{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:47:09Z","timestamp":1791298029897,"version":"4.1.0"},"reference-count":147,"publisher":"Bioscientifica","issue":"1","content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The destruction of proteins via the ubiquitin\u2013proteasome system is a multi-step, complex process involving polyubiquitination of substrate proteins, followed by proteolytic degradation by the macromolecular 26S proteasome complex. Inhibitors of the proteasome promote the accumulation of proteins that are deleterious to cell survival, and represent promising anti-cancer agents. In multiple myeloma and mantle cell lymphoma, treatment with the first-generation proteasome inhibitor, bortezomib, or the second-generation inhibitor, carfilzomib, has demonstrated significant therapeutic benefit in humans. This has prompted United States Food and Drug Administration (US FDA) approval of these agents and development of additional second-generation compounds with improved properties. There is considerable interest in extending the benefits of proteasome inhibitors to the treatment of solid tumor malignancies. Herein, we review progress that has been made in the preclinical development and clinical evaluation of different proteasome inhibitors in solid tumors. In addition, we describe several novel approaches that are currently being pursued for the treatment of solid tumors, including drug combinatorial strategies incorporating proteasome inhibitors and the targeting of components of the ubiquitin\u2013proteasome system that are distinct from the 26S proteasome complex.<\/jats:p>","DOI":"10.1530\/erc-14-0005","type":"journal-article","created":{"date-parts":[[2014,3,22]],"date-time":"2014-03-22T01:41:05Z","timestamp":1395452465000},"page":"T1-T17","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-8","source":"Crossref","is-referenced-by-count":82,"title":["The ubiquitin\u2013proteasome system: opportunities for therapeutic intervention in solid tumors"],"prefix":"10.1530","volume":"22","author":[{"given":"Daniel E","family":"Johnson","sequence":"first","affiliation":[{"name":"Division of Hematology\/Oncology","department":["Departments of Medicine, and Pharmacology and Chemical Biology, University of Pittsburgh and the University of Pittsburgh Cancer Institute, Room 2.18c, Hillman Cancer Center, 5117 Centre Avenue, Pittsburgh, Pennsylvania 15213, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"2026070909024517100_bib1","unstructured":"Aggarwal\n              BB\n            \n          \n          2004\n          Nuclear factor-\u03baB: the enemy within. 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(doi:10.1053\/j.seminhematol.2012.04.002).","DOI":"10.1053\/j.seminhematol.2012.04.002"},{"key":"2026070909024517100_bib40","doi-asserted-by":"crossref","unstructured":"Dudek\n              AZ\n            \n            \n              Lesniewski-Kmak\n              K\n            \n            \n              Shehadeh\n              NJ\n            \n            \n              Pandey\n              ON\n            \n            \n              Franklin\n              M\n            \n            \n              Kratzke\n              RA\n            \n            \n              Greeno\n              EW\n            \n            \n              Kumar\n              P\n            \n          \n          2009\n          Phase I study of bortezomib and cetuximab in patients with solid tumours expressing epidermal growth factor receptor. British Journal of Cancer1001379\u20131384. 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Investigational New Drugs32195\u2013199. (doi:10.1007\/s10637-013-9980-5).","DOI":"10.1007\/s10637-013-9980-5"},{"key":"2026070909024517100_bib57","doi-asserted-by":"crossref","unstructured":"Hui\n              B\n            \n            \n              Shi\n              YH\n            \n            \n              Ding\n              ZB\n            \n            \n              Zhou\n              J\n            \n            \n              Gu\n              CY\n            \n            \n              Peng\n              YF\n            \n            \n              Yang\n              H\n            \n            \n              Liu\n              WR\n            \n            \n              Shi\n              GM\n            \n            \n              Fan\n              J\n            \n          \n          2012\n          Proteasome inhibitor interacts synergistically with autophagy inhibitor to suppress proliferation and induce apoptosis in hepatocellular carcinoma. 