BH3-Mimetic Drugs: Blazing the Trail for New Cancer Medicines

Delphine Merino1, Gemma L Kelly2, Guillaume Lessene3

  • 1The Walter and Eliza Hall Institute of Medical Research, Parkville, VIC 3052, Australia; Olivia Newton-John Cancer Research Institute, Heidelberg, VIC 3084, Australia; School of Cancer Medicine, La Trobe University, Melbourne, VIC 3086, Australia; Department of Medical Biology, The University of Melbourne, Parkville, VIC 3010, Australia.

Cancer Cell
|December 12, 2018
PubMed

Insights

Cancer cells evade cell death through defects in apoptosis, often by manipulating BCL-2 proteins. Small-molecule drugs targeting these proteins offer a promising strategy for cancer therapy.

Area of Science:

  • Molecular Biology
  • Oncology
  • Drug Discovery

Background:

  • Defects in programmed cell death (apoptosis) contribute to cancer development and treatment resistance.
  • Pro-survival BCL-2 proteins inhibit apoptosis by sequestering BAX and BAK.
  • BH3-only proteins are key initiators of apoptosis, counteracting pro-survival BCL-2 proteins.

Purpose of the Study:

  • To explore the development of small-molecule drugs targeting BCL-2 proteins for cancer treatment.
  • To investigate strategies for overcoming apoptosis resistance in malignant cells.

Main Methods:

  • Utilizing structural analysis and medicinal chemistry to design BH3-mimetic drugs.
  • Evaluating the efficacy of BCL-2 inhibitors in preclinical and clinical settings.

Main Results:

  • Small-molecule drugs mimicking BH3-only proteins can induce cancer cell death.
  • The BCL-2 inhibitor venetoclax is approved for chronic lymphocytic leukemia.
  • Ongoing trials are testing BCL-2, MCL-1, and BCL-XL inhibitors in various cancers.

Conclusions:

  • Targeting pro-survival BCL-2 family proteins is a viable therapeutic strategy in oncology.
  • BH3-mimetic drugs represent a significant advancement in cancer treatment, particularly for resistant malignancies.

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