Bortezomib advanced mechanisms of action in multiple myeloma, solid and liquid tumors along with its novel therapeutic applications

Authors

  • Mohammad Alwahsh Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, P.O. Box 130, Amman, 11733, Jordan; E-mail: M.alwahsh@zuj.edu.jo https://orcid.org/0000-0002-9451-279X
  • Joviana Farhat Department of Epidemiology and Population Health, College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, PO Box 127788, United Arab Emirates https://orcid.org/0000-0003-2688-9605
  • Shahd Talhouni Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, P.O. Box 130, Amman, 11733, Jordan https://orcid.org/0000-0001-7850-3394
  • Lama Hamadneh Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, P.O. Box 130, Amman, 11733, Jordan https://orcid.org/0000-0003-4672-3303
  • Roland Hergenröder Leibniz-Institut für Analytische Wissenschaften-ISAS-e.V., 44139 Dortmund, Germany https://orcid.org/0000-0002-7387-2446

DOI:

https://doi.org/10.17179/excli2022-5653

Keywords:

bortezomib, proteasome inhibitor, multiple myeloma, solid tumors, liquid tumors

Abstract

Bortezomib (BTZ) is a first-in-class reversible and selective proteasome inhibitor. It inhibits the ubiquitin proteasome pathway that leads to the degradation of many intracellular proteins. Initially, BTZ was FDA approved for the treatment of refractory or relapsed multiple myeloma (MM) in 2003. Later, its usage was approved for patients with previously untreated MM. In 2006, BTZ was approved for the treatment of relapsed or refractory Mantle Cell Lymphoma (MCL) and, in 2014, for previously untreated MCL. BTZ has been extensively studied either alone or in combination with other drugs for the treatment of different liquid tumors especially in MM. However, limited data evaluated the efficacy and safety of using BTZ in patients with solid tumors. In this review, we will discuss the advanced and novel mechanisms of action of BTZ documented in MM, solid tumors and liquid tumors. Moreover, we will shed the light on the newly discovered pharmacological effects of BTZ in other prevalent diseases.

Published

2023-01-16

How to Cite

Alwahsh, M., Farhat, J., Talhouni, S., Hamadneh, L., & Hergenröder, R. (2023). Bortezomib advanced mechanisms of action in multiple myeloma, solid and liquid tumors along with its novel therapeutic applications. EXCLI Journal, 22, 146–168. https://doi.org/10.17179/excli2022-5653

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Section

Review articles

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