Small-Molecule Inhibitors Targeting the Canonical WNT Signaling Pathway for the Treatment of Cancer

J Med Chem. 2021 Apr 22;64(8):4257-4288. doi: 10.1021/acs.jmedchem.0c01799. Epub 2021 Apr 6.

Abstract

Canonical WNT signaling is an important developmental pathway that has attracted increased attention for anticancer drug discovery. From the production and secretion of WNT ligands, their binding to membrane receptors, and the β-catenin destruction complex to the expansive β-catenin transcriptional complex, multiple components have been investigated as drug targets to modulate WNT signaling. Significant progress in developing WNT inhibitors such as porcupine inhibitors, tankyrase inhibitors, β-catenin/coactivators, protein-protein interaction inhibitors, casein kinase modulators, DVL inhibitors, and dCTPP1 inhibitors has been made, with several candidates (e.g., LGK-974, PRI-724, and ETC-159) in human clinical trials. Herein we summarize recent progress in the drug discovery and development of small-molecule inhibitors targeting the canonical WNT pathway, focusing on their specific target proteins, in vitro and in vivo activities, physicochemical properties, and therapeutic potential. The relevant opportunities and challenges toward maintaining the balance between efficacy and toxicity in effectively targeting this pathway are also highlighted.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Binding Sites
  • Drug Discovery
  • Enzyme Inhibitors / chemistry
  • Enzyme Inhibitors / metabolism
  • Enzyme Inhibitors / pharmacology
  • Enzyme Inhibitors / therapeutic use
  • Humans
  • Molecular Dynamics Simulation
  • Neoplasms / drug therapy
  • Peptides / chemistry
  • Peptides / metabolism
  • Protein Interaction Maps / drug effects
  • Small Molecule Libraries / chemistry
  • Small Molecule Libraries / metabolism
  • Small Molecule Libraries / pharmacology*
  • Small Molecule Libraries / therapeutic use
  • TCF Transcription Factors / chemistry
  • TCF Transcription Factors / metabolism
  • Tankyrases / antagonists & inhibitors
  • Tankyrases / metabolism
  • Wnt Proteins / chemistry
  • Wnt Proteins / metabolism*
  • Wnt Signaling Pathway / drug effects*
  • beta Catenin / chemistry
  • beta Catenin / metabolism

Substances

  • Enzyme Inhibitors
  • Peptides
  • Small Molecule Libraries
  • TCF Transcription Factors
  • Wnt Proteins
  • beta Catenin
  • Tankyrases