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Targeting cullin-RING ligases for cancer treatment: rationales, advances and therapeutic implications
1School of Life Science and Technology, Harbin Normal University, Harbin, 150025, People's Republic of China. shuju1965@gmail.com.
Abstract:
New therapeutic intervention strategies for the treatment of human malignancies are always desired. Approval of bortezomib as a front-line treatment for multiple myeloma highlighted the significance of ubiquitin-proteasome system (UPS) as a promising therapeutic target. However, due to the broad impact of proteasome inhibition, deleterious side effects have been reported with bortezomib treatment. Cullin RING ligases (CRLs)-mediated ubiquitin conjugation process is responsible for the ubiquitin conjugation of 20 % cellular proteins that are designated for degradation through the UPS, most of them are critical proteins involved in cell cycle progression, signaling transduction and apoptosis. Studies have depicted the upstream NEDDylation pathway that controls the CRL activity by regulating the conjugation of an ubiquitin-like-protein NEDD8 to the cullin protein in the complex. A specific pharmaceutical inhibitor of NEDD8 activating enzyme (NAE; E1) MLN4924 was recently developed and has been promoted to Phase I clinical trials for the treatment of several human malignancies. This article summarizes the most recent understanding about the process of NEDD8 conjugation, its relevance for cancer therapy and molecular mechanisms responsible for the potent anti-tumor activity of MLN4924.
Insights
Targeting the ubiquitin-proteasome system (UPS) offers cancer therapy potential. MLN4924, a novel inhibitor of NEDD8 activating enzyme (NAE), shows promise in treating malignancies by disrupting Cullin RING ligase activity.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- The ubiquitin-proteasome system (UPS) is a crucial regulator of cellular protein degradation.
- Bortezomib's success in multiple myeloma highlights the UPS as a therapeutic target, but side effects are a concern.
- Cullin RING ligases (CRLs) mediate ubiquitination of a significant portion of cellular proteins targeted by the UPS.
Purpose of the Study:
- To review the role of NEDDylation in controlling CRL activity.
- To summarize the anti-tumor mechanisms of MLN4924, a NEDD8 activating enzyme (NAE) inhibitor.
- To discuss the therapeutic potential of targeting the NEDDylation pathway in human malignancies.
Main Methods:
- Review of recent scientific literature on NEDDylation, CRLs, and MLN4924.
- Analysis of molecular mechanisms underlying MLN4924's anti-cancer effects.
- Summary of clinical trial data for MLN4924 in various cancers.
Main Results:
- NEDDylation is a key regulatory step controlling CRL activity.
- MLN4924 effectively inhibits NAE, leading to decreased CRL activity.
- MLN4924 demonstrates potent anti-tumor activity in preclinical and early clinical studies.
Conclusions:
- Targeting the NEDDylation pathway with inhibitors like MLN4924 represents a promising new strategy for cancer therapy.
- MLN4924's specific mechanism offers a potential alternative to broader proteasome inhibitors, possibly with a different side effect profile.
- Further clinical development of MLN4924 is warranted for various human malignancies.
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