2015
DOI: 10.1016/j.coph.2015.05.014
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Bcl-2 family of proteins as drug targets for cancer chemotherapy: the long way of BH3 mimetics from bench to bedside

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Cited by 82 publications
(69 citation statements)
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“…Similar to the BH3 domain in BH3-only proteins, BH3 mimetics specifically interact with anti-apoptotic BCL-2 family proteins and disrupt their ability to interact with pro-apoptotic BCL-2 proteins to induce BAX/BAK-dependent apoptosis 2,39 . Among such compounds, ABT-263 (navitoclax), a dual inhibitor of BCL-X L and BCL-2, has been shown to be significantly effective in most chronic lymphocytic leukemia (CLL) patients in clinical trials, and ABT-199 (venetoclax), a selective BCL-2 inhibitor, is also effective in patients with relapsed or refractory CLL 2,40 . The three-dimensional structures of anti-apoptotic BCL-2 proteins, such as BCL-2 and BCL-X L , share a common motif consisting of four amphipathic helices that form a hydrophobic groove serving as the binding site for pro-apoptotic BH3 domains.…”
Section: The Role Of Mcl1 and Its Targeted Therapy In Lung Cancermentioning
confidence: 99%
“…Similar to the BH3 domain in BH3-only proteins, BH3 mimetics specifically interact with anti-apoptotic BCL-2 family proteins and disrupt their ability to interact with pro-apoptotic BCL-2 proteins to induce BAX/BAK-dependent apoptosis 2,39 . Among such compounds, ABT-263 (navitoclax), a dual inhibitor of BCL-X L and BCL-2, has been shown to be significantly effective in most chronic lymphocytic leukemia (CLL) patients in clinical trials, and ABT-199 (venetoclax), a selective BCL-2 inhibitor, is also effective in patients with relapsed or refractory CLL 2,40 . The three-dimensional structures of anti-apoptotic BCL-2 proteins, such as BCL-2 and BCL-X L , share a common motif consisting of four amphipathic helices that form a hydrophobic groove serving as the binding site for pro-apoptotic BH3 domains.…”
Section: The Role Of Mcl1 and Its Targeted Therapy In Lung Cancermentioning
confidence: 99%
“…Clinical trials with ABT-263 revealed that dose-dependent thrombocytopenia occurred in all patients [36]. Therefore, the effect of ABT-263 is limited because of its restricted safety dose [13,30]. In contrast, ABT-199 only inhibits BCL-2, but not BCL-X L , and does not reduce platelet number compared with ABT-263 [37]; however, it is possible that the efficacy of specific inhibitors of BCL-2 may be limited in lymphocyte and hematopoietic cell malignancies because of specific roles of BCL-2 in lymphoid homeostasis [38].…”
Section: Limitation Of Bh3 Mimetics In Cancer Therapymentioning
confidence: 99%
“…Other BH3 mimetics, GX15-070 (obatoclax), Bl-97C1 (sabutoclax), AT-101 (gossypol) and derivatives of AT-101 have also been clinically tested, but their efficacy was only limited. Therefore, combination therapy with another anticancer drug(s) is now undergoing clinical studies [13,30].…”
Section: Targeting Apoptosis In Cancer Chemotherapymentioning
confidence: 99%
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“…Gene and protein expression of Bax in breast cancer cells increase sensitivity to apoptotic stimuli and decreases tumor enlargement while, Bcl-xL is another anti-apoptotic protein that inhibits apoptosis and stimulates the progress of breast cancer (6,7,9). In cancer cells, it has been demonstrated that the Bax/Bcl-2 ratio is diminished favoring the survival of cells, but treatment with anticancer drugs increased Bax/Bcl-2 ratio producing cell apoptosis by the intrinsic pathway (6,(10)(11)(12).Caspase activity has been related to the different pathways of apoptosis, caspase-8 and caspase-10 features of the extrinsic pathway, whereas caspase-9 of the intrinsic pathway. Caspase-8 and caspase-9 (among others) are initiators of apoptosis and their activation triggers the caspase-3 effector, therefore, their increase stimulate apoptosis (5,13,14).…”
mentioning
confidence: 99%