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Updated: Aug 30, 2025

Pre-clinical Evaluation of Tyrosine Kinase Inhibitors for Treatment of Acute Leukemia
Published on: September 18, 2013
Myeloid cell leukemia-1: a formidable barrier to anticancer therapeutics and the quest of targeting it
Prasad Sulkshane1, Tanuja Teni2,3
1Glickman Laboratory, Faculty of Biology, Technion-Israel Institute of Technology, Haifa 3200003, Israel.
Abstract:
The antiapoptotic B cell lymphoma-2 (Bcl-2) family members are apical regulators of the intrinsic pathway of apoptosis that orchestrate mitochondrial outer membrane permeabilization (MOMP) through interactions with their proapoptotic counterparts. Overexpression of antiapoptotic Bcl-2 family proteins has been linked to therapy resistance and poor prognosis in diverse cancers. Among the antiapoptotic Bcl-2 family members, predominant overexpression of the prosurvival myeloid cell leukemia-1 (Mcl-1) has been reported in a myriad of hematological malignancies and solid tumors, contributing to therapy resistance and poor outcomes, thus making it a potential druggable target. The unique structure of Mcl-1 and its complex regulatory mechanism makes it an adaptive prosurvival switch that ensures tumor cell survival despite therapeutic intervention. This review focusses on diverse mechanisms adopted by tumor cells to maintain sustained elevated levels of Mcl-1 and how high Mcl-1 levels contribute to resistance in conventional as well as targeted therapies. Moreover, recent developments in the Mcl-1-targeted therapeutics and the underlying challenges and considerations in designing novel Mcl-1 inhibitors are also discussed.
Insights
Myeloid cell leukemia-1 (Mcl-1) overexpression drives cancer therapy resistance. This review explores Mcl-1
Area of Science:
- Molecular Biology
- Oncology
- Biochemistry
Background:
- The BCL-2 family regulates apoptosis, crucial for cell survival and death.
- Overexpression of antiapoptotic BCL-2 members, particularly Mcl-1, is common in cancers.
- Elevated Mcl-1 levels correlate with therapeutic resistance and poor patient prognosis.
Purpose of the Study:
- To review mechanisms of Mcl-1 upregulation in tumors.
- To examine Mcl-1's role in resistance to conventional and targeted therapies.
- To discuss current and future Mcl-1-targeted therapeutic strategies.
Main Methods:
- Literature review of studies on Mcl-1 regulation and function.
- Analysis of data linking Mcl-1 expression to cancer therapy outcomes.
- Synthesis of information on Mcl-1 inhibitor development.
Main Results:
- Tumor cells employ diverse strategies to sustain high Mcl-1 levels.
- High Mcl-1 expression confers resistance to various cancer treatments.
- Mcl-1 is a validated therapeutic target in hematological malignancies and solid tumors.
Conclusions:
- Targeting Mcl-1 is a promising strategy to overcome cancer therapy resistance.
- Developing effective and selective Mcl-1 inhibitors presents challenges.
- Further research is needed to optimize Mcl-1-targeted therapies for improved patient outcomes.
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