“…The second-generation proteasome inhibitor, carfilzomib (CFZ; Kyprolis or PR-171), which also targets the CT-L subunits, uses an irreversible epoxyketone warhead and shows reduced off-target inhibition, while circumventing resistance against bortezomib ( Arastu-Kapur et al, 2011 ; Siegel et al, 2012 ). Recently, considerable effort has been dedicated toward the development of iP-selective inhibitors ( Johnson et al, 2017 ; Dubiella et al, 2015 ; Sosič et al, 2016 ; Muchamuel et al, 2009 ) in the interest of selectively targeting iP-dominant cells for the treatment of autoimmune disorders and certain cancers. In particular, the epoxyketone inhibitor, ONX 0914 (PR-957), which preferentially inhibits the LMP7 subunit, was able to block cytokine production and attenuate disease progression in a rheumatoid arthritis mouse model at a significantly lower dose than bortezomib or CFZ ( Muchamuel et al, 2009 ).…”