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Topobexin Selectively Inhibits Topoisomerase IIβ, Protects Heart

  • Researchers have discovered Topobexin, a compound that selectively inhibits the ATPase domain of Topoisomerase II beta isoform, providing a breakthrough in cancer chemotherapy and cardioprotective strategies.
  • Anthracyclines, potent chemotherapeutic agents, are known for dose-limiting cardiotoxicity, attributed to their interaction with Top2 beta isoform in cardiac myocytes.
  • Topobexin's specific inhibition of Top2 beta's ATPase activity offers a promising cardioprotective role during anthracycline exposure without compromising anticancer efficacy.
  • The compound has shown efficacy in protecting cardiomyocytes from anthracycline-induced DNA damage and apoptosis in in vitro and in vivo studies, while not diminishing the cytotoxicity of anthracyclines against cancer cells.
  • Topobexin's selective affinity for the ATPase domain represents a novel approach towards isoform-selective inhibition, allowing for targeted cardioprotection while maintaining antitumor effects.
  • This discovery paves the way for precision modulators like Topobexin to dissect complex cellular roles of Topoisomerase II, offering potential for enhanced therapeutic outcomes and reduced adverse effects in cancer patients.
  • Topobexin's development entails optimizing its pharmacokinetic and pharmacodynamic profiles, preclinical safety assessments, and rigorous clinical trials to confirm its efficacy and safety in human cancer patients.
  • By exemplifying the importance of isoform-selective therapeutics, Topobexin reshapes therapeutic approaches in cancer treatment, offering hope for safer and more effective therapies with minimized cardiovascular risks.
  • The innovative targeting strategy of Topobexin not only addresses anthracycline cardiotoxicity but also hints at potential applications in broader biological functions involving Topoisomerase II beta, including roles in transcription regulation and neuronal genome stability.
  • Topobexin's selective inhibition paradigm sets a precedent for precision targeting in enzymology and drug development, showcasing how highly selective agents can redefine therapeutic options and minimize off-target effects.
  • This groundbreaking research marks a significant milestone in the management of anthracycline-induced heart disease, offering promise for improved quality of life and survival outcomes for cancer patients worldwide.

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