Drugs and Clinical Approaches Targeting the Antiapoptotic Protein: A Review

Biomed Res Int. 2019 Sep 29:2019:1212369. doi: 10.1155/2019/1212369. eCollection 2019.

Abstract

B-cell lymphoma 2 (Bcl-2) is a regulator protein involved in apoptosis. In the past few decades, this protein has been demonstrated to have high efficacy in cancer therapy, and several approaches targeting Bcl-2 have been tested clinically (e.g., oblimersen, ABT-737, ABT-263, obatoclax mesylate, and AT-101). This review reports potential Bcl-2 inhibitors according to current information on their underlying mechanism and the results of clinical trials. In addition, the function and mechanisms of other potentially valuable Bcl-2 inhibitors that did not show efficacy in clinical studies are also discussed. This summary of the development of Bcl-2 inhibitors provides worthwhile viewpoints on the use of biomedical approaches in future cancer therapy.

Publication types

  • Review

MeSH terms

  • Aniline Compounds / pharmacology
  • Antineoplastic Agents / pharmacology*
  • Apoptosis / drug effects*
  • Biphenyl Compounds / pharmacology
  • Cell Line, Tumor
  • Gossypol / analogs & derivatives
  • Gossypol / pharmacology
  • Humans
  • Lymphoma, B-Cell
  • Nitrophenols / pharmacology
  • Piperazines / pharmacology
  • Proto-Oncogene Proteins c-bcl-2 / drug effects
  • Sulfonamides / pharmacology
  • Thionucleotides

Substances

  • ABT-737
  • Aniline Compounds
  • Antineoplastic Agents
  • Biphenyl Compounds
  • Nitrophenols
  • Piperazines
  • Proto-Oncogene Proteins c-bcl-2
  • Sulfonamides
  • Thionucleotides
  • oblimersen
  • Gossypol
  • gossypol acetic acid
  • navitoclax