Title:The Potential Strategies for Overcoming Multidrug Resistance and
Reducing Side Effects of Monomer Tubulin Inhibitors for Cancer
Therapy
Volume: 31
Issue: 14
Author(s): Yingjie Cui*, Jing Zhang and Guifang Zhang
Affiliation:
- Department of Pharmacy, Shandong Provincial Hospital Affiliated to Shandong First Medical University,
Jinan, Shandong, 250012, P.R. China
Keywords:
Tubulin inhibitors, tubulin-based dual-target inhibitors, protein degraders, multidrug resistance, side effects, cancer therapy.
Abstract:
Background: Tubulin is an essential target in tumor therapy, and this is attributed
to its ability to target MT dynamics and interfere with critical cellular functions,
including mitosis, cell signaling, and intracellular trafficking. Several tubulin inhibitors
have been approved for clinical application. However, the shortcomings, such as drug resistance
and toxic side effects, limit its clinical application. Compared with single-target
drugs, multi-target drugs can effectively improve efficacy to reduce side effects and overcome
the development of drug resistance. Tubulin protein degraders do not require high
concentrations and can be recycled. After degradation, the protein needs to be resynthesized
to regain function, which significantly delays the development of drug resistance.
Methods: Using SciFinder® as a tool, the publications about tubulin-based dual-target inhibitors
and tubulin degraders were surveyed with an exclusion of those published as patents.
Results: This study presents the research progress of tubulin-based dual-target inhibitors
and tubulin degraders as antitumor agents to provide a reference for developing and applying
more efficient drugs for cancer therapy.
Conclusion: The multi-target inhibitors and protein degraders have shown a development
prospect to overcome multidrug resistance and reduce side effects in the treatment of tumors.
Currently, the design of dual-target inhibitors for tubulin needs to be further optimized,
and it is worth further clarifying the detailed mechanism of protein degradation.