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Updated: Aug 13, 2026

Evaluation of Substrate Ubiquitylation by E3 Ubiquitin-ligase in Mammalian Cell Lysates
Published on: May 10, 2022
Targeting the proteasome as a therapeutic strategy against haematological malignancies
Robert Z Orlowski1, Erik L Zeger
1Department of Medicine, Division of Hematology/Oncology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7295, USA. R_Orlowski@med.unc.edu
Abstract:
The ubiquitin-proteasome pathway is responsible for the vast majority of regulated eukaryotic intracellular proteolysis. Inhibition of the proteasome induces beneficial antitumour effects by blocking cell-cycle progression, inducing apoptosis and suppressing angiogenesis. Bortezomib is the first proteasome inhibitor to reach the clinical arena, where Phase I - III trials verified its activity against relapsed/refractory multiple myeloma. Testing is ongoing to determine bortezomib's role in front-line therapy of this plasma cell dyscrasia, as well as in non-Hodgkin's lymphoma, in which encouraging single-agent activity has been seen. Proteasome inhibition is also a rational strategy to overcome chemoresistance and induce chemosensitisation. Combinations of bortezomib and other agents have enhanced efficacy, and additional studies are probing the activity of several regimens in lymphoid and myeloid malignancies. The current state of knowledge about the activity of bortezomib, both alone and in combination with standard chemotherapeutics, as part of the emerging armamentarium against haematological malignancies is reviewed.
Insights
Bortezomib, a proteasome inhibitor, shows anti-cancer effects by blocking cell growth and promoting cell death. Clinical trials confirm its efficacy in multiple myeloma and potential in other blood cancers, alone or combined with chemotherapy.
Area of Science:
- Molecular Biology
- Oncology
- Pharmacology
Background:
- The ubiquitin-proteasome pathway regulates intracellular protein degradation.
- Proteasome inhibition offers anti-tumour effects, including cell-cycle arrest, apoptosis induction, and anti-angiogenesis.
- Bortezomib is the first clinically approved proteasome inhibitor.
Purpose of the Study:
- To review the clinical activity of bortezomib in hematological malignancies.
- To evaluate bortezomib's efficacy as a single agent and in combination therapies.
- To explore bortezomib's role in overcoming chemoresistance.
Main Methods:
- Review of Phase I-III clinical trials data for bortezomib.
- Analysis of bortezomib's efficacy in multiple myeloma and non-Hodgkin's lymphoma.
- Assessment of combination regimens involving bortezomib and standard chemotherapeutics.
Main Results:
- Bortezomib demonstrated verified activity against relapsed/refractory multiple myeloma.
- Encouraging single-agent activity was observed in non-Hodgkin's lymphoma.
- Combination therapies with bortezomib have shown enhanced efficacy in ongoing studies.
Conclusions:
- Bortezomib is an effective treatment for multiple myeloma and shows promise in other hematological malignancies.
- Proteasome inhibition is a key strategy for overcoming chemoresistance and enhancing treatment efficacy.
- Further research is ongoing to establish bortezomib's role in front-line therapy and various combination regimens.
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