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DRUG CLASS:

Apoptosis inhibitor

3d
URSTAR: Ursodeoxycholic Acid Attenuates Statin-Induced Impaired Glucose Tolerance (clinicaltrials.gov)
P=N/A, N=128, Not yet recruiting, First Affiliated Hospital Xi'an Jiaotong University
New trial
29d
MicroRNA‑24 alleviates colorectal cancer progression via a rs28382740 single nucleotide polymorphism in the long noncoding region of X‑linked inhibitor of apoptosis protein. (PubMed, Oncol Lett)
The data from the present study support an inhibitory effect of miR-24s on XIAP expression. However, this inhibitory potency depends on the rs28382740 SNP genotype and may alleviate CRC progression by regulating the expression of XIAP.
Journal
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XIAP (X-Linked Inhibitor Of Apoptosis) • MIR24-2 (MicroRNA 24-2)
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XIAP overexpression
1m
Microbiome-derived metabolite effects on intestinal barrier integrity and immune cell response to infection. (PubMed, Microbiology (Reading))
Here, we determined the effects of gut microbiome-derived metabolites l-tryptophan, butyrate, trimethylamine (TMA), 3-methyl-4-(trimethylammonio)butanoate (3,4-TMAB), 4-(trimethylammonio)pentanoate (4-TMAP), ursodeoxycholic acid (UDCA), glycocholic acid (GCA) and benzoate on the first line of defence in the gut...These findings reiterate the complexity of understanding microbiome effects on host physiology and underline that microbiome metabolites are crucial mediators of barrier function and the innate response to infection. Understanding these metabolites at the cellular level will allow us to move towards a better mechanistic understanding of microbiome influence over host physiology, a crucial step in advancing microbiome research.
Journal • Immune cell
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TNFA (Tumor Necrosis Factor-Alpha) • CXCL8 (Chemokine (C-X-C motif) ligand 8)
1m
Journal
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MMP2 (Matrix metallopeptidase 2) • CASP3 (Caspase 3) • MMP9 (Matrix metallopeptidase 9)
1m
STAT3 and the STAT3‑regulated inhibitor of apoptosis protein survivin as potential therapeutic targets in colorectal cancer (Review). (PubMed, Biomed Rep)
In the present review, the expression, function and participation of the STAT3-survivin axis in the progression of CRC were investigated. In addition, an update on the pre-clinical and clinical trials evaluating potential treatments targeting the STAT3-survivin axis is presented.
Review • Journal
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IL6 (Interleukin 6) • STAT3 (Signal Transducer And Activator Of Transcription 3) • BIRC5 (Baculoviral IAP repeat containing 5)
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BIRC5 expression
2ms
Intratumoral INT230-6 Followed by Neoadjuvant Immuno-chemotherapy in Patients With Early TNBC. INVINCIBLE-4-SAKK (clinicaltrials.gov)
P2, N=54, Recruiting, Swiss Group for Clinical Cancer Research | Not yet recruiting --> Recruiting
Enrollment open
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carboplatin • doxorubicin hydrochloride • cisplatin/vinblastine/SHAO-FA (INT230-6)
2ms
EZH2 mutation is associated with the development of visceral metastasis by enhancing proliferation and invasion and inhibiting apoptosis in breast cancer cells. (PubMed, BMC Cancer)
EZH2 mutation is associated with VM development in breast cancer patients. The EZH2K515R mutation leads to VM and a poor prognosis by enhancing proliferation and invasion and inhibiting apoptosis in breast cancer cells.
Journal • BRCA Biomarker
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • EZH2 (Enhancer of zeste 2 polycomb repressive complex 2 subunit)
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BRCA2 mutation • BRCA1 mutation • EZH2 mutation • EZH2 wild-type
2ms
Ursodeoxycholic Acid Platinum(IV) Conjugates as Antiproliferative and Antimetastatic Agents: Remodel the Tumor Microenvironment through Suppressing JAK2/STAT3 Signaling. (PubMed, J Med Chem)
It displayed superior pharmacokinetic properties compared to cisplatin. The inflammatory and hypoxic TME was suppressed by downregulating COX-2, MMP9, and HIF-1α, which resulted in inhibited angiogenesis in tumors by inhibiting the HIF-1α/VEGFA axis. Additionally, the immunosuppressive TME was reversed by blocking the immune checkpoint PD-L1, further improving the density of CD3+ and CD8+ tumor-infiltrating lymphocytes, and promoting macrophage polarization from M2- to M1-type.
