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DRUG:

R-(-)-gossypol (AT 101)

i
Other names: AT 101, AT-101, R-(-)-gossypol acetic acid, (-)-gossypol
Company:
Ascentage Pharma
Drug class:
Bcl2 inhibitor, Bcl-xL inhibitor, MCL1 inhibitor
6d
Gossypol suppresses tumorigenesis through inhibition of multiple deubiquitinating enzymes. (PubMed, Bioorg Chem)
Moreover, Gossypol exhibited cytotoxic effects on human breast, prostate, and colorectal cancer cell lines, at least partially through downregulating the oncogenic substrates of targeted DUBs such as c-Myc, Mcl-1, MDM2, and Cyclin D1. Collectively, our findings position Gossypol as a promising small-molecule inhibitor targeting DUBs, especially USPs, and provide a rationale for further exploring its therapeutic potential in USP-driven cancers.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • BCL2 (B-cell CLL/lymphoma 2) • CCND1 (Cyclin D1) • USP7 (Ubiquitin Specific Peptidase 7) • USP9X (Ubiquitin Specific Peptidase 9 X-Linked)
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R-(-)-gossypol (AT 101)
11d
Exploring the Anti-Cervical Cancer Effect and Hepatotoxicity Risk of Gossypol Based on Untargeted Metabolomics and Network Toxicology. (PubMed, Pharmaceuticals (Basel))
KEGG analysis suggested that the toxic mechanisms may be linked to pathways involved in malignancy, the HIF-1 signaling pathway, proteoglycans in cancer, apoptosis, and others. Gossypol demonstrates a significant therapeutic effect against cervical cancer; however, its hepatotoxicity risk, mediated through multiple targets and pathways, requires further investigation.
Journal • IO biomarker • Metabolomic study
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BCL2 (B-cell CLL/lymphoma 2) • IL6 (Interleukin 6) • BCL2L1 (BCL2-like 1) • TNFA (Tumor Necrosis Factor-Alpha) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • IL10 (Interleukin 10) • MAPK1 (Mitogen-activated protein kinase 1) • CASP3 (Caspase 3) • PIK3R2 (Phosphoinositide-3-Kinase Regulatory Subunit 2 )
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R-(-)-gossypol (AT 101)
1m
Revealing the Binding Mechanism of Gossypol on Bcl‑2 via Funnel Metadynamics Simulations. (PubMed, ACS Omega)
Crucially, we demonstrate that gossypol binding reduces the overall flexibility of the binding site and that each binding state is characterized by a unique pattern of conformational stabilization across the four pockets. These findings provide an unprecedentedly detailed and dynamic roadmap of the gossypol-Bcl-2 interaction, offering crucial insights for the future structure-based design of next-generation inhibitors.
Journal
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BCL2 (B-cell CLL/lymphoma 2)
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R-(-)-gossypol (AT 101)
2ms
Natural Product Modulators of Protein-Protein Interactions: A Comprehensive Review. (PubMed, Phytochem Anal)
Collectively, these modulators demonstrate PPI druggability and provide chemical probes and lead scaffolds for therapeutic development in cancer, neurodegeneration, infectious disease, and immune disorders.
Review • Journal
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BCL2 (B-cell CLL/lymphoma 2) • BCL2L1 (BCL2-like 1) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • HSP90AA1 (Heat Shock Protein 90 Alpha Family Class A Member 1Heat Shock Protein 90 Alpha Family Class A Member 1)
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sirolimus • cyclosporin A microemulsion • R-(-)-gossypol (AT 101)
2ms
Exploring natural products as Bcl-2 inhibitors for acute myeloid leukemia therapy using In vitro, STD-NMR spectroscopy, and In silico approaches. (PubMed, Comput Biol Med)
The three natural products showed potent to significant activity, effectively inducing apoptosis in the HL-60 cell line. Hence, this study identifies three potential lead candidates for drug discovery against Bcl-2-related cancers after further mechanistic and pre-clinical studies.
