文摘
Overexpression of the antiapototic proteins Bcl-2 and Bcl-xL provides a common mechanism through whichcancer cells gain a survival advantage and become resistant to conventional chemotherapy. Inhibition ofthese prosurvival proteins is an attractive strategy for cancer therapy. We recently described the discoveryof a selective Bcl-xL antagonist that potentiates the antitumor activity of chemotherapy and radiation. Herewe describe the use of structure-guided design to exploit a deep hydrophobic binding pocket on the surfaceof these proteins to develop the first dual, subnanomolar inhibitors of Bcl-xL and Bcl-2. This study culminatedin the identification of 2, which exhibited EC50 values of 8 nM and 30 nM in Bcl-2 and Bcl-xL dependentcells, respectively. Compound 2 demonstrated single agent efficacy against human follicular lymphomacell lines that overexpress Bcl-2, and efficacy in a murine xenograft model of lymphoma when given bothas a single agent and in combination with etoposide.