Journal • Metastases
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BCL2 (B-cell CLL/lymphoma 2) • CD8 (cluster of differentiation 8) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • CASP3 (Caspase 3) • TGFB1 (Transforming Growth Factor Beta 1) • MMP9 (Matrix metallopeptidase 9)
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cisplatin
2ms
Study on the effects and mechanisms of Jia Wei Yin Chen Hao Tang in the treatment of hypercholanemia during pregnancy (ChiCTR2400088564)
P=N/A, N=170, Recruiting, Department of Gynecology and Obstetrics Hospital Affiliated to Zhejiang University Medical College; Women's Hospital, Medical School of Zhejiang Unive
New trial
2ms
Hypocrellin A against intrahepatic Cholangiocarcinoma via multi-target inhibition of the PI3K-AKT-mTOR, MAPK, and STAT3 signaling pathways. (PubMed, Phytomedicine)
HA, a novel natural small molecule, demonstrated promising therapeutic efficacy against ICC through its multi-target inhibitory effects on the PI3K-AKT-mTOR, MAPK, and STAT3 signaling pathways. Moreover, it exhibited notable therapeutic benefits in a primary ICC model (KRAS/P19/SB), positioning it as a novel therapeutic agent for ICC.
Journal
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KRAS (KRAS proto-oncogene GTPase)
2ms
Naringin alleviates gefitinib-induced hepatotoxicity through anti-oxidation, inhibition of apoptosis, and autophagy. (PubMed, Iran J Basic Med Sci)
In summary, NG alleviates GEF-induced hepatotoxicity by anti-oxidation, inhibiting cell apoptosis, and autophagy. Therefore, this study suggests the use of NG to mitigate GEF's toxicity to the liver.
Journal
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CASP3 (Caspase 3) • CAT (Catalase)
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gefitinib
3ms
A common CTRB misfolding variant associated with pancreatic cancer risk causes ER stress and inflammation in mice. (PubMed, bioRxiv)
The pancreas of homozygous mutant mice displays reduced chymotrypsin activity and total protein synthesis...Administration of TUDCA or sulindac partially alleviates the phenotype...- Truncated CTRB1 misfolds and accumulates in the ER; yet, mutant mice display a histologically normal pancreas at 3 months age.- CTRB1 and associated chaperones colocalize in the ER, the cytoplasm, and the nucleus of acinar cells.- Transcriptomics analysis reveals reduced activity of the acinar program and increased activity of pathways involved in ER stress, unfolded protein response, and inflammation.- Mutant mice are sensitized to pancreatic damage and do not recover properly from a mild caerulein-induced pancreatitis.- TUDCA administration partially relieves the ER stress in mutant mice.How might it impact on clinical practice in the foreseeable future?: - The new mouse model provides a tool to identify the mechanisms leading to increased pancreatic cancer risk in CTRB2 exon 6 carriers. - The findings suggest that drugs that cause ER stress relief and/or reduce inflammation might provide preventive opportunities.
Preclinical • Journal
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AGR2 (Anterior gradient 2)
3ms
Ursodeoxycholic Acid in Patients With NAFLD - Clinical Observation (clinicaltrials.gov)
P=N/A, N=20, Recruiting, General University Hospital, Prague | Trial completion date: Jul 2024 --> Dec 2024 | Trial primary completion date: Mar 2024 --> Dec 2024
Trial completion date • Trial primary completion date
3ms
Bile Acid Metabolism Analysis Provides Insights into Vascular Endothelial Injury in Salt-Sensitive Hypertensive Rats. (PubMed, Metabolites)
The levels of four differential bile acids (glycocholic acid, taurolithocholic acid, tauroursodeoxycholic acid, and glycolithocholic acid) significantly increased in the high-salt group. Further correlation analysis indicated that the levels of ET-1 and TNF-α were positively correlated with these differential bile acid levels. This study provides new evidence for salt-sensitive cardiovascular diseases and metabolic changes caused by a high-salt diet in rats.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha)
3ms
Fufang Muji Granules Ameliorate Liver Fibrosis by Reducing Oxidative Stress and Inflammation, Inhibiting Apoptosis, and Modulating Overall Metabolism. (PubMed, Metabolites)
Immunohistochemistry, quantitative reverse transcription polymerase chain reaction (RT-qPCR), and quantitative analysis also revealed that FMGs regulated taurine and hypotaurine metabolism and bile acid metabolism. These findings provide a valuable understanding of the role of FMGs in liver fibrosis management.
