PMID- 26706241 OWN - NLM STAT- MEDLINE DCOM- 20170317 LR - 20170317 IS - 1879-016X (Electronic) IS - 0163-7258 (Linking) VI - 162 DP - 2016 Jun TI - Microtubule-stabilizing agents: New drug discovery and cancer therapy. PG - 134-43 LID - S0163-7258(15)00232-6 [pii] LID - 10.1016/j.pharmthera.2015.12.006 [doi] AB - Microtubule-stabilizing agents (MSAs) have been highly successful in the treatment of cancer in the past 20years. To date, three classes of MSAs have entered the clinical trial stage or have been approved for clinical anticancer chemotherapy, and more than 10 classes of novel structural MSAs have been derived from natural resources. The microtubule typically contains two MSA-binding sites: the taxoid site and the laulimalide/peloruside site. All defined MSAs are known to bind at either of these sites, with subtle but significant differences. MSAs with different binding sites may produce a synergistic effect. Although having been extensively applied in the clinical setting, paclitaxel and other approved MSAs still pose many challenges such as multidrug resistance, low bioavailability, poor solubility, high toxicity, and low passage through the blood-brain barrier. A variety of studies focus on the structure-activity relationship in order to improve the pharmaceutical properties of these agents. Here, the mechanisms of action, advancements in pharmacological research, and clinical developments of defined MSAs during the past decade are discussed. The latest discovered MSAs are also briefly introduced in this review. The increasing number of natural MSAs indicates the potential discovery of more novel, natural MSAs with different structural bases, which will further promote the development of anticancer chemotherapy. CI - Copyright (c) 2016. Published by Elsevier Inc. FAU - Zhao, Ying AU - Zhao Y AD - Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Xiannongtan 1, Xicheng District, Beijing 100050, PR China; Chinese Pharmacological Society, Beijing 100050, PR China. Electronic address: zhaoying@imm.ac.cn. FAU - Mu, Xin AU - Mu X AD - Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Xiannongtan 1, Xicheng District, Beijing 100050, PR China; Chinese Pharmacological Society, Beijing 100050, PR China. Electronic address: muxin@imm.ac.cn. FAU - Du, Guanhua AU - Du G AD - Institute of Materia Medica, Chinese Academy of Medical Sciences and Peking Union Medical College, Xiannongtan 1, Xicheng District, Beijing 100050, PR China; Chinese Pharmacological Society, Beijing 100050, PR China. Electronic address: dugh@imm.ac.cn. LA - eng PT - Journal Article PT - Review DEP - 20151217 PL - England TA - Pharmacol Ther JT - Pharmacology & therapeutics JID - 7905840 RN - 0 (Antineoplastic Agents) SB - IM MH - Antineoplastic Agents/*pharmacology/*therapeutic use MH - Drug Discovery MH - Humans MH - Microtubules/*drug effects MH - Neoplasms/*drug therapy OTO - NOTNLM OT - Cancer therapy OT - Epothilone OT - Microtubule-stabilizing agent OT - Natural product OT - Paclitaxel EDAT- 2015/12/27 06:00 MHDA- 2017/03/18 06:00 CRDT- 2015/12/27 06:00 PHST- 2015/12/27 06:00 [entrez] PHST- 2015/12/27 06:00 [pubmed] PHST- 2017/03/18 06:00 [medline] AID - S0163-7258(15)00232-6 [pii] AID - 10.1016/j.pharmthera.2015.12.006 [doi] PST - ppublish SO - Pharmacol Ther. 2016 Jun;162:134-43. doi: 10.1016/j.pharmthera.2015.12.006. Epub 2015 Dec 17.