靶向c-Myc的癌症治疗策略

c-Myc是一种转录因子,参与Myc/Max/Mxd信号调控网络。c-Myc不仅调节机体的正常发育,在肿瘤的发生发展过程中也发挥着十分重要的作用。目前的研究显示,超过70%肿瘤中存在c-Myc突变或表达量的变化。因此,c-Myc靶向抑制剂可能成为肿瘤治疗的新策略。目前,临床上尚无针对c-Myc的治疗方法,但是随着靶向c-Myc临床应用研究的不断深入,以Omomyc为代表的抑制剂研究取得了较大的进展,并且c-Myc在肿瘤中的直接抑制可能发展为可行的临床治疗手段。虽然靶向c-Myc在癌症治疗中具有广阔的前景,但c-Myc的直接抑制目前仍存在诸多的风险与挑战。本综述中,首先,对c-Myc在细胞中的调节网络及其生物学功能进行简要的总结;其次,讨论靶向c-Myc及其同系物在肿瘤治疗中的潜在意义;另外,总结c-Myc作为一个潜在的临床治疗靶点应用于临床所面临的诸多挑战。最后,对目前已经发现的一些c-Myc抑制剂,例如小分子抑制剂以及蛋白质和肽类抑制剂的优缺点进行对比与探讨,并就其所存在的问题作出展望,从而为癌症中以c-Myc为靶点的临床治疗提供理论依据。     

Elucidation of the structural determinants responsible for the specific formation of heterodimeric Mxd1/Max b-HLH-LZ and its binding to E-box sequences

The proteins of the Mxd family (formally known as Mad) are antagonists of the oncoprotein c-Myc. They compete with c-Myc for their obligate partner Max to prevent the c-Myc/Max heterodimer from binding to E-box sequences in the target gene promoters. In cancer cells, where Myc is overexpressed, the expression of Mxd proteins is usually insufficient or abrogated. However, the reintroduction of Mxd1 expression in these cells prevents growth and proliferation. While the antagonism of c-Myc functions by Mxd proteins is of potential relevance for the development of cancer treatment strategies, the structural determinants responsible for the specific heterodimerization between the Mxd and the Max b-helix-loop-helix-leucine zippers are not fully understood. Moreover, whether the heterodimer is assembled on DNA or in the nucleoplasm prior to DNA binding is under debate. In this article, we demonstrate that Mxd1 D112a and Max N78a and H81d, which are located in the leucine zippers of the proteins, can dictate the specificity of heterodimerization and whether or not the Mxd1/Max/DNA complex forms. Our results also indicate that additional specific determinants exist in the helix-loop-helix domains of Max and Mxd1. Finally, we provide evidence that heterodimerization must precede DNA binding in vivo.