The role of E3 ubiquitin ligase in multiple myeloma: potential for cereblon E3 ligase modulators in the treatment of relapsed/refractory disease

Research output: Contribution to journalReviewResearchpeer-review

  • Paul G. Richardson
  • María Victoria Mateos
  • Vangsted, Annette Juul
  • Karthik Ramasamy
  • Niels Abildgaard
  • P. Joy Ho
  • Hang Quach
  • Nizar J. Bahlis

Introduction: Insights into the mechanisms of protein homeostasis and proteasomal degradation have led to new strategies of redirecting the ubiquitin–proteasome system (UPS) to reduce or eliminate proteins or survival factors key to malignant pathobiology, multiple myeloma (MM) in particular. These strategies have enabled researchers to target proteins that were previously considered difficult to modulate by pharmacological means. Areas covered: This review provides a brief overview of UPS biology, particularly the role of the CRL4CRBN E3 ubiquitin ligase complex, and summarizes current strategies for co-opting the UPS, including CELMoD compounds, SNIPERs, PROTACs, and degronimids. A detailed discussion is provided on lead CELMoD compounds iberdomide and mezigdomide, which are currently being evaluated in clinical trials in patients with MM. Expert opinion: Since a high proportion of patients develop drug resistance, it is vital to have novel therapeutic agents for treating relapsed patients with MM more effectively. It is encouraging that the expanding pathophysiological insight into cellular signaling pathways in MM increasingly translates into the development of novel therapeutic agents such as targeted protein degraders. This holds promise for improving outcomes in MM and beyond.

Original languageEnglish
JournalExpert Review of Proteomics
Volume19
Issue number4-6
Pages (from-to)235-246
ISSN1478-9450
DOIs
Publication statusPublished - 2022

Bibliographical note

Publisher Copyright:
© 2022 Informa UK Limited, trading as Taylor & Francis Group.

    Research areas

  • CELMoD compounds, cereblon, degronimids, E3 ubiquitin ligase, iberdomide, IMiD agents, mezigdomide, multiple myeloma, PROTACs, SNIPERs

ID: 341012855