Pharmacological Targeting of IRE1 in Cancer

IRE1α (inositol requiring enzyme 1 alpha), a type I endoplasmic reticulum (ER)-resident transmembrane protein, exhibits both RNase and kinase activities.IRE1α is involved in several diseases such as cancer, immune, metabolic, and neurodegenerative disorders, and has thus become a relevant therapeutic target.Pharmacological modulation of IRE1α activity, and the subsequent applications, mechanisms of action, and limitations, are key to a better understanding of what would be the best anticancer approach to use in clinical settings.The potential pitfalls/challenges and opportunities that IRE1α modulating strategies may represent are discussed. IRE1α (inositol requiring enzyme 1 alpha) is one of the main transducers of the unfolded protein response (UPR). IRE1α plays instrumental protumoral roles in several cancers, and high IRE1α activity has been associated with poorer prognoses. In this context, IRE1α has been identified as a potentially relevant therapeutic target. Pharmacological inhibition of IRE1α activity can be achieved by targeting either the kinase domain or the RNase domain. Herein, the recent advances in IRE1α pharmacological targeting is summarized. We describe the identification and optimization of IRE1α inhibitors as well as their mode of action and limitations as anticancer drugs. The potential pitfalls and challenges that could be faced in the clinic, and the opportunities that IRE1α modulating strategies may present are discussed. IRE1α (inositol requiring enzyme 1 alpha) is one of the main transducers of the unfolded protein response (UPR). IRE1α plays instrumental protumoral roles in several cancers, and high IRE1α activity has been associated with poorer prognoses. In this context, IRE1α has been identified as a potentially relevant therapeutic target. Pharmacological inhibition of IRE1α activity can be achieved by targeting either the kinase domain or the RNase domain. Herein, the recent advances in IRE1α pharmacological targeting is summarized. We describe the identification and optimization of IRE1α inhibitors as well as their mode of action and limitations as anticancer drugs. The potential pitfalls and challenges that could be faced in the clinic, and the opportunities that IRE1α modulating strategies may present are discussed.