Targeting protein-protein interactions in drug discovery: Modulators approved or in clinical trials for cancer
Cristina Camps-Fajol1, Debora Cavero2, Jordi Minguillón3
1Unitat Mixta de Recerca en Medicina Genòmica, Universitat Autònoma de Barcelona (UAB)-IR SANT PAU, Barcelona, Spain; Institut de Bioenginyeria de Catalunya (IBEC), Barcelona, Spain; Centro de Investigación Biomédica en Red de Enfermedades Raras, Instituto de Salud Carlos III (CIBERER, ISCIII), Madrid, Spain.
Abstract:
Protein-protein interactions (PPIs) form complex cellular networks fundamental to many key biological processes, including signal transduction, cell proliferation and DNA repair. In consequence, their perturbation is often associated with many human diseases. Targeting PPIs offers a promising approach in drug discovery and ongoing advancements in this field hold the potential to provide highly specific therapies for a wide range of complex diseases. Despite the development of PPI modulators is challenging, advances in the genetic, proteomic and computational level have facilitated their discovery and optimization. Focusing on anticancer drugs, in the last years several PPI modulators have entered clinical trials and venetoclax, which targets Bcl-2 family proteins, has been approved for treating different types of leukemia. This review discusses the clinical development status of drugs modulating several PPIs, such as MDM2-4/p53, Hsp90/Hsp90, Hsp90/CDC37, c-Myc/Max, KRAS/SOS1, CCR5/CCL5, CCR2/CCL2 or Smac/XIAP, in cancer drug discovery.
Insights
Targeting protein-protein interactions (PPIs) offers new cancer drug discovery avenues. Several PPI modulators are in clinical trials, with venetoclax approved for leukemia, showing promise for complex diseases.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- Protein-protein interactions (PPIs) are crucial for cellular functions like signal transduction and DNA repair.
- Dysregulation of PPIs is linked to numerous human diseases, particularly cancer.
- Targeting PPIs presents a significant opportunity for developing novel, highly specific therapeutics.
Purpose of the Study:
- To review the clinical development status of drugs targeting various protein-protein interactions in cancer therapy.
- To highlight the progress and challenges in developing PPI modulators for oncological applications.
Main Methods:
- Review of clinical trial data for PPI-targeting anticancer drugs.
- Analysis of advancements in genetic, proteomic, and computational approaches for PPI modulator discovery.
- Case study of approved drugs like venetoclax.
Main Results:
- Several PPI modulators targeting interactions such as MDM2-p53, Hsp90-CDC37, and KRAS-SOS1 have advanced into clinical trials.
- Venetoclax, a Bcl-2 family inhibitor, is approved for treating certain leukemias.
- Progress in discovery and optimization techniques has accelerated the development of PPI-based cancer therapies.
Conclusions:
- Modulating protein-protein interactions is a viable and advancing strategy in cancer drug discovery.
- The clinical success of drugs like venetoclax validates the therapeutic potential of targeting PPIs.
- Continued research and technological advancements are expected to yield more targeted therapies for complex diseases.
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