Mcl-1 Inhibition: Managing Malignancy in Multiple Myeloma
FRONTIERS IN PHARMACOLOGY(2021)
Abstract
Multiple myeloma (MM) is a plasma cells neoplasm. The overexpression of Bcl-2 family proteins, particularly myeloid cell leukemia 1 (Mcl-1), plays a critical role in the pathogenesis of MM. The overexpression of Mcl-1 is associated with drug resistance and overall poor prognosis of MM. Thus, inhibition of the Mcl-1 protein considered as a therapeutic strategy to kill the myeloma cells. Over the last decade, the development of selective Mcl-1 inhibitors has seen remarkable advancement. This review presents the critical role of Mcl-1 in the progression of MM, the most prominent BH3 mimetic and semi-BH3 mimetic that selectively inhibit Mcl-1 , and could be used as single agent or combined with existing therapies.
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Key words
multiple myeloma,drug resistant,Mcl-1,Bcl-2 homology 3 mimetics,apoptosis
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