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Clinical Lung Cancer1233\u201337. (doi:10.3816\/CLC.2011.n.004).","DOI":"10.3816\/CLC.2011.n.004"},{"key":"2026070909024517100_bib70","doi-asserted-by":"crossref","unstructured":"Li\n              C\n            \n            \n              Johnson\n              DE\n            \n          \n          2012\n          Bortezomib induces autophagy in head and neck squamous cell carcinoma cells via JNK activation. Cancer Letters314102\u2013107. (doi:10.1016\/j.canlet.2011.09.020).","DOI":"10.1016\/j.canlet.2011.09.020"},{"key":"2026070909024517100_bib71","doi-asserted-by":"crossref","unstructured":"Li\n              C\n            \n            \n              Li\n              R\n            \n            \n              Grandis\n              JR\n            \n            \n              Johnson\n              DE\n            \n          \n          2008\n          Bortezomib induces apoptosis via Bim and Bik up-regulation and synergizes with cisplatin in the killing of head and neck squamous cell carcinoma cells. Molecular Cancer Therapeutics71647\u20131655. 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Blood1112364\u20132373. (doi:10.1182\/blood-2007-08-110171).","DOI":"10.1182\/blood-2007-08-110171"},{"key":"2026070909024517100_bib78","doi-asserted-by":"crossref","unstructured":"Lonial\n              S\n            \n            \n              Waller\n              EK\n            \n            \n              Richardson\n              PG\n            \n            \n              Jagannath\n              S\n            \n            \n              Orlowski\n              RZ\n            \n            \n              Giver\n              CR\n            \n            \n              Jaye\n              DL\n            \n            \n              Francis\n              D\n            \n            \n              Giusti\n              S\n            \n            \n              Torre\n              C\n            \n            \n          \n          2005\n          Risk factors and kinetics of thrombocytopenia associated with bortezomib for relapsed, refractory multiple myeloma. 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Molecular Cancer Therapeutics11243\u20131253."},{"key":"2026070909024517100_bib89","doi-asserted-by":"crossref","unstructured":"Nikrad\n              M\n            \n            \n              Johnson\n              T\n            \n            \n              Puthalalath\n              H\n            \n            \n              Coultas\n              L\n            \n            \n              Adams\n              J\n            \n            \n              Kraft\n              AS\n            \n          \n          2005\n          The proteasome inhibitor bortezomib sensitizes cells to killing by death receptor ligand TRAIL via BH3-only proteins Bik and Bim. Molecular Cancer Therapeutics4443\u2013449.","DOI":"10.1158\/1535-7163.MCT-04-0260"},{"key":"2026070909024517100_bib90","doi-asserted-by":"crossref","unstructured":"O'Connor\n              OA\n            \n            \n              Wright\n              J\n            \n            \n              Moskowitz\n              C\n            \n            \n              Muzzy\n              J\n            \n            \n              MacGregor-Cortelli\n              B\n            \n            \n              Stubblefield\n              M\n            \n            \n              Straus\n              D\n            \n            \n              Portlock\n              C\n            \n            \n              Hamlin\n              P\n            \n            \n              Choi\n              E\n            \n            \n          \n          2005\n          Phase II clinical experience with the novel proteasome inhibitor bortezomib in patients with indolent non-Hodgkin's lymphoma and mantle cell lymphoma. 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(doi:10.1097\/JTO.0b013e31824de2fa).","DOI":"10.1097\/JTO.0b013e31824de2fa"},{"key":"2026070909024517100_bib102","doi-asserted-by":"crossref","unstructured":"Pitts\n              TM\n            \n            \n              Morrow\n              M\n            \n            \n              Kaufman\n              SA\n            \n            \n              Tentler\n              JJ\n            \n            \n              Eckhardt\n              SG\n            \n          \n          2009\n          Vorinostat and bortezomib exert synergistic antiproliferative and proapoptotic effects in colon cancer cell models. Molecular Cancer Therapeutics8342\u2013349. (doi:10.1158\/1535-7163.MCT-08-0534).","DOI":"10.1158\/1535-7163.MCT-08-0534"},{"key":"2026070909024517100_bib103","doi-asserted-by":"crossref","unstructured":"Piva\n              R\n            \n            \n              Ruggeri\n              B\n            \n            \n              Williams\n              M\n            \n            \n              Costa\n              G\n            \n            \n              Tamagno\n              I\n            \n            \n              Ferrero\n              D\n            \n            \n              Giai\n              V\n            \n            \n              Coscia\n              M\n            \n            \n              Peola\n              S\n            \n            \n              Massaia\n              M\n            \n            \n          \n          2008\n          CEP-18770: a novel, orally active proteasome inhibitor with a tumor-selective pharmacologic profile competitive with bortezomib. Blood1112765\u20132775. (doi:10.1182\/blood-2007-07-100651).","DOI":"10.1182\/blood-2007-07-100651"},{"key":"2026070909024517100_bib104","doi-asserted-by":"crossref","unstructured":"Poeta\n              ML\n            \n            \n              Manola\n              J\n            \n            \n              Goldwasser\n              MA\n            \n            \n              Forastiere\n              A\n            \n            \n              Benoit\n              N\n            \n            \n              Califano\n              JA\n            \n            \n              Ridge\n              JA\n            \n            \n              Goodwin\n              J\n            \n            \n              Kenady\n              D\n            \n            \n              Saunders\n              J\n            \n            \n          \n          2007\n          TP53 mutations and survival in squamous-cell carcinoma of the head and neck. New England Journal of Medicine3572552\u20132561. (doi:10.1056\/NEJMoa073770).","DOI":"10.1056\/NEJMoa073770"},{"key":"2026070909024517100_bib105","doi-asserted-by":"crossref","unstructured":"Popat\n              R\n            \n            \n              Oakervee\n              H\n            \n            \n              Williams\n              C\n            \n            \n              Cook\n              M\n            \n            \n              Craddock\n              C\n            \n            \n              Basu\n              S\n            \n            \n              Singer\n              C\n            \n            \n              Harding\n              S\n            \n            \n              Foot\n              N\n            \n            \n              Hallam\n              S\n            \n            \n          \n          2009\n          Bortezomib, low-dose intravenous melphalan, and dexamethasone for patients with relapsed multiple myeloma. British Journal of Haematology144887\u2013894. (doi:10.1111\/j.1365-2141.2008.07572.x).","DOI":"10.1111\/j.1365-2141.2008.07572.x"},{"key":"2026070909024517100_bib106","doi-asserted-by":"crossref","unstructured":"Pugh\n              TJ\n            \n            \n              Chen\n              C\n            \n            \n              Rabinovitch\n              R\n            \n            \n              Eckhardt\n              SG\n            \n            \n              Rusthoven\n              KE\n            \n            \n              Swing\n              R\n            \n            \n              Raben\n              D\n            \n          \n          2010\n          Phase I trial of bortezomib and concurrent external beam radiation in patients with advanced solid malignancies. International Journal of Radiation Oncology, Biology, Physics78521\u2013526. (doi:10.1016\/j.ijrobp.2009.07.1715).","DOI":"10.1016\/j.ijrobp.2009.07.1715"},{"key":"2026070909024517100_bib107","doi-asserted-by":"crossref","unstructured":"Qin\n              JZ\n            \n            \n              Ziffra\n              J\n            \n            \n              Stennett\n              L\n            \n            \n              Bodner\n              B\n            \n            \n              Bonish\n              BK\n            \n            \n              Chaturvedi\n              V\n            \n            \n              Bennett\n              F\n            \n            \n              Pollock\n              PM\n            \n            \n              Trent\n              JM\n            \n            \n              Hendrix\n              MJ\n            \n            \n          \n          2005\n          Proteasome inhibitors trigger NOXA-mediated apoptosis in melanoma and myeloma cells. Cancer Research656282\u20136293. (doi:10.1158\/0008-5472.CAN-05-0676).","DOI":"10.1158\/0008-5472.CAN-05-0676"},{"key":"2026070909024517100_bib108","doi-asserted-by":"crossref","unstructured":"Ramalingam\n              SS\n            \n            \n              Davies\n              AM\n            \n            \n              Longmate\n              J\n            \n            \n              Edelman\n              MJ\n            \n            \n              Lara\n              PN\n              Jr\n            \n            \n              Vokes\n              EE\n            \n            \n              Villalona-Calero\n              M\n            \n            \n              Gitlitz\n              B\n            \n            \n              Reckamp\n              K\n            \n            \n              Salgia\n              R\n            \n            \n          \n          2011\n          Bortezomib for patients with advanced-stage bronchioloalveolar carcinoma: a California Cancer Consortium Phase II study (NCI 7003). 