Nuclear transport inhibition in acute myeloid leukemia: recent advances and future perspectives
- PMID: 30405902
- PMCID: PMC6219429
- DOI: 10.2217/ijh-2018-0001
Nuclear transport inhibition in acute myeloid leukemia: recent advances and future perspectives
Abstract
Selective inhibitors of nuclear export (SINE) are emerging as a potentially efficacious therapeutic strategy for overcoming resistance to conventional chemotherapy for acute myeloid leukemia. SINE specifically block the protein Exportin 1, also known as chromosomal region maintenance 1, leading to nuclear retention of cargo proteins, including several tumor suppressor proteins. Selinexor, a first generation SINE, is currently in early phase clinical studies in various combinations with promising antileukemic and pro-apoptotic activity. Here we discuss the mechanism of action of SINEs and further elaborate on the clinical data available from the various trials in acute myeloid leukemia.
Keywords: CRM1 inhibitor; KPT-8602; XPO1 inhibitor; acute myeloid leukemia; nuclear transport inhibitor; selinexor.
Conflict of interest statement
Financial & competing interests disclosure KL Sweet received honorarium and research funding from Karyopharm in 2016. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript.
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