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Therapeutics


References 1 LaCasse, EC, Mahoney, DJ, Cheung, HH, Plenchette, S, Baird, S, Korneluk, RG. IAP- targeted therapies for cancer. Oncogene. 2008 Oct 20;27(48):6252-75. 2 Feoktistova, M, Geserick, P, Kellert, B, Dimitrova, DP, Langlais, C, Hupe, M, Cain, K, Macfarlane, M, Häcker, G, Leverkus, M. cIAPs Block Ripoptosome Formation, a RIP1/Caspase-8 Containing Intracellular Cell Death Complex Differentially Regulated by cFLIP Isoforms. Mol Cell. 2011 Aug 5;43(3):449-63. Epub 2011 Jul 7. 3Tenev, T, Bianchi, K, Darding, M, Broemer, M, Langlais, C, Wallberg, F, Zachariou, A, Lopez, J, MacFarlane, M, Cain, K, Meier, P. The Ripoptosome, a signaling platform that assembles in response to genotoxic stress and loss of IAPs. Mol Cell, 2011 Aug 5 (3);43:432-458. 4 Ghavami, S, Hashemi, M, Ande, SR, Yeganeh, B, Xiao, W, Eshraghi, M, Bus, CJ, Kadkhoda, K, Wiechec, E, Halayko, AJ, Los, M. Apoptosis and cancer: mutations within caspase genes. J Med Genet. 2009 Aug;46(8):497-510. Epub 2009 Jun 7. 5 Parsons, MJ, Green, DR. Mitochondria in cell death. Essays Biochem. 2010. 6 Mannhold, R, Fulda, S, Carosati, E. IAP antagonists: promising candidates for cancer therapy. Drug Discov Today. 2010 Mar;15(5-6):210-9. Epub 2010 Jan 21. 7 Nathan, C, Ding, A. Nonresolving inflammation. Cell. 2010 Mar 19;140(6): 871-82. 8 Karin, M, Greten, FR. NF-B: linking inflammation and immunity to cancer development and progression. Nat Rev Immunol. 2005 Oct;5(10):749-59. 9 Gyrd-Hansen, M, Meier, P. IAPs: from caspase inhibitors to modulators of NF-B, inflammation and cancer. Nat Rev Cancer. 2010 Aug;10(8):561-74.


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Smac mimetics: exert anti-tumour activity through four different mechanistic activities


Currently, seven human IAPs have been identified: XIAP, cIAP1, cIAP2, ILP2, BRUCE/Apollon, sur- vivin and livin (ML-IAP)1. IAPs represent the last line of defence against inadvertent cell death sig- nalling by inhibiting caspases and by regulating the pro-survival and apoptosis signalling via death receptor complexes.


Caspases are cysteine-dependent aspartyl-specif- ic proteases and central players in cellular apopto- sis. They are tightly regulated on several levels. Caspases are expressed as inactive zymogens (pro- caspases) and their activation follows a strictly controlled pattern. Caspases can be activated by two distinct pathways: the extrinsic apoptotic pathway triggered by external death ligands and the intrinsic apoptotic pathway that is initiated through effects on the mitochondria. The extrinsic apoptotic pathway is activated when members of the family of TNF-like death lig- ands, including TNF, FasL or Apo2L/TRAIL (Apo2L/tumour-necrosis-factor-related apoptosis- inducing ligand), bind to their respective receptors TNFR1, TNFR2, Fas, DR4 or DR5, ‘death recep- tors’ located on the cell membrane. When cIAP1 and cIAP2 are absent in the death receptor com- plex, the binding of death ligands to their receptors leads to the formation of the death-inducing sig-


nalling complex (DISC) in which adaptor proteins (FADD and/or TRADD) bind with their death domain and induce the recruitment and activation of the initiator caspases, caspase-8 or -10. More recently it has been shown that loss of cIAP1 and cIAP2 alone can lead to caspase-8 activation in the presence of Smac mimetic through the formation of the ripoptosome composed of RIPK1, FADD, caspase-8 or -10 and cFLIP2,3. The activation of caspase-8 or -10 leads to cleavage and activation of the downstream executioner caspases, caspase-3 and -7. These executioner caspases usually remain in an inactive state in the cytosol of the cells. The activation of the executioner caspases eventually results in apoptosis when not inhibited by XIAP2. Caspase-8 can also cleave the pro-apoptotic BH3- only protein Bid to truncated Bid (tBID) which can translocate into the mitochondria triggering the activation of the intrinsic pathway resulting in cytochrome c release and apoptosome formation leading to caspase-9 and -3 activation4. The intrinsic pathway is activated by ‘intrinsic’ cell death signals such as hypoxia, genotoxic stress or other types of cellular stress. These signals lead to mitochondrial outer membrane permeabilisa- tion (MOMP) and the release of several proteins into the cytosol including cytochrome-c,


Drug Discovery World Fall 2011

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