Target intelligence / Profile preview

Valosine-containing protein (VCP)

Target
VCP
Molecular classification
AAA+ ATPase, Enzyme, Molecular chaperone
01

Overview

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.

Other names
p97Transitional endoplasmic reticulum ATPaseTER ATPaseCDC48D15KLS1
02

Mechanism of action

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.

03

Biological functions

Protein quality controlEndoplasmic reticulum-associated degradation (ERAD)AutophagyDNA damage responseMitophagyCell cycle regulationMembrane fusion
04

Disease associations

CancerInclusion body myopathy with early-onset Paget disease and frontotemporal dementia (IBMPFD)Amyotrophic lateral sclerosis (ALS)Multiple myelomaPaget disease of bone
05

Safety considerations

Ocular toxicity (specifically PDE6 off-target inhibition seen in first-generation inhibitors)Systemic proteotoxic stress in healthy tissuesGastrointestinal toxicityPotential for broad cytotoxicity due to the essential nature of p97 in cellular homeostasis
06

Interacting drugs

CB-5083

5 more in the full profile.

07

Biomarkers

CHOP (DDIT3) expressionATF4 levelsK48-linked polyubiquitin accumulationp62/SQSTM1 accumulation

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