Targeting the proteasome in cancer therapy: development and future opportunities in natural products

Xiu Zhao1, Shanshan Liu1, Xinrui Zeng1

  • 1Key Laboratory of Drug-Targeting and Drug Delivery System of the Education Ministry and Sichuan Province, Sichuan Engineering Laboratory for Plant-Sourced Drug, West China School of Pharmacy, Sichuan University, Chengdu, China.

Abstract

Insights

Natural products offer new hope for overcoming resistance to proteasome inhibitors (PIs) in multiple myeloma. Exploring these compounds can lead to next-generation therapies to improve patient outcomes.

Area of Science:

  • Oncology
  • Pharmacology
  • Drug Discovery

Background:

  • The ubiquitin-proteasome pathway is a key therapeutic target in multiple myeloma.
  • Proteasome inhibitors (PIs) are a cornerstone of multiple myeloma treatment.
  • Resistance to PIs necessitates the development of novel therapeutic strategies.

Purpose of the Study:

  • To review the clinical applications of PIs in multiple myeloma.
  • To summarize natural products targeting the proteasome or enhancing PI sensitivity.
  • To discuss the potential of natural product-derived PIs in overcoming resistance.

Main Methods:

  • Literature review of clinical trials and studies up to 2025.
  • Databases searched include PubMed, Web of Science, Google Scholar, and ClinicalTrials.gov.
  • Focus on biological activities, structure-activity relationships, and clinical outcomes.

Main Results:

  • Current clinical applications of PIs are summarized.
  • Natural products directly targeting the proteasome or enhancing PI sensitivity are highlighted.
  • The clinical progress of marizomib, a natural product-derived PI, is discussed.

Conclusions:

  • Natural product-derived PIs show significant potential for next-generation therapies.
  • Combination strategies with natural products may overcome cancer resistance.
  • The structural diversity of natural products supports continued drug discovery efforts.

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