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DRUG CLASS:

Bcl-xL inhibitor

1d
Proteasome inhibition as a potential therapeutic target in thymic cancer. (PubMed, Cell Death Dis)
Carfilzomib synergized with BCL2 family protein inhibitors (navitoclax or AZD5991), suggesting that drug combinations could be used to reduce the dose of each drug to minimize toxicity. Notably, thymic carcinomas differed from squamous cell carcinomas in other organs by higher levels of β5i (PSMB8) and constitutive proteasome β5 (PSMB5). We hypothesize that TC (and probably many TH) are uniquely suited for treatment with proteasome inhibitors alone or in combination with selective BH3 mimetics.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • PSMB8 (Proteasome 20S Subunit Beta 8) • PSMB10 (Proteasome 20S Subunit Beta 10)
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navitoclax (ABT 263) • carfilzomib • AZD5991
13d
Remodeling of the immune microenvironment is linked to adverse outcome in pediatric T cell acute lymphoblastic leukemia. (PubMed, Nat Commun)
Inhibiting Rap1 signaling results in increased sensitivity to the BCL2/BCL-XL inhibitor navitoclax. Our study provides insights into the immune microenvironment of pediatric hematologic malignancies, forming the basis for identifying potential (immuno) therapeutic targets and risk stratification for treatment.
Journal • Adverse events
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BCL2 (B-cell CLL/lymphoma 2) • CD8 (cluster of differentiation 8) • BCL2L1 (BCL2-like 1) • CD4 (CD4 Molecule) • CXCL16 (C-X-C Motif Chemokine Ligand 16)
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navitoclax (ABT 263)
17d
Dual tissue mRNA and serum protein signatures improve risk stratification in hepatocellular carcinoma. (PubMed, NPJ Precis Oncol)
High-risk HCC responded poorly to sorafenib and transarterial chemoembolization (TACE) but sensitively to agent ABT-263 in silico, in vitro, and in vivo experiments. Interpretability analysis revealed consistent biomarker contributions in both signatures. Conclusively, the dual signatures show promise for HCC risk stratification, pending external validation.
Journal
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SPINK1 (Serine peptidase inhibitor, kazal type 1) • AKR1B10 (Aldo-Keto Reductase Family 1 Member B10)
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sorafenib • navitoclax (ABT 263)
20d
FRET two-hybrid assay-based target drug screening in living cells. (PubMed, J Biotechnol)
The FRET-HBTDS method was performed on the FRETscope with a 20× objective for the cells co-expressing CFP-Bcl-xL and YFP-Bak to assess the action of eight compounds (A1331852, S63845, AC, DSF/Cu, Met, REGO, SOFA, ABT199) on the interaction between Bcl-xL and Bak. Our data firmly demonstrate that A1331852 unlocks the binding state of Bcl-xL and Bak, while DSF/Cu modifies the structure of the Bcl-xL-Bak complex. These findings demonstrate that FRET-HBTDS can be used to assess the efficacy of a drug by revealing the binding state and complex molecular structure of the target proteins using FRET technology in living cells, which may be a potential targeted drug screening method.
Journal
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BCL2L1 (BCL2-like 1)
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Venclexta (venetoclax) • S63845 • A-1331852
22d
First in human phase 1 study of DT2216, a selective BCL-xL degrader, in patients with relapsed/refractory solid malignancies. (PubMed, J Hematol Oncol)
Based on the rapid recovery of transient thrombocytopenia that occurred only in the first cycle and the degradation of BCL-XL in peripheral leukocytes, the RP2D of DT2216 is 0.4 mg/kg IV BIW. (NCT04886622).
P1 data • Journal • First-in-human
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BCL2L1 (BCL2-like 1)
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navitoclax (ABT 263) • DT2216
24d
Elimination of docetaxel-induced senescence attenuates malignant progression in RB1-deficient CRPC. (PubMed, Cell Oncol (Dordr))
DIS accelerates the malignant progression of shRB1 CRPC, mediated by tumorigenic SASP, especially IL-20 enrichment. Notably, we identifies a novel FOXA1-IL-20-IL20Rβ axis that drives M2-like macrophage polarization and contributes to tumor aggressiveness and docetaxel resistance. Importantly, senolytic agent ABT-263 not only selectively eliminated shRB1-DIS cells but also restricted expression of tumorigenic SASPs, thereby restoring sensitivity to docetaxel. Wherein, IL-20 is inhibited through its interaction with ABT-263. These results provide a novel mechanistic rationale for using senolytic therapies to mitigate SASP-driven malignancy and improve treatment response in RB1-deficient CRPC.
