。
Signal Transduct Target Ther. 2024 May 27;9(1):128. doi: 10.1038/s41392-024-01828-x.
4
Defeating MYC with drug combinations or dual-targeting drugs.用药物组合或双靶药物攻克 MYC。
Trends Pharmacol Sci. 2024 Jun;45(6):490-502. doi: 10.1016/j.tips.2024.04.008. Epub 2024 May 22.
5
Nuclear to cytoplasmic transport is a druggable dependency in MYC-driven hepatocellular carcinoma.核质转运是 MYC 驱动的肝细胞癌的可靶向依赖性。
Nat Commun. 2024 Feb 1;15(1):963. doi: 10.1038/s41467-024-45128-y.
6
Enhanced reactivation disrupts transcriptional program and overcomes venetoclax resistance in acute myeloid leukemias.增强的再激活会破坏转录程序,并克服急性髓系白血病中 Venetoclax 的耐药性。
Sci Adv. 2023 Dec;9(48):eadh1436. doi: 10.1126/sciadv.adh1436. Epub 2023 Nov 29.
7
Nuclear transport proteins: structure, function, and disease relevance.核转运蛋白:结构、功能与疾病相关性
Signal Transduct Target Ther. 2023 Nov 10;8(1):425. doi: 10.1038/s41392-023-01649-4.
8
The synergy of the XPO1 inhibitors combined with the BET inhibitor INCB057643 in high-grade B-cell lymphoma via downregulation of MYC expression.XPO1 抑制剂与 BET 抑制剂 INCB057643 通过下调 MYC 表达对高级别 B 细胞淋巴瘤的协同作用。
Sci Rep. 2023 Oct 29;13(1):18554. doi: 10.1038/s41598-023-45721-z.
9
XPO1 Enables Adaptive Regulation of mRNA Export Required for Genotoxic Stress Tolerance in Cancer Cells.XPO1 促进 mRNA 输出的适应性调节,从而增强癌细胞的耐基因毒性应激能力。
Cancer Res. 2024 Jan 2;84(1):101-117. doi: 10.1158/0008-5472.CAN-23-1992.
10
Therapeutic targeting of nuclear export and import receptors in cancer and their potential in combination chemotherapy.治疗性靶向核输出和进口受体在癌症及其在联合化疗中的潜力。
IUBMB Life. 2024 Jan;76(1):4-25. doi: 10.1002/iub.2773. Epub 2023 Aug 25.