Targeting proteasome inhibition in hematologic malignancies

Rev Clin Exp Hematol. 2003 Jun;7(2):191-204.

Abstract

Proteasome inhibitors represent potential novel anti-cancer therapy. These agents inhibit the degradation of multi-ubiquitinated target proteins mediating cell cycle progression, apoptosis, NF-kappa B activation, inflammation, cell cycle regulatory proteins such as cyclins and cyclin dependent kinase inhibitors, as well as immune surveillance; and regulate anti-apoptosis and cell cycle progression. Proteasome inhibitors also directly induce caspase-dependent apoptosis of tumor cells, despite the accumulation of p21 and p27 and irrespective of the p53 wild type or mutant status. Recent studies demonstrate that PS-341, peptide boronate, has remarkable anti-tumor activity in preclinical and clinical studies, not only in multiple myeloma but also in other malignancies.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Apoptosis / drug effects
  • Boronic Acids / pharmacology
  • Boronic Acids / therapeutic use
  • Bortezomib
  • Cell Adhesion / drug effects
  • Cysteine Endopeptidases
  • Cysteine Proteinase Inhibitors / pharmacology*
  • Cysteine Proteinase Inhibitors / therapeutic use
  • Hematologic Neoplasms / drug therapy*
  • Hematologic Neoplasms / enzymology
  • Hematologic Neoplasms / pathology
  • Humans
  • Multienzyme Complexes / antagonists & inhibitors*
  • Neovascularization, Pathologic / drug therapy
  • Proteasome Endopeptidase Complex
  • Pyrazines / pharmacology
  • Pyrazines / therapeutic use

Substances

  • Boronic Acids
  • Cysteine Proteinase Inhibitors
  • Multienzyme Complexes
  • Pyrazines
  • Bortezomib
  • Cysteine Endopeptidases
  • Proteasome Endopeptidase Complex