2016
DOI: 10.1016/j.drudis.2015.11.008
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BH4 domain of Bcl-2 as a novel target for cancer therapy

Abstract: Overexpression of B cell lymphoma 2 (Bcl-2) proteins is associated with therapy resistance in various human cancers. Traditional approaches target the Bcl-2 homology (BH)3 domain of Bcl-2; however, the BH4 domain represents a superior therapeutic target in light of its unique structure and crucial involvement in many cellular functions. In this critical review, we focus on the structural and functional basis of targeting the BH4 domain of Bcl-2, and highlight the recent advances in drug discovery efforts towar… Show more

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Cited by 46 publications
(42 citation statements)
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“…For example, a Bax-Bax dimer may induce apoptosis, whereas a Bcl-2-Bax dimer is more stable when compared with the former (16). As a consequence of increased Bcl-2 expression, the proportion of Bcl-2-Bax dimers will be increased relative to Bax-Bax dimers, resulting in a decrease in pro-apoptotic Bax-Bax activity (17). In the presence of Bcl-xS, formation of Bcl-xS-Bcl-2 dimer results in a decrease in Bcl-2-Bax dimer levels, which subsequently increases Bax-Bax levels, so as to induce apoptosis (18).…”
Section: Discussionmentioning
confidence: 99%
“…For example, a Bax-Bax dimer may induce apoptosis, whereas a Bcl-2-Bax dimer is more stable when compared with the former (16). As a consequence of increased Bcl-2 expression, the proportion of Bcl-2-Bax dimers will be increased relative to Bax-Bax dimers, resulting in a decrease in pro-apoptotic Bax-Bax activity (17). In the presence of Bcl-xS, formation of Bcl-xS-Bcl-2 dimer results in a decrease in Bcl-2-Bax dimer levels, which subsequently increases Bax-Bax levels, so as to induce apoptosis (18).…”
Section: Discussionmentioning
confidence: 99%
“…On the other hand, inducing apoptosis through interrupting BH4 functions may be a potential treatment to eliminate unwanted T cells. For example, malignant T cells in lymphocytic leukemia diseases may be eliminated by this strategy (320). …”
Section: Maintaining T Cell Survival For Therapeutic Purposementioning
confidence: 99%
“…For example, malignant T cells in lymphocytic leukemia diseases may be eliminated by this strategy. 315…”
Section: Bax and Bakmentioning
confidence: 99%
“…There exist four BH domains (BH 1-4) of which the BH3 domain is responsible for activation and inactivation interactions of pro-apoptosis and antiapoptosis BCL2 family proteins. Since overexpression of BCL2 protein has implicated in several cancerous tumors [10], BH3 domain has been targeted for developing small molecule inhibitors of BCL2 protein (anti-apoptosis) to induced cell death in cancerous cells; inhibitors such as ABT-737, ABT-263, ABT-199, Disarib, etc. [8] have been developed with varying degree of success [5] [6].…”
Section: Introductionmentioning
confidence: 99%
“…[8] have been developed with varying degree of success [5] [6]. However, none has been approved for use; this is primarily due to the highly conserved nature of BH3 domains among the BCL2 family [10]; the search for small molecules inhibitors or antagonists of BCL2 protein has thus continued.…”
Section: Introductionmentioning
confidence: 99%