“…At least six natural products are known to specifically bind Sec61 and inhibit protein import into the ER. ,,− These specialized metabolites are produced by a diverse range of marine and terrestrial organisms yet, as a mechanistic set, interact with a similar region of the Sec61α subunit at the ER luminal side of the channel. ,− The potential for pharmacological manipulation of Sec61 function was first demonstrated when modifications to the chemical structure of a fungal natural product inhibitor of cell adhesion, HUN-7293, resulted in the generation of synthetic cotransins with greater selectivity and potency for specific Sec61 substrates. ,,− The selectivity with which cotransin-like molecules, including a natural analogue of HUN-7293 (CAM741), and a synthetic molecule cyclotriazadisulfonamide (CADA), reversibly block the biosynthesis of a subset of secretory pathway proteins was found to be dependent on the ER targeting sequence of the Sec61 substrate and the ligand concentration. ,,− Over time, a more complete understanding of this mechanism has formed the basis for the current pharmacologic classification of Sec61 inhibitors that distinguishes the substrate-selective inhibitors, acting at the level of the SP, from the broad-spectrum inhibitors. , Recent structural models of ligand-bound human Sec61 complexes obtained using cryogenic electron microscopy (cryo-EM) continue to support and extend a critical role for the SP as the basis for Sec61 substrate selectivity. , For example, promising selectivity has recently been achieved for a nontoxic cotransin-like molecule, KZR-8445, that discriminates between pro-inflammatory cytokines in a SP-dependent manner . Cytokines, such as IL-2, IL-7 and TNFα, are sensitive to low nanomolar concentrations of KZR-8445, while the SPs of other Sec61 substrates are insensitive with IC 50 values > 25 μM …”