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The Voltage-dependent anion-selective channel (VDAC) is a pore-forming protein located in the outer mitochondrial membrane (OMM), serving as the primary gatekeeper for the exchange of metabolites and ions between the mitochondria and the cytosol [3, 6]. It exists in three mammalian isoforms (VDAC1, VDAC2, and VDAC3), with VDAC1 being the most abundant and extensively studied as a therapeutic target [12, 16]. VDAC plays a dual role in cell life and death: it facilitates the transport of ATP, ADP, and calcium to support cellular bioenergetics, while its oligomerization and interaction with pro-apoptotic proteins trigger the release of cytochrome c to initiate apoptosis [4, 13]. In cancer, VDAC is often overexpressed and associated with anti-apoptotic proteins like hexokinase, promoting tumor survival and metabolic reprogramming [10, 16]. Conversely, its dysfunction is linked to neurodegenerative diseases such as Alzheimer's and Parkinson's, where it contributes to mitochondrial impairment and excessive cell death [11, 13]. Therapeutic strategies involve small molecules and peptides that either induce apoptosis in cancer cells by disrupting VDAC-protein complexes or protect neurons by stabilizing VDAC function [4, 11].
Drugs targeting VDAC typically act by modulating its channel conductance between open and closed states, inhibiting its oligomerization to prevent the formation of large pores that release pro-apoptotic factors, or disrupting its interaction with anti-apoptotic proteins like hexokinase and Bcl-2 to promote cell death in cancer cells [4, 9, 11]. Some compounds, such as Erastin, bind to VDAC to induce oxidative stress and ferroptosis [11].
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