Targeting NEDD8-activated cullin-RING ligases for the treatment of cancer

Teresa A Soucy1, Peter G Smith, Mark Rolfe

  • 1Discovery, Millennium Pharmaceuticals, Inc, Cambridge, Massachusetts 02139, USA. teresa.soucy@mpi.com

Insights

Targeting NEDD8-activating enzyme (NAE) offers a novel strategy against cancer by inhibiting cullin-RING ubiquitin E3 ligases (CRLs). A first-in-class NAE inhibitor is in clinical trials for various cancers.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • E3 ubiquitin ligases are crucial regulators of cellular processes and cancer cell survival.
  • The ubiquitin-proteasome system is a validated therapeutic target, as demonstrated by bortezomib.
  • Cullin-RING ubiquitin E3 ligases (CRLs) are the largest subfamily of E3s, essential for cancer cell function.

Purpose of the Study:

  • To explore the role of the NEDD8 pathway in activating CRLs.
  • To discuss preclinical findings of a novel NEDD8-activating enzyme (NAE) inhibitor.
  • To evaluate the potential clinical utility of NAE inhibitors in cancer treatment.

Main Methods:

  • Investigated the mechanism of CRL activation via NEDD8 modification.
  • Reviewed preclinical data of a first-in-class NAE inhibitor.
  • Analyzed the role of NAE in the context of cancer cell survival.

Main Results:

  • NAE catalyzes the initial step in the NEDD8 pathway, controlling CRL activity.
  • A first-in-class NAE inhibitor has shown promise in preclinical studies.
  • This NAE inhibitor is currently undergoing Phase I clinical trials for solid and hematological malignancies.

Conclusions:

  • Targeting NAE presents a "Achilles heel" for modulating the CRL subfamily.
  • NAE inhibitors represent a promising therapeutic strategy for various cancer types.
  • Further clinical investigation is warranted to establish the efficacy of NAE inhibitors.

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