BCL-2 family antagonists for cancer therapy

Guillaume Lessene1, Peter E Czabotar, Peter M Colman

  • 1Institute of Medical Research, 1G Royal Parade, Parkville, Victoria 3050, Australia. glessene@wehi.edu.au

Insights

Targeting pro-survival BCL-2 proteins can induce cancer cell death. This review examines compounds inhibiting BCL-2 interactions and proposes criteria for defining effective BCL-2 antagonists in cancer therapy.

Area of Science:

  • Molecular Biology
  • Cancer Research
  • Drug Discovery

Background:

  • Overexpression of pro-survival BCL-2 proteins is linked to poor cancer prognosis.
  • The BCL-2 family integrates cytotoxic stress signals, making it a viable therapeutic target.
  • Inducing apoptotic cell death is a key strategy in cancer treatment.

Purpose of the Study:

  • To review preclinical and clinical data on compounds targeting the BCL-2 protein family.
  • To identify and define criteria for effective BCL-2 antagonists.
  • To explore the therapeutic potential of inhibiting BCL-2 interactions in cancer.

Main Methods:

  • Literature review of preclinical and clinical studies on BCL-2 inhibiting compounds.
  • Analysis of data on compounds that interfere with BCL-2 family interactions.
  • Development of criteria for classifying BCL-2 protein family antagonists.

Main Results:

  • Several compounds inhibiting the interaction between BCL-2 proteins and the BH3 domain have been identified.
  • Preclinical and clinical data support the potential of these compounds in cancer therapy.
  • Four key criteria for defining BCL-2 protein family antagonists have been proposed.

Conclusions:

  • Targeting the BCL-2 protein family offers a promising strategy for inducing cancer cell apoptosis.
  • The reviewed compounds show potential as novel anti-cancer therapeutics.
  • The proposed criteria will aid in the identification and development of effective BCL-2 antagonists.

Related Concept Videos

Inhibition of Cdk Activity02:34

Inhibition of Cdk Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The Intrinsic Apoptotic Pathway01:31

The Intrinsic Apoptotic Pathway

Internal cellular stress, such as cellular injury or hypoxia, triggers intrinsic apoptosis. The B-cell lymphoma 2 (Bcl-2) family of proteins are the primary regulators of the intrinsic apoptotic pathway. For example, during DNA damage, checkpoint proteins, such as Ataxia Telangiectasia Mutated (ATM protein) and Checkpoints Factor-2 (Chk2) proteins, are activated. These proteins phosphorylate p53 which further activates pro-apoptotic proteins, such as Bax, Bak, PUMA, and Noxa, and inhibits...
Inhibition of CDK Activity02:34

Inhibition of CDK Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...