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(doi:10.1056\/NEJMoa043445)."},{"key":"2026070909024517100_bib112","doi-asserted-by":"crossref","unstructured":"Richardson\n              PG\n            \n            \n              Briemberg\n              H\n            \n            \n              Jagannath\n              S\n            \n            \n              Wen\n              PY\n            \n            \n              Barlogie\n              B\n            \n            \n              Berenson\n              J\n            \n            \n              Singhal\n              S\n            \n            \n              Siegel\n              DS\n            \n            \n              Irwin\n              D\n            \n            \n              Schuster\n              M\n            \n            \n          \n          2006\n          Frequency, characteristics, and reversibility of peripheral neuropathy during treatment of advanced multiple myeloma with bortezomib. Journal of Clinical Oncology243113\u20133120. (doi:10.1200\/JCO.2005.04.7779).","DOI":"10.1200\/JCO.2005.04.7779"},{"key":"2026070909024517100_bib113","doi-asserted-by":"crossref","unstructured":"Richardson\n              PG\n            \n            \n              Schlossman\n              RL\n            \n            \n              Alsina\n              M\n            \n            \n              Weber\n              DM\n            \n            \n              Coutre\n              SE\n            \n            \n              Gasparetto\n              C\n            \n            \n              Mukhopadhyay\n              S\n            \n            \n              Ondovik\n              MS\n            \n            \n              Khan\n              M\n            \n            \n              Paley\n              CS\n            \n            \n          \n          2013\n          PANORAMA 2: panobinostat in combination with bortezomib and dexamethasone in patients with relapsed and bortezomib-refractory myeloma. 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Molecular Cancer Therapeutics91842\u20131851. (doi:10.1158\/1535-7163.MCT-09-0918).","DOI":"10.1158\/1535-7163.MCT-09-0918"},{"key":"2026070909024517100_bib117","doi-asserted-by":"crossref","unstructured":"Shah\n              MA\n            \n            \n              Power\n              DG\n            \n            \n              Kindler\n              HL\n            \n            \n              Holen\n              KD\n            \n            \n              Kemeny\n              MM\n            \n            \n              Ilson\n              DH\n            \n            \n              Tang\n              L\n            \n            \n              Capanu\n              M\n            \n            \n              Wright\n              JJ\n            \n            \n              Kelsen\n              DP\n            \n          \n          2011\n          A multicenter, phase II study of bortezomib (PS-341) in patients with unresectable or metastatic gastric and gastroesophageal junction adenocarcinoma. 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Anticancer Research311093\u20131103."},{"key":"2026070909024517100_bib125","unstructured":"Sunwoo\n              JB\n            \n            \n              Chen\n              Z\n            \n            \n              Dong\n              G\n            \n            \n              Yeh\n              N\n            \n            \n              Crowl Bancroft\n              C\n            \n            \n              Sausville\n              E\n            \n            \n              Adams\n              J\n            \n            \n              Elliott\n              P\n            \n            \n              Van Waes\n              C\n            \n          \n          2001\n          Novel proteasome inhibitor PS-341 inhibits activation of nuclear factor-\u03baB, cell survival, tumor growth, and angiogenesis in squamous cell carcinoma. 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EMBO Journal142876\u20132883.","DOI":"10.1002\/j.1460-2075.1995.tb07287.x"},{"key":"2026070909024517100_bib130","doi-asserted-by":"crossref","unstructured":"Van Waes\n              C\n            \n          \n          2007\n          Nuclear factor-\u03baB in development, prevention, and therapy of cancer. Clinical Cancer Research131076\u20131082. 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