Selective inhibitor of nuclear export

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Selective Inhibitor of Nuclear Export[edit | edit source]

A Selective Inhibitor of Nuclear Export (SINE) is a class of small molecules that specifically block the export of certain proteins from the nucleus to the cytoplasm. These inhibitors target the nuclear export protein Exportin 1 (XPO1), also known as CRM1, which is responsible for the transport of proteins and RNA molecules across the nuclear envelope.

Ran GTP cycle involved in nuclear transport

Mechanism of Action[edit | edit source]

SINE compounds function by binding to the nuclear export signal (NES) groove of XPO1, thereby preventing the interaction between XPO1 and its cargo proteins. This inhibition disrupts the normal transport cycle mediated by the Ran GTPase system, which is essential for the directional transport of macromolecules across the nuclear pore complex.

The binding of SINE to XPO1 is highly specific, and it effectively blocks the export of proteins that contain a leucine-rich NES. This results in the accumulation of these proteins in the nucleus, which can lead to the reactivation of tumor suppressor pathways and the induction of apoptosis in cancer cells.

Clinical Applications[edit | edit source]

SINE compounds have shown promise in the treatment of various cancers, including hematological malignancies and solid tumors. By inhibiting XPO1, these drugs can restore the function of tumor suppressor proteins such as p53, BRCA1, and FOXO3a, which are often inactivated in cancer cells due to their mislocalization to the cytoplasm.

One of the most well-known SINE compounds is Selinexor, which has been approved for the treatment of multiple myeloma and diffuse large B-cell lymphoma. Selinexor has demonstrated efficacy in patients with relapsed or refractory disease, providing a new therapeutic option for these difficult-to-treat cancers.

Research and Development[edit | edit source]

The development of SINE compounds is an active area of research, with ongoing studies aimed at improving their efficacy and reducing side effects. Researchers are exploring combination therapies that pair SINE with other anticancer agents to enhance their therapeutic potential.

Additionally, efforts are being made to identify biomarkers that can predict patient response to SINE therapy, which would allow for more personalized treatment approaches.

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Contributors: Prab R. Tumpati, MD