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Updated: May 21, 2026

A Fluorescence-based Protocol for Preliminary Screening of Protein Synthesis Inhibitors from Natural Sources
Published on: January 27, 2026
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.
Background:
The ubiquitin-proteasome pathway is a critical therapeutic target in malignancies, particularly multiple myeloma. The development of proteasome inhibitors (PIs) has marked a milestone in multiple myeloma therapy and now constitutes the backbone of frontline treatment regimens. However, primary and acquired resistance remain a major challenge, underscoring the need to identify new PIs as well as agents that can resensitize resistant cells.
Method:
This review provides an overview of the current clinical applications of PIs and offers a comprehensive summary of natural products that either directly target the proteasome or enhance cellular sensitivity to PIs. Relevant clinical trials and literature published up to 2025 were retrieved from PubMed, Web of Science, Google Scholar, and ClinicalTrials.gov, focusing on the biological and pharmacological activities, structure-activity relationships, and clinical outcomes.
Results:
In this review, we summarize the current clinical applications of PIs and specifically highlight the discovery of natural products that directly target the proteasome or enhance cellular sensitivity to PIs. We also discuss the clinical progress of marizomib, the only natural product-derived PI, that has advanced to clinical trials. Despite existing challenges, natural product-derived PIs hold significant potential for the development of next-generation therapies that can overcome resistance and improve clinical outcomes.
Conclusion:
The development of novel natural product-derived PIs and rational combination strategies offers promising opportunities for overcoming resistance in cancer therapy. Although challenges remain, the remarkable structural diversity of natural products provides a rich reservoir for drug discovery, underscoring the importance of continued exploration and innovation in this field.
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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