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Valosine-containing protein (VCP), commonly referred to as p97, is a highly conserved member of the AAA+ (ATPases Associated with diverse cellular Activities) family that functions as a molecular segregase [1, 2]. It utilizes the energy from ATP hydrolysis to extract ubiquitinated proteins from macromolecular complexes or membranes, facilitating their degradation by the proteasome or through autophagy [1, 3]. The protein is structured as a hexameric ring with each subunit containing an N-terminal domain and two tandem ATPase domains, D1 and D2; the D2 domain is the primary driver of catalytic activity and the principal target for small-molecule inhibitors [2, 4]. p97 plays a vital role in maintaining cellular proteostasis, particularly through its involvement in endoplasmic reticulum-associated degradation (ERAD) and the DNA damage response [5, 6]. In oncology, p97 is frequently overexpressed to help cancer cells manage high levels of protein synthesis and misfolding stress, making its inhibition a potent strategy to induce apoptosis via the unfolded protein response [2, 8]. Furthermore, mutations in VCP are genetically linked to multisystem proteinopathy, including inclusion body myopathy with Paget disease and frontotemporal dementia (IBMPFD) and amyotrophic lateral sclerosis (ALS) [3, 7]. Clinical development is currently focused on second-generation D2-specific inhibitors like CB-5339, which aim to provide therapeutic efficacy in hematological and solid tumors while avoiding the off-target ocular toxicities associated with earlier compounds [4, 8]. Sources: [1] UniProt Consortium, P55072 (VCP_HUMAN). [2] Anderson, D. J., et al. (2015). Cancer Cell, 28(5), 653-665. [3] Tang, W. K., & Xia, D. (2016). IUBMB Life, 68(9), 736-748. [4] Cleary, J. M., et al. (2020). Journal of Clinical Oncology, 38(15_suppl), 3543. [5] Meyer, H., et al. (2012). Journal of Cell Science, 125(10), 2311-2320. [6] Deshaies, R. J. (2014). BMC Biology, 12, 94. [7] Watts, G. D., et al. (2004). Nature Genetics, 36(4), 377-381. [8] Huryn, D. M., et al. (2020). Chemical Reviews, 120(10), 4497-4551.
Selective competitive or allosteric inhibition of the D2 ATPase domain to prevent the mechanical unfolding and translocation of ubiquitinated substrates, thereby inducing lethal proteotoxic stress and the unfolded protein response.
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