Carfilzomib: A Promising Proteasome Inhibitor for the Treatment of Relapsed and Refractory Multiple Myeloma

The proteasome is crucial for the degradation of intracellular proteins and plays an important role in mediating a number of cell survival and progression events by controlling the levels of key regulatory proteins such as cyclins and caspases in both normal and tumor cells. However, compared to nor...

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Autores principales: Shansa Pranami E. Jayaweera, Sacheela Prasadi Wanigasinghe Kanakanamge, Dharshika Rajalingam, Gayathri N. Silva
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/1539749653ac4a9da82be0000528dd75
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spelling oai:doaj.org-article:1539749653ac4a9da82be0000528dd752021-11-10T12:55:33ZCarfilzomib: A Promising Proteasome Inhibitor for the Treatment of Relapsed and Refractory Multiple Myeloma2234-943X10.3389/fonc.2021.740796https://doaj.org/article/1539749653ac4a9da82be0000528dd752021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.740796/fullhttps://doaj.org/toc/2234-943XThe proteasome is crucial for the degradation of intracellular proteins and plays an important role in mediating a number of cell survival and progression events by controlling the levels of key regulatory proteins such as cyclins and caspases in both normal and tumor cells. However, compared to normal cells, cancer cells are more dependent on the ubiquitin proteasome pathway (UPP) due to the accumulation of proteins in response to uncontrolled gene transcription, allowing proteasome to become a potent therapeutic target for human cancers such as multiple myeloma (MM). Up to date, three proteasome inhibitors namely bortezomib (2003), carfilzomib (2012) and ixazomib (2015) have been approved by the US Food and Drug Administration (FDA) for the treatment of patients with relapsed and/or refractory MM. This review mainly focuses on the biochemical properties, mechanism of action, toxicity profile and pivotal clinical trials related to carfilzomib, a second-generation proteasome inhibitor that binds irreversibly with proteasome to overcome the major toxicities and resistance associated with bortezomib.Shansa Pranami E. JayaweeraSacheela Prasadi Wanigasinghe KanakanamgeDharshika RajalingamGayathri N. SilvaFrontiers Media S.A.articlemultiple myelomaproteasome inhibitorscarfilzomibanti-tumor effectcombination therapyNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic multiple myeloma
proteasome inhibitors
carfilzomib
anti-tumor effect
combination therapy
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle multiple myeloma
proteasome inhibitors
carfilzomib
anti-tumor effect
combination therapy
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Shansa Pranami E. Jayaweera
Sacheela Prasadi Wanigasinghe Kanakanamge
Dharshika Rajalingam
Gayathri N. Silva
Carfilzomib: A Promising Proteasome Inhibitor for the Treatment of Relapsed and Refractory Multiple Myeloma
description The proteasome is crucial for the degradation of intracellular proteins and plays an important role in mediating a number of cell survival and progression events by controlling the levels of key regulatory proteins such as cyclins and caspases in both normal and tumor cells. However, compared to normal cells, cancer cells are more dependent on the ubiquitin proteasome pathway (UPP) due to the accumulation of proteins in response to uncontrolled gene transcription, allowing proteasome to become a potent therapeutic target for human cancers such as multiple myeloma (MM). Up to date, three proteasome inhibitors namely bortezomib (2003), carfilzomib (2012) and ixazomib (2015) have been approved by the US Food and Drug Administration (FDA) for the treatment of patients with relapsed and/or refractory MM. This review mainly focuses on the biochemical properties, mechanism of action, toxicity profile and pivotal clinical trials related to carfilzomib, a second-generation proteasome inhibitor that binds irreversibly with proteasome to overcome the major toxicities and resistance associated with bortezomib.
format article
author Shansa Pranami E. Jayaweera
Sacheela Prasadi Wanigasinghe Kanakanamge
Dharshika Rajalingam
Gayathri N. Silva
author_facet Shansa Pranami E. Jayaweera
Sacheela Prasadi Wanigasinghe Kanakanamge
Dharshika Rajalingam
Gayathri N. Silva
author_sort Shansa Pranami E. Jayaweera
title Carfilzomib: A Promising Proteasome Inhibitor for the Treatment of Relapsed and Refractory Multiple Myeloma
title_short Carfilzomib: A Promising Proteasome Inhibitor for the Treatment of Relapsed and Refractory Multiple Myeloma
title_full Carfilzomib: A Promising Proteasome Inhibitor for the Treatment of Relapsed and Refractory Multiple Myeloma
title_fullStr Carfilzomib: A Promising Proteasome Inhibitor for the Treatment of Relapsed and Refractory Multiple Myeloma
title_full_unstemmed Carfilzomib: A Promising Proteasome Inhibitor for the Treatment of Relapsed and Refractory Multiple Myeloma
title_sort carfilzomib: a promising proteasome inhibitor for the treatment of relapsed and refractory multiple myeloma
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/1539749653ac4a9da82be0000528dd75
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AT dharshikarajalingam carfilzomibapromisingproteasomeinhibitorforthetreatmentofrelapsedandrefractorymultiplemyeloma
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