Journal
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IL6 (Interleukin 6) • TGFB1 (Transforming Growth Factor Beta 1) • IL1B (Interleukin 1, beta)
3ms
Ginsenoside Rh2 Alleviate Sepsis-related Encephalopathy via Up-regulating Nrf2/HO-1 Pathway and Apoptosis Inhibition. (PubMed, Cell Biochem Biophys)
On the other hand, the GSH-Px activity and SOD level were decreased along with a decreased neural reflex score. Our investigation concluded that Rh2 treatment significantly alleviated SAE damage and inhibited LPS-induced response via up-regulation of the Nrf2/HO-1 pathway to promote anti-oxidative stress capacity and inhibit neural cell apoptosis.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • HMOX1 (Heme Oxygenase 1) • CASP3 (Caspase 3) • IL1B (Interleukin 1, beta)
3ms
Mutual regulation between histone methyltransferase Suv39h1 and the Wnt/β-catenin signaling pathway promoted cell proliferation and inhibited apoptosis in bone marrow mesenchymal stem cells exposed to hydroquinone. (PubMed, Toxicology)
They both promoted cell proliferation and inhibited apoptosis in the effects of HQ on BMSCs by downregulating the expression of Cyt-C, Bax, Caspase 3, and Caspase 9 and upregulating the expression of Bcl-xl. Therefore, we concluded that Suv39h1 and the Wnt/β-catenin signaling pathway may mutually regulate each other in the effects of HQ on BMSCs in order to ameliorate the altered function of BMSCs.
Journal • Epigenetic controller
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • CCND1 (Cyclin D1) • BCL2L1 (BCL2-like 1) • BAX (BCL2-associated X protein) • CASP3 (Caspase 3) • CASP9 (Caspase 9) • SUV39H1 (SUV39H1 Histone Lysine Methyltransferase)
3ms
Effect of acacetin on inhibition of apoptosis in Helicobacter pylori-infected gastric epithelial cell line. (PubMed, World J Gastrointest Oncol)
Acacetin significantly improved GES-1 cell viability and inhibited apoptosis in H. pylori-infected GES-1 cells, thereby exerting a protective effect on gastric mucosal epithelial cells.
Preclinical • Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • BAX (BCL2-associated X protein) • CASP3 (Caspase 3)
3ms
ORION: AMX0035 and Progressive Supranuclear Palsy (clinicaltrials.gov)
P2/3, N=110, Recruiting, Amylyx Pharmaceuticals Inc. | Phase classification: P3 --> P2/3 | N=600 --> 110 | Trial completion date: May 2027 --> Nov 2029
Phase classification • Enrollment change • Trial completion date
3ms
Phoenix: Phase III Trial of AMX0035 for Amyotrophic Lateral Sclerosis Treatment (clinicaltrials.gov)
P3, N=664, Active, not recruiting, Amylyx Pharmaceuticals Inc. | Trial completion date: Mar 2024 --> Jan 2026
Trial completion date
3ms
Intratumoral INT230-6 Followed by Neoadjuvant Immuno-chemotherapy in Patients With Early TNBC. INVINCIBLE-4-SAKK (clinicaltrials.gov)
P2, N=54, Not yet recruiting, Swiss Group for Clinical Cancer Research | Initiation date: Jun 2024 --> Oct 2024
Trial initiation date
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carboplatin • doxorubicin hydrochloride • cisplatin/vinblastine/SHAO-FA (INT230-6)
3ms
Promotion of Raf-1/ASK1 complex formation by corylin inhibits cell apoptosis in myocardial ischemia/reperfusion injury. (PubMed, Int Immunopharmacol)
Mechanistically, corylin can interact with Raf-1 and promote the formation of the Raf-1/ASK1 complex, thus inhibiting cardiomyocyte apoptosis. In conclusion, our results demonstrate that corylin ameliorated cardiac dysfunction after MIR injury by reducing myocardial apoptosis.
Journal
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ANXA5 (Annexin A5)
3ms
RNF135 Promotes Human Osteosarcoma Cell Growth and Inhibits Apoptosis by Upregulating the PI3K/AKT Pathway. (PubMed, Cancer Rep (Hoboken))
These results supported that RNF135 contributes to human OS development through PI3K/AKT-dependent mechanisms. Targeting RNF135 may provide a new therapeutic approach for treating this human malignancy.
Journal
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CASP3 (Caspase 3) • CASP7 (Caspase 7)
3ms
SHP2 mutations promote glycolysis and inhibit apoptosis via PKM2/hnRNPK signaling in colorectal cancer. (PubMed, iScience)
Furthermore, PKM2 upregulates heterogeneous nuclear ribonucleoprotein K (hnRNPK) expression and increases CRC cell proliferation and migration/invasion via regulating hnRNPK ubiquitination. These findings provide evidence that SHP2D61Y and SHP2E76K regulate CDDP-induced apoptosis, glucose metabolism, and CRC migration/invasion through PKM2 nuclear translocation and PKM2/hnRNPK signaling.
