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Repurposing simeprevir uncovers a druggable KPNB1-p65-BCL2 survival axis in cancer

Cong Li1, Qiaohua Yan2, Muhammad Muddasar Saeed3

  • 1Department of Pulmonary and Critical Care Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan 610072, China; Department of Pathology, State Key Laboratory of Biotherapy and Cancer Centre, West China Hospital, Sichuan University, Collaborative Innovation Centre of Biotherapy, Chengdu, Sichuan 610041, China.

Cell Chemical Biology
|July 31, 2026
PubMed

Insights

Cancer cells hijack nuclear import receptor KPNB1 (importin β1) for survival. New inhibitors, simeprevir and lusutrombopag, block KPNB1, suppressing cancer growth by targeting the KPNB1-p65-Bcl-2 axis.

Area of Science:

  • Molecular Biology
  • Cancer Biology
  • Drug Discovery

Background:

  • Proper protein localization is crucial for cell function, but cancer cells manipulate this process.
  • KPNB1 (importin β1) is overexpressed in cancers, yet its role in oncogenesis and therapeutic potential are not fully understood.

Purpose of the Study:

  • To identify KPNB1 inhibitors and elucidate the KPNB1-mediated survival mechanisms in cancer.
  • To evaluate the therapeutic potential of identified KPNB1 inhibitors.

Main Methods:

  • Screening of an FDA-approved compound library to identify KPNB1 inhibitors.
  • Assessing the impact of inhibitors on KPNB1-mediated nuclear import, gene transcription, and apoptosis.
  • In vivo studies using xenografts and analysis of The Cancer Genome Atlas (TCGA) datasets.

Main Results:

  • Simeprevir (Sim) and lusutrombopag (Lus) were identified as direct KPNB1 inhibitors disrupting import complex assembly.
  • Sim and Lus blocked p65 nuclear import, suppressed Bcl-2 transcription, and induced mitochondrial apoptosis.
  • Sim demonstrated efficacy in suppressing tumor growth in A549 xenografts with no observable toxicity and validated the KPNB1-p65-Bcl-2 axis in TCGA data.

Conclusions:

  • A therapeutically targetable KPNB1-p65-Bcl-2 survival axis in multiple cancers was elucidated.
  • Simeprevir and lusutrombopag show promise as novel cancer therapeutics targeting KPNB1.
  • This study provides a foundation for developing next-generation KPNB1 inhibitors for cancer treatment.

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