Exploiting the ubiquitin system in myeloid malignancies. From basic research to drug discovery in MDS and AML

Rares Drula1, Sabina Iluta2, Diana Gulei1

  • 1Research Center for Advanced Medicine - MedFUTURE, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj Napoca, Romania.

Blood Reviews
|May 20, 2022
PubMed

Insights

Targeting the ubiquitin-proteasome system offers new cancer therapies. Strategies include inhibiting deubiquitinating enzymes or using targeted protein degraders for hematological malignancies.

Area of Science:

  • Biochemistry
  • Oncology
  • Pharmacology

Background:

  • The ubiquitin-proteasome system (UPS) regulates protein homeostasis, and its dysregulation is linked to cancer development.
  • Altered UPS function can lead to oncogene accumulation or tumor suppressor loss, driving malignant processes.
  • Hematological malignancies have seen success with UPS-targeting drugs like bortezomib.

Purpose of the Study:

  • To review therapeutic strategies targeting the ubiquitin-proteasome system for hematological malignancies.
  • To explore the potential of modulating deubiquitinating enzymes and developing targeted protein degraders.
  • To discuss the clinical progress of novel UPS-based therapeutic approaches.

Main Methods:

  • Review of current literature on ubiquitin-proteasome system research in oncology.
  • Analysis of therapeutic strategies involving deubiquitinating enzyme inhibitors.
  • Examination of proteolysis-targeting chimera (PROTAC) systems and thalidomide derivatives.
  • Assessment of clinical trial data for novel protein degradation molecules.

Main Results:

  • The UPS is a validated target in hematological cancers, with existing therapies like bortezomib.
  • Inhibiting deubiquitinating enzymes and developing PROTACs are promising avenues for modulating ubiquitination.
  • Thalidomide derivatives have spurred the development of targeted protein degraders for leukemia.
  • Novel targeted protein degraders show potential in overcoming resistance to current treatments.

Conclusions:

  • The ubiquitin-proteasome system presents significant therapeutic opportunities in hematological malignancies.
  • Targeted protein degradation represents a rapidly advancing field with potential for refractory diseases.
  • Further clinical investigation of UPS-modulating agents and targeted degraders is warranted.