2015
DOI: 10.1016/j.str.2014.11.017
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Crystal Structure of the Human 20S Proteasome in Complex with Carfilzomib

Abstract: Proteasome inhibition is highly effective as a treatment for multiple myeloma, and recently carfilzomib was granted US FDA approval for the treatment of relapsed and refractory multiple myeloma. Here, we report the X-ray crystal structure of the human constitutive 20S proteasome with and without carfilzomib bound at 2.9 and 2.6 Å, respectively. Our data indicate that the S3 and S4 binding pockets play a pivotal role in carfilzomib's selectivity for chymotrypsin-like sites. Structural comparison with the mouse … Show more

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Cited by 144 publications
(169 citation statements)
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“…Carfilzomib (Kyprolis ® ), a peptide epoxyketone (Figure 1), represents a new generation of proteasome inhibitors. It selectively binds to the N-terminal threonine of the proteasome via two covalent bonds to form a morpholino ring (Harshbarger et al, 2015), and has demonstrated favorable clinical safety and efficacy profiles compared to bortezomib (Kuhn et al, 2007). Carfilzomib has been approved for use as a single agent and in combination with lenalidomide and dexamethasone in patients with relapsed or/and refractory multiple myeloma (RRMM) (Thompson, 2013).…”
Section: Introductionmentioning
confidence: 99%
“…Carfilzomib (Kyprolis ® ), a peptide epoxyketone (Figure 1), represents a new generation of proteasome inhibitors. It selectively binds to the N-terminal threonine of the proteasome via two covalent bonds to form a morpholino ring (Harshbarger et al, 2015), and has demonstrated favorable clinical safety and efficacy profiles compared to bortezomib (Kuhn et al, 2007). Carfilzomib has been approved for use as a single agent and in combination with lenalidomide and dexamethasone in patients with relapsed or/and refractory multiple myeloma (RRMM) (Thompson, 2013).…”
Section: Introductionmentioning
confidence: 99%
“…The ubiquitin-proteasome pathways are essential parts of important biological processes, such as cell division, differentiation, innate immunity, adaptive immunity, regulation of gene expression, and the response to proteotoxic stress (1)(2)(3)(4). The proteasome is also an important therapeutic target in multiple myeloma (5,6).…”
mentioning
confidence: 99%
“…Heptameric α-rings, positioned on each side of the catalytic chamber, control substrate entry into this space. Opening of a channel within the α-ring is thought to result from association of the RP and the CP (5,(11)(12)(13). However, the mechanism of the core regulatory step of the proteasome channel opening remains mysterious.…”
mentioning
confidence: 99%
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“…Using the Amber12:EHT force field and the crystal structure collected by Harshbarger et al, 26 the minimum energy conformation of the β4β5 dimer bound to 7 and 8 was calculated. Each inhibitor was modeled as a hemiacetal adduct of the catalytic Thr1.…”
Section: Acs Medicinal Chemistry Lettersmentioning
confidence: 99%