Journal
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HNRNPK (Heterogeneous Nuclear Ribonucleoprotein K) • PKM (Pyruvate Kinase M1/2)
3ms
Selenium deficiency exacerbates ROS/ER stress mediated pyroptosis and ferroptosis induced by bisphenol A in chickens thymus. (PubMed, J Environ Sci (China))
In vitro experiments conducted in MDCC-MSB-1 cells confirmed the results, demonstrating that the addition of antioxidant (NAC), ER stress inhibitor (TUDCA) and pyroptosis inhibitor (Vx765) alleviated oxidative stress, endoplasmic reticulum stress, pyroptosis, and ferroptosis. Overall, this study concludes that the combined effects of oxidative stress and ER stress mediate pyroptosis and ferroptosis in chicken thymus induced by BPA exposure and selenium deficiency.
Journal
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GPX4 (Glutathione Peroxidase 4) • IL18 (Interleukin 18) • HSPA5 (Heat Shock Protein Family A (Hsp70) Member 5) • ATF4 (Activating Transcription Factor 4) • IL1B (Interleukin 1, beta) • NLRP3 (NLR Family Pyrin Domain Containing 3) • MT-CO2 (Mitochondrially Encoded Cytochrome C Oxidase II) • CASP1 (Caspase 1)
4ms
Trial initiation date • Surgery
4ms
New P4 trial
4ms
Sustained high expression of NRF2 inhibits cell apoptosis in arsenite-transformed human keratinocytes. (PubMed, Food Chem Toxicol)
The ability of colony formation and migration of T-HaCaT cells decreased. In conclusion, arsenite activated NRF2 in the later stages, decreasing apoptosis characterized by inhibiting endoplasmic reticulum stress-depended and mitochondria-depended apoptosis pathway, and further promoting NaAsO2-induced HaCaT cellular malignant transformation.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • MCL1 (Myeloid cell leukemia 1) • NFE2L2 (Nuclear Factor, Erythroid 2 Like 2) • CASP3 (Caspase 3) • ATF4 (Activating Transcription Factor 4) • ATF6 (Activating Transcription Factor 6)
4ms
A prospective study of ursodeoxycholic acid combined with bifidobacterium therapy for chronic hepatitis B patients (ChiCTR2200062861)
P4, N=22, Completed, The First Affiliated Hospital of Fujian Medical University; The First Affiliated Hospital of Fujian Medical University | Recruiting --> Completed
Trial completion
4ms
Design, synthesis and cytotoxic evaluation of new thieno[2,3-d]pyrimidine analogues as VEGFR-2/AKT dual inhibitors, apoptosis and autophagy inducers. (PubMed, Bioorg Chem)
Finally, docking studies were conducted to assess the binding patterns of these active derivatives. The results showed that the binding patterns inside the active sites of both the VEGFR-2 and AKT-1 (allosteric pocket) crystal structures were identical to the reference ligands.
Journal
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AKT1 (V-akt murine thymoma viral oncogene homolog 1)
4ms
SETD8 inhibits apoptosis and ferroptosis of Ewing's sarcoma through YBX1/RAC3 axis. (PubMed, Cell Death Dis)
In summary, SETD8 inhibits the apoptosis and ferroptosis of ES cells through the YBX1/RAC3 axis, which provides new insights into the mechanism of tumorigenesis of ES. SETD8 may be a potential target for clinical intervention in ES patients.
Journal
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YBX1 (Y-Box Binding Protein 1) • KMT5A (Lysine Methyltransferase 5A)
4ms
Therapeutic Effect of Ursodeoxycholic Acid in Functional Dyspepsia (clinicaltrials.gov)
P4, N=16, Active, not recruiting, Universitaire Ziekenhuizen KU Leuven | Unknown status --> Active, not recruiting | Trial completion date: Nov 2017 --> Nov 2025 | Trial primary completion date: Nov 2017 --> Nov 2025
Enrollment closed • Trial completion date • Trial primary completion date
4ms
Ginsenoside Rh4 inhibits colorectal cancer via the modulation of gut microbiota-mediated bile acid metabolism. (PubMed, J Adv Res)
Our results confirm that Rh4 inhibits CRC in a gut microbiota-dependent manner by modulating gut microbiota-mediated bile acid metabolism and promoting the production of UDCA, which further activates the FXR receptor and regulates the TLR4-NF-κB signaling pathway. Our results confirm that Rh4 has the potential to be used as a modulator of gut microbiota for preventing and treatment of CRC.