Journal
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RB1 (RB Transcriptional Corepressor 1) • CCL20 (C-C Motif Chemokine Ligand 20) • FOXA1 (Forkhead Box A1) • IL20RB (Interleukin 20 Receptor Subunit Beta) • MMP3 (Matrix metallopeptidase 3)
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RB1 mutation
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docetaxel • navitoclax (ABT 263)
28d
BCL-2 family dysregulation in HTLV-1 and BLV pathogenesis and its implications for leukemogenesis and therapy. (PubMed, Mol Biol Rep)
Small-molecule inhibitors such as ABT-737 and Navitoclax, kinase inhibitors targeting NF-κB (Nuclear Factor kappa-light-chain-enhancer of Activated B Cells) and JAK/STAT (Janus Kinase/Signal Transducer and Activator of Transcription) pathways, and natural compounds including fucoxanthin, peridinin, and thymoquinone have demonstrated the ability to overcome apoptosis resistance in preclinical models. Recent strategies combining MCL-1 inhibitors with antiretroviral therapy or immune checkpoint blockade further highlight the translational potential of targeting BCL-2 pathways. Collectively, the evidence positions the BCL-2 family as a critical determinant of deltaretroviral persistence and leukemogenesis, and as a promising therapeutic axis for the development of novel treatments for HTLV-1-Associated Myelopathy/Tropical Spastic Paraparesis (HAM/TSP) and BLV-associated leukosis.
Review • Journal
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BCL2 (B-cell CLL/lymphoma 2) • BCL2L1 (BCL2-like 1) • BCL2L11 (BCL2 Like 11) • BAX (BCL2-associated X protein) • BID (BH3 Interacting Domain Death Agonist)
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navitoclax (ABT 263) • ABT-737
1m
New P1 trial
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Avastin (bevacizumab) • 5-fluorouracil • irinotecan • leucovorin calcium • R-(-)-gossypol (AT 101)
1m
Senolytic Elimination of Senescent Ovarian Clear Cell Carcinoma Cells Induced by CEP-1347 With the BH3 Mimetic Navitoclax. (PubMed, Anticancer Res)
CEP-1347 induced cellular senescence in OCCC cells with wild-type TP53. The combination of CEP-1347 with senolytics, such as navitoclax, represents a rational strategy to ensure the selective elimination of senescent OCCC cells and enhance therapeutic efficacy.
Journal
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MDM4 (The mouse double minute 4)
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TP53 mutation • TP53 wild-type
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navitoclax (ABT 263)
1m
MNT: a new target for AML. (PubMed, Blood Neoplasia)
Mnt deletion provoked the apoptosis of MLL::AF9 AML cells in vitro and increased apoptosis elicited by the BH3 (BCL-2 homology region 3) mimetic drugs S63845 (MCL-1 (Myeloid cell leukemia-1) specific), ABT-199/Venetoclax (BCL-2 (B-cell lymphoma-2) specific), and A-1331852 (BCL-XL (B-cell lymphoma-extra large) specific). Of note, inducing MNT deletion in a human MLL-rearranged AML cell line transplanted into NSG (NOD SCID Gamma) mice debulked established leukemia and significantly extended the survival of transplant recipients. Taken together with previous studies that demonstrated a critical role for MNT in the development and sustained expansion of B and T lymphomas, our results suggest that a small molecule inhibiting MNT function may be a valuable therapeutic agent for myeloid and lymphoid malignancies.
Journal • IO biomarker
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2 (B-cell CLL/lymphoma 2) • MCL1 (Myeloid cell leukemia 1) • BCL2L1 (BCL2-like 1)
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Venclexta (venetoclax) • S63845 • A-1331852
1m
Targeting Steroid Receptor Coactivators for the Treatment of Benign Female Reproductive Disorders. (PubMed, Endocr Connect)
To inhibit SRC activity, natural compounds (e.g., gossypol, bufalin, verrucarin A) and synthetic small molecules (e.g., SI-2, SI-12, MCB-613) have been developed, demonstrating preclinical efficacy across several human diseases...This review summarizes current knowledge of SRC biology in benign gynecologic disorders, outlines their mechanistic roles in disease progression, and highlights opportunities for clinical translation. Targeting SRCs may ultimately represent a novel, non-hormonal, fertility-preserving therapeutic strategy in women's health.
Journal
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NCOA3 (Nuclear Receptor Coactivator 3)
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R-(-)-gossypol (AT 101)
2ms
m6a and NuRD complexes regulate monocytic differentiation and resistance to BCL2/BCL2L1 inhibitors in acute myeloid leukemia. (PubMed, Haematologica)
Using CRISPR-based genome-wide perturbation screens, we investigated the genetic dependencies of venetoclax and the BCL2/BCL2L1 dual inhibitor AZD4320. Accordingly, in AML patient samples we found reduced expression of the respective m6a or NuRD complexes was significantly associated with monocytic differentiation and ex vivo resistance to the same drugs. These findings provide critical insights into previously undescribed mechanisms of BCL2 family inhibitor resistance in AML.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • MCL1 (Myeloid cell leukemia 1) • BCL2L1 (BCL2-like 1) • ZMYND8 (Zinc Finger MYND-Type Containing 8) • RBM15 (RNA Binding Motif Protein 15)
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Venclexta (venetoclax) • AZD4320