Nelfinavir Inhibits the TCF11/Nrf1-Mediated Proteasome Recovery Pathway in Multiple Myeloma

0524767 - ÚOCHB 2021 RIV CH eng J - Článek v odborném periodiku
Fassmannová, Dominika - Sedlák, František - Sedláček, Jindřich - Špička, I. - Grantz Šašková, Klára
Nelfinavir Inhibits the TCF11/Nrf1-Mediated Proteasome Recovery Pathway in Multiple Myeloma.
Cancers (Basel). Roč. 12, č. 5 (2020), č. článku 1065. E-ISSN 2072-6694
Institucionální podpora: RVO:61388963
Klíčová slova: proteasome * TCF11/Nrf1 * DDI2 * nelfinavir * multiple myeloma * proteasome inhibitors * bortezomib * carfilzomib
Obor OECD: Cell biology
Impakt faktor: 6.639, rok: 2020
Způsob publikování: Open access
https://www.mdpi.com/2072-6694/12/5/1065

Proteasome inhibitors are the backbone of multiple myeloma therapy. However, disease progression or early relapse occur due to development of resistance to the therapy. One important cause of resistance to proteasome inhibition is the so-called bounce-back response, a recovery pathway driven by the TCF11/Nrf1 transcription factor, which activates proteasome gene re-synthesis upon impairment of the proteasome function. Thus, inhibiting this recovery pathway potentiates the cytotoxic effect of proteasome inhibitors and could benefit treatment outcomes. DDI2 protease, the 3D structure of which resembles the HIV protease, serves as the key player in TCF11/Nrf1 activation. Previous work found that some HIV protease inhibitors block DDI2 in cell-based experiments. Nelfinavir, an oral anti-HIV drug, inhibits the proteasome and/or pAKT pathway and has shown promise for treatment of relapsed/refractory multiple myeloma. Here, we describe how nelfinavir inhibits the TCF11/Nrf1-driven recovery pathway by a dual mode of action. Nelfinavir decreases the total protein level of TCF11/Nrf1 and inhibits TCF11/Nrf1 proteolytic processing, likely by interfering with the DDI2 protease, and therefore reduces the TCF11/Nrf1 protein level in the nucleus. We propose an overall mechanism that explains nelfinavir’s effectiveness in the treatment of multiple myeloma.
Trvalý link: http://hdl.handle.net/11104/0309062