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.
Local Institution, Columbia, South Carolina, United States
Policlinico "S.Orsola-Malpighi"-Istituto di Ematologia "L e A Seragnoli", Bologna, Italy
Duke University Medical Center, Durham, North Carolina, United States
Dept. of Haematology, Århus University Hospital, Århus, Denmark
Department of Hematology, Rikshospitalet, Oslo, Norway
Department of Haematology, Herlev University Hospital, Herlev, Denmark
Hematology Oncology Consultants Inc., Columbus, Ohio, United States
S. Florida Oncology/ Hematology, West Palm Beach, Florida, United States
Hematology-Oncology Clinic, Baton Rouge, Louisiana, United States
UT MD Anderson Cancer Center, Houston, Texas, United States
University of Miami Sylvester Comprehensive Cancer Center - Miami, Miami, Florida, United States
University of Texas MD Anderson Cancer Center, Houston, Texas, United States
Washington University in Saint Louis, St. Louis, Missouri, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
University of Michigan, Ann Arbor, Michigan, United States
University of Texas MD Anderson Cancer Center, Houston, Texas, United States
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