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cIAP1, cIAP2, and XIAP

Target
cIAP1, cIAP2, and XIAP
Molecular classification
Inhibitor of apoptosis protein (IAP) family, E3 ubiquitin ligase (by RING domain), Apoptosis regulator, Signal transduction intermediate
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Overview

Cellular inhibitor of apoptosis protein 1 (cIAP1), cellular inhibitor of apoptosis protein 2 (cIAP2), and X-linked inhibitor of apoptosis protein (XIAP) are structurally related members of the IAP family. They share conserved baculoviral IAP repeat (BIR) domains required for binding to caspases and, in some cases, direct caspase inhibition (especially XIAP). All contain a RING domain, conferring E3 ubiquitin ligase activity, critical for regulating the stability of themselves and interaction partners. These proteins serve as key regulators at the intersection of apoptosis, immune signaling, and inflammation, playing central roles in cancer cell survival, tumor necrosis factor (TNF) receptor signaling, and innate immunity. Mutations or dysregulation of these proteins is associated with human diseases, especially cancers, and they are actively targeted by novel therapeutics such as Smac mimetics aiming to restore apoptosis in malignant cells.

Other names
BIRC2HIAP2BIRC3HIAP1BIRC4ILP-1
02

Mechanism of action

Small-molecule antagonists (Smac mimetics) bind to IAPs, neutralizing their caspase-inhibitory activity or triggering their auto-ubiquitination and proteasomal degradation, thereby reinstating apoptosis in malignant cells.

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Biological functions

Apoptosis inhibition (direct and indirect caspase inhibition)Ubiquitin-mediated proteasomal protein degradationNF-κB pathway regulationInnate immune signaling modulationRegulation of cell proliferation and cell cycle (via E2F1)Cellular stress response
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Disease associations

Cancer (multiple types, including osteosarcoma, gastric cancer)InflammationInfectionOther disorders related to cell death dysregulation
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Safety considerations

Potential for on-target toxicity due to dysregulated apoptosis in normal tissuesCytokine release and immune-related toxicities (from modulation of NF-κB and innate immune pathways)
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Interacting drugs

Smac mimetics (e.g. birinapant, LCL161, GDC-0152, ASTX660)

1 more in the full profile.

07

Biomarkers

Expression levels of cIAP1, cIAP2, and XIAP in tumors as predictive biomarkers for therapy selection or prognosis (mainly in oncology settings)

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