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Updated: Jul 15, 2025

Myeloid Innate Signaling Pathway Regulation by MALT1 Paracaspase Activity
Published on: January 7, 2019
Targeting MCL-1 triggers DNA damage and an anti-proliferative response independent from apoptosis induction
Utsarga Adhikary1, Joao A Paulo2, Marina Godes1
1Department of Pediatric Oncology and Linde Program in Cancer Chemical Biology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Abstract:
MCL-1 is a high-priority target due to its dominant role in the pathogenesis and chemoresistance of cancer, yet clinical trials of MCL-1 inhibitors are revealing toxic side effects. MCL-1 biology is complex, extending beyond apoptotic regulation and confounded by its multiple isoforms, its domains of unresolved structure and function, and challenges in distinguishing noncanonical activities from the apoptotic response. We find that, in the presence or absence of an intact mitochondrial apoptotic pathway, genetic deletion or pharmacologic targeting of MCL-1 induces DNA damage and retards cell proliferation. Indeed, the cancer cell susceptibility profile of MCL-1 inhibitors better matches that of anti-proliferative than pro-apoptotic drugs, expanding their potential therapeutic applications, including synergistic combinations, but heightening therapeutic window concerns. Proteomic profiling provides a resource for mechanistic dissection and reveals the minichromosome maintenance DNA helicase as an interacting nuclear protein complex that links MCL-1 to the regulation of DNA integrity and cell-cycle progression.
Insights
Targeting MCL-1, crucial in cancer pathogenesis and chemoresistance, induces DNA damage and slows proliferation, independent of apoptosis. This expands therapeutic potential but raises concerns about the therapeutic window.
Area of Science:
- Molecular Biology
- Cancer Biology
- Drug Discovery
Background:
- Myeloid cell leukemia 1 (MCL-1) is a key factor in cancer development and chemoresistance.
- Clinical use of MCL-1 inhibitors is limited by toxic side effects.
- MCL-1's complex biology involves multiple isoforms and poorly understood non-apoptotic functions.
Purpose of the Study:
- To investigate the non-apoptotic roles of MCL-1 in cancer cells.
- To explore the therapeutic potential and limitations of MCL-1 inhibition beyond apoptosis.
- To identify novel interacting partners of MCL-1 involved in DNA integrity.
Main Methods:
- Genetic deletion and pharmacologic inhibition of MCL-1.
- Assessment of DNA damage and cell proliferation.
- Proteomic profiling to identify interacting protein complexes.
Main Results:
- MCL-1 targeting induces DNA damage and retards cell proliferation, irrespective of the mitochondrial apoptotic pathway.
- Cancer cell susceptibility to MCL-1 inhibitors aligns with anti-proliferative rather than pro-apoptotic drug profiles.
- Proteomic analysis identified the minichromosome maintenance (MCM) complex as a nuclear interactor of MCL-1.
Conclusions:
- MCL-1 plays a significant role in DNA integrity and cell-cycle progression, extending beyond its known apoptotic functions.
- MCL-1 inhibitors may have broader therapeutic applications, including in combination therapies, but require careful management of toxicity.
- The identification of the MCM complex provides a new mechanistic link between MCL-1 and DNA maintenance.
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