Bortezomib-resistant mutant proteasomes: structural and biochemical evaluation with carfilzomib and ONX 0914

Eva M Huber1, Wolfgang Heinemeyer1, Michael Groll1

  • 1Center for Integrated Protein Science at the Department Chemie, Lehrstuhl für Biochemie, Technische Universität München, Lichtenbergstraße 4, 85747 Garching, Germany.

Insights

Proteasome mutations conferring resistance to bortezomib and other inhibitors were systematically studied. These mutations decrease cell proliferation and proteolytic activity, impacting cancer therapy efficacy.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Structural Biology

Background:

  • Bortezomib (Velcade) is a proteasome inhibitor used in blood cancer therapy.
  • Emerging drug resistance, often due to mutations in the proteasome's β5-subunit, limits therapeutic efficacy.
  • Understanding these resistance mechanisms is crucial for developing more effective treatments.

Purpose of the Study:

  • To systematically evaluate the impact of specific mutations in the proteasome's β5-subunit on drug resistance.
  • To elucidate the molecular mechanisms underlying resistance to proteasome inhibitors.
  • To assess the efficacy of different proteasome inhibitors against mutated proteasomes.

Main Methods:

  • Cell growth analysis of yeast mutants.
  • Proteasome inhibition assays.
  • X-ray crystallography of proteasome mutants and drug complexes.

Main Results:

  • Eleven examined β5-subunit mutants showed decreased proliferation and impaired proteolytic activity.
  • Mutants exhibited resistance to bortezomib, carfilzomib (Kyprolis), and ONX 0914.
  • Carfilzomib demonstrated the least impact among the tested inhibitors.
  • 49 proteasome X-ray structures revealed three molecular mechanisms hindering drug binding and substrate turnover.

Conclusions:

  • Proteasome mutations can confer resistance to multiple inhibitors by affecting drug binding and substrate processing.
  • These resistance mechanisms allow cell survival despite impaired proteasome function.
  • Structural insights provide a basis for designing next-generation proteasome inhibitors that overcome resistance.