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Inhibitor of apoptosis protein 1 (cIAP1) is a member of the IAP family, functioning as a negative regulator of apoptosis by directly inhibiting executioner caspases (such as caspase-3 and -7) and controlling cell death pathways. cIAP1 acts as an E3 ubiquitin ligase, modulating ubiquitin-dependent signaling that governs the activation of key pathways including NF-κB and MAPK. These processes affect not only cell survival and apoptosis, but also inflammation and innate immunity. cIAP1 is frequently overexpressed in cancers, contributing to tumor cell survival and therapeutic resistance, making it an important anti-cancer drug target; Smac-mimetic drugs that antagonize IAPs are in clinical development. The balance of cIAP1 activity is crucial to multiple cellular processes, and its deregulation is implicated in several disease settings including cancer, immune dysregulation, and metabolic stress.
Drugs typically antagonize IAP function, primarily by displacing IAP–caspase interactions and/or inducing IAP protein degradation, thereby promoting apoptosis in target cells
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