Preclinical • Journal • IO biomarker
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BAX (BCL2-associated X protein) • CASP3 (Caspase 3)
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R-(-)-gossypol (AT 101)
2ms
C1orf35 contributes to high anabolic metabolism by simultaneously promoting aerobic glycolysis and oxidative phosphorylation in multiple myeloma cells. (PubMed, Cancer Gene Ther)
Our study uncovers a "C1orf35-driven" energy metabolism model in MM cells, providing new insights into the pathogenesis of MM and a potential novel target for the treatment of cancer cells with a high"C1orf35-driven" anabolic metabolism. Schematic diagram of C1orf35 simultaneously promotes glycolysis and OXPHOS.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog) • PKM (Pyruvate Kinase M1/2) • LRPPRC (Leucine Rich Pentatricopeptide Repeat Containing)
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R-(-)-gossypol (AT 101)
4ms
Taurine-Modified Gossypol Exerts Dual Anti-Hepatocellular Carcinoma Effects by Inactivating PI3K/AKT Pathway and Targeting FASN-Mediated Lipid Metabolism in Regulatory T Cells. (PubMed, J Hepatocell Carcinoma)
GT exerts synergistic anti-HCC effects through a dual mechanism: directly suppressing tumor proliferation by inactivating the PI3K/AKT pathway, and remodeling the TIME by targeting FASN-dependent lipid metabolism in Tregs. These findings highlight the potential of GT as a novel multitargeted agent for HCC treatment.
Journal
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FASN (Fatty acid synthase) • ANXA5 (Annexin A5)
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R-(-)-gossypol (AT 101)
5ms
New P1 trial
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Avastin (bevacizumab) • 5-fluorouracil • irinotecan • leucovorin calcium • R-(-)-gossypol (AT 101)
6ms
Targeting Steroid Receptor Coactivators for the Treatment of Benign Female Reproductive Disorders. (PubMed, Endocr Connect)
To inhibit SRC activity, natural compounds (e.g., gossypol, bufalin, verrucarin A) and synthetic small molecules (e.g., SI-2, SI-12, MCB-613) have been developed, demonstrating preclinical efficacy across several human diseases...This review summarizes current knowledge of SRC biology in benign gynecologic disorders, outlines their mechanistic roles in disease progression, and highlights opportunities for clinical translation. Targeting SRCs may ultimately represent a novel, non-hormonal, fertility-preserving therapeutic strategy in women's health.
Journal
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NCOA3 (Nuclear Receptor Coactivator 3)
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R-(-)-gossypol (AT 101)
7ms
Targeting the Tumor Immune Microenvironment in Triple-Negative Breast Cancer: The Promise of Polyphenols. (PubMed, Cancers (Basel))
This study also describes differential responses of TNBC cell lines to polyphenol treatment, highlighting the importance of considering genetic variability in therapeutic strategies, as well as the importance of the interaction of polyphenols with the gut microbiome, which may establish the bioavailability and effectiveness of these compounds toward therapeutic outcomes. Further preclinical and clinical studies are warranted to fully elucidate the therapeutic potential of polyphenols and translate these findings into clinical practice, thereby improving outcomes for patients with TNBC worldwide.
Review • Journal • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • CCL2 (Chemokine (C-C motif) ligand 2)
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PD-L1 expression
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R-(-)-gossypol (AT 101)
7ms
Indole-imidazolone derivatives as dual Mcl-1/COX-2 inhibitors: Design-oriented synthesis, molecular docking, and dynamics studies with potential anticancer and anti-inflammatory activities. (PubMed, Bioorg Chem)
= 28.44), surpassing celecoxib. Molecular docking and dynamics confirmed strong and stable binding to Mcl-1 and COX-2. In silico ADMET predictions indicated favorable drug-like and pharmacokinetic properties for the active compounds.
Journal
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BCL2 (B-cell CLL/lymphoma 2) • BCL2L1 (BCL2-like 1) • ANXA5 (Annexin A5)
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R-(-)-gossypol (AT 101) • celecoxib oral
8ms
Protective effect of (±)-gossypol through modulation of VEGF and apoptosis in mice bearing Ehrlich's solid carcinoma. (PubMed, Z Naturforsch C J Biosci)
Administration of (±)-gossypol (40 mg/kg/day ip) for five consecutive days was well tolerated, with no observable signs of systemic toxicity, such as >5 % weight loss or behavioral abnormalities on mice. These findings revealed that (±)-gossypol, in addition to its tumor suppressive effect, can inhibit pro-angiogenic effects of Ehrlich's ascites carcinoma (EAC) cells and have a protective effect in breast cancer.
Preclinical • Journal
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VEGFA (Vascular endothelial growth factor A)
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R-(-)-gossypol (AT 101)