Bortezomib is a dipeptide boronic acid derivative and proteasome inhibitor used to treat multiple myeloma and mantle cell lymphoma. The 26S proteasome is a protein complex that degrades ubiquitinated proteins in the ubiquitin-proteasome pathway: reversible inhibition of the 26S proteasome, leading to cell cycle arrest and apoptosis of cancer cells, is thought to be the main mechanism of action of bortezomib. However, multiple mechanisms may be involved in the anticancer activity of bortezomib.
Bortezomib was first synthesized in 1995. In May 2003, bortezomib became the first anticancer proteasome inhibitor that was approved by the FDA under the trade name VELCADE. Phase I, II, III, and IV clinical trials are undergoing to investigate the therapeutic efficacy of bortezomib in leukemia, myasthenia gravis, systemic lupus erythematosus, rheumatoid arthritis, and solid tumours.
Bortezomib is indicated for the treatment of adults with multiple myeloma or mantle cell lymphoma.
University of Texas MD Anderson Cancer Center, Houston, Texas, United States
University College London, London, United Kingdom
Georgia Regents University, Augusta, Georgia, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Winship Cancer Institute of Emory University, Atlanta, Georgia, United States
Hackensack University Medical Center, Hackensack, New Jersey, United States
Lineberger Comphrehensive Cancer Center at University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States
The Center for Cancer and Blood Disorders, Fort Worth, Texas, United States
Siteman Cancer Center at Washington University, Saint Louis, Missouri, United States
Levine Cancer Institute, Charlotte, North Carolina, United States
Department of Hematology, Vejle, Denmark
Cancer Center Of Acadiana, Lafayette, Louisiana, United States
Medical University Of South Carolina, Charleston, South Carolina, United States
Ucla Department Of Medicine, Los Angeles, California, United States
Southeastern Medical Oncology Center, Goldsboro, North Carolina, United States
CHU Estaing, Clermont Ferrand, France
CH Le Mans, Le Mans, France
Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium, Seattle, Washington, United States
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