Journal
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TLR4 (Toll Like Receptor 4)
5ms
Trial completion
5ms
MicroRNA miR-20a-5p targets CYCS to inhibit apoptosis in hepatocellular carcinoma. (PubMed, Cell Death Dis)
We show for the first time, that miR-20a modulation affects both these key functions of cytochrome c during HCC development. Our study thus demonstrates the promising 'two birds with one stone' approach of therapeutic in vivo targeting of an oncogenic miRNA, whereby more than one key deregulated cellular process is affected, and unequivocally leads to more effective attenuation of HCC progression and significantly longer overall survival.
Journal
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MIR20A (MicroRNA 20a)
5ms
Ursodeoxycholic Acid Modulates the Interaction of miR-21 and Farnesoid X Receptor and NF-κB Signaling. (PubMed, Biomedicines)
(4) This study demonstrates UDCA's potent anti-inflammatory effects on NF-κB and FXR signaling pathways, and thus its potential to modulate hepatic inflammation and carcinogenesis through interactions with NF-κB and FXR. The decrease in micro-RNA 21 expression further underscores its therapeutic potential.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • MIR21 (MicroRNA 21)
5ms
Changing the Landscape of Solid Tumor Therapy from Apoptosis-Promoting to Apoptosis-Inhibiting Strategies. (PubMed, Curr Issues Mol Biol)
These challenges include: The impact of chemotherapy-induced genome chaos (e.g., multinucleation) on resistance and relapse, oncogenic function of caspase 3, cancer cell anastasis (recovery from late stages of apoptosis), and pitfalls of ubiquitously used preclinical chemosensitivity assays (e.g., cell "viability" and tumor growth delay studies in live animals) that score such pro-survival responses as "lethal" events. The studies outlined herein underscore the need for new directions in the management of solid tumors.
Review • Journal
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CASP3 (Caspase 3)
5ms
Synthesis and biological research of new imidazolone-sulphonamide-pyrimidine hybrids as potential EGFR-TK inhibitors and apoptosis-inducing agents. (PubMed, RSC Adv)
The cytotoxic activity of all the synthesized hybrids was investigated against the breast MCF-7 cancerous cell line using doxorubicin (Dox) as a positive control...Furthermore, the effects of hybrid 6b on the expression levels of pro-apoptotic Bax and pro-survival Bcl2 were assessed. The results showed that this compound upregulated the level of Bax expression as well as declined the expression value of Bcl-2 with regard to the untreated control.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • BAX (BCL2-associated X protein)
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doxorubicin hydrochloride
5ms
Bmi-1 promotes the proliferation, migration and invasion, and inhibits cell apoptosis of human retinoblastoma cells via RKIP. (PubMed, Sci Rep)
Bmi-1 served as a potential therapeutic target for improving the efficacy of clinical treatment in retinoblastoma. All the findings revealed the functions of Bmi-1/RKIP axis in retinoblastoma tumorigenesis.
Journal
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BMI1 (BMI1 proto-oncogene, polycomb ring finger)
5ms
Enrollment open • Metastases
|
pazopanib • Halaven (eribulin mesylate) • Yondelis (trabectedin) • cisplatin/vinblastine/SHAO-FA (INT230-6)
5ms
Coupling Kinesin Spindle Protein and Aurora B Inhibition with Apoptosis Induction Enhances Oral Cancer Cell Killing. (PubMed, Cancers (Basel))
Here, we investigated the impact of inhibiting anti-apoptotic signals with the BH3-mimetic Navitoclax in oral cancer cells treated with the selective KSP inhibitor, Ispinesib, or AurB inhibitor, Barasertib, aiming to potentiate cell death. A mechanistic analysis underlying this synergistic activity, undertaken by live-cell imaging, is presented. Our data underscore the importance of combining BH3-mimetics with antimitotics in clinical trials to maximize their effectiveness.
Journal
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AURKB (Aurora Kinase B)
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navitoclax (ABT 263) • ispinesib (SB-715992) • barasertib (AZD1152)
5ms
USP36 inhibits apoptosis by deubiquitinating cIAP1 and survivin in colorectal cancer cells. (PubMed, J Biol Chem)
Overexpression of USP36 disrupts the formation of the XIAP-Smac complex and promotes RIPK1 ubiquitination, validating USP36 as an inhibitor to intrinsic and extrinsic apoptosis through deubiquitinating survivin and cIAP1. Therefore, our results suggest that USP36 is involved in colorectal cancer progression and is a potential therapeutic target.
Journal
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BIRC5 (Baculoviral IAP repeat containing 5) • XIAP (X-Linked Inhibitor Of Apoptosis) • RIPK1 (Receptor Interacting Serine/Threonine Kinase 1)