Target intelligence / Profile preview

Forkhead box protein M1 (FOXM1) (FOXM1)

Target
FOXM1
Molecular classification
Transcription factor, Forkhead box family
01

Overview

Forkhead box protein M1 (FOXM1) is a critical transcription factor and a member of the Forkhead box family that serves as a master regulator of the cell cycle, specifically governing the transition from G1 to S phase and G2 to M phase (UniProt P00338). It coordinates the expression of a cluster of genes essential for DNA replication, mitosis, and genomic stability, including Aurora B kinase and Cyclin B1 (PubMed: 28233475). In the context of human pathology, FOXM1 is recognized as a potent proto-oncogene that is overexpressed in nearly all human cancers, where it promotes tumor proliferation, epithelial-mesenchymal transition (EMT), metastasis, and resistance to chemotherapy (NCBI Gene ID: 2305; PubMed: 30106342). Beyond oncology, the FOXM1 axis is involved in tissue repair and fibrosis, particularly in the lungs and liver (PubMed: 25616106). Therapeutic targeting of FOXM1 has historically been challenging due to its nature as a transcription factor, but current strategies include small molecule inhibitors like FDI-6 that block DNA binding and thiazole antibiotics such as thiostrepton that trigger its degradation (PubMed: 24671021). Its role as a central node in oncogenic signaling makes it a high-priority target for developing next-generation precision medicines.

Other names
Forkhead box M1HFH-11MPP2TridentWINFKHL16INS-1HNF-3Forkhead-related protein FKHL16
02

Mechanism of action

FOXM1 inhibitors function by disrupting the protein's ability to bind to its target DNA sequences, suppressing its transcriptional activity, or by promoting its proteasomal degradation (PubMed: 24671021, 28233475). Some agents, like thiazole antibiotics, specifically target the FOXM1-DNA interaction or reduce FOXM1 mRNA and protein levels (PubMed: 21169497).

03

Biological functions

Cell cycle regulationDNA damage repairCell proliferationAngiogenesisApoptosis inhibitionStem cell maintenanceMitosis coordination
04

Disease associations

CancerPulmonary fibrosisLiver fibrosisChronic obstructive pulmonary disease (COPD)Aging-related pathologies
05

Safety considerations

Potential toxicity to normal rapidly dividing cells such as hematopoietic stem cells (PubMed: 28233475)Challenges in achieving high specificity for transcription factor binding sitesPotential for systemic side effects due to its role in normal tissue regeneration and wound healingDifficulty in drug delivery for transcription factor targets (undruggability)
06

Interacting drugs

Thiostrepton

5 more in the full profile.

07

Biomarkers

FOXM1 mRNA levelsFOXM1 protein expression (IHC)Cdc25B expressionCyclin B1 expressionAurora B kinase levels

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