A small-molecule inhibitor of the ubiquitin activating enzyme for cancer treatment

ML Hyer, MA Milhollen, J Ciavarri, P Fleming… - Nature medicine, 2018 - nature.com
ML Hyer, MA Milhollen, J Ciavarri, P Fleming, T Traore, D Sappal, J Huck, J Shi, J Gavin…
Nature medicine, 2018nature.com
The ubiquitin–proteasome system (UPS) comprises a network of enzymes that is
responsible for maintaining cellular protein homeostasis. The therapeutic potential of this
pathway has been validated by the clinical successes of a number of UPS modulators,
including proteasome inhibitors and immunomodulatory imide drugs (IMiDs). Here we
identified TAK-243 (formerly known as MLN7243) as a potent, mechanism-based small-
molecule inhibitor of the ubiquitin activating enzyme (UAE), the primary mammalian E1 …
Abstract
The ubiquitin–proteasome system (UPS) comprises a network of enzymes that is responsible for maintaining cellular protein homeostasis. The therapeutic potential of this pathway has been validated by the clinical successes of a number of UPS modulators, including proteasome inhibitors and immunomodulatory imide drugs (IMiDs). Here we identified TAK-243 (formerly known as MLN7243) as a potent, mechanism-based small-molecule inhibitor of the ubiquitin activating enzyme (UAE), the primary mammalian E1 enzyme that regulates the ubiquitin conjugation cascade. TAK-243 treatment caused depletion of cellular ubiquitin conjugates, resulting in disruption of signaling events, induction of proteotoxic stress, and impairment of cell cycle progression and DNA damage repair pathways. TAK-243 treatment caused death of cancer cells and, in primary human xenograft studies, demonstrated antitumor activity at tolerated doses. Due to its specificity and potency, TAK-243 allows for interrogation of ubiquitin biology and for assessment of UAE inhibition as a new approach for cancer treatment.
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