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.
Wake Forest University Comprehensive Cancer Center, Winston-Salem, North Carolina, United States
Duke Comprehensive Cancer Center, Durham, North Carolina, United States
Mount Sinai Medical Center, New York, New York, United States
Wake Forest University Health Sciences, Winston-Salem, North Carolina, United States
University of North Carolina, Chapel Hill, North Carolina, United States
Virginia Commonwealth University, Richmond, Virginia, United States
James R. Berenson MD, Incorporated, West Hollywood, California, United States
San Diego Pacific Oncology and Hematology Associates, Incorporated - Escondido, Escondido, California, United States
Comprehensive Blood and Cancer Center, Bakersfield, California, United States
CHU de Grenoble - Hopital Michallon, Grenoble, France
Duke University Medical Center, Durham, North Carolina, United States
Dana Farber Cancer Institute (and Massachusetts General), Boston, Massachusetts, United States
The University of Chicago Medical Center, Chicago, Illinois, United States
Emory University Hospital, Atlanta, Georgia, United States
Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center, Hartford, Connecticut, United States
St. Joseph Mercy Oakland, Pontiac, Michigan, United States
Sparrow Regional Cancer Center, Lansing, Michigan, United States
Mayo Clinic, Rochester, Minnesota, United States
National Institutes of Health Clinical Center, Bethesda, Maryland, United States
Mayo Clinic, Rochester, Minnesota, United States
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