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© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Cancer management has traditionally depended on chemotherapy as the mainstay of treatment; however, recent advancements in targeted therapies and immunotherapies have offered new options. Ubiquitin-specific proteases (USPs) have emerged as promising therapeutic targets in cancer treatment due to their crucial roles in regulating protein homeostasis and various essential cellular processes. This review covers the following: (1) the structural and functional characteristics of USPs, highlighting their involvement in key cancer-related pathways, and (2) the discovery, chemical structures, mechanisms of action, and potential clinical implications of USP inhibitors in cancer therapy. Particular attention is given to the role of USP inhibitors in enhancing cancer immunotherapy, e.g., modulation of the tumor microenvironment, effect on regulatory T cell function, and influence on immune checkpoint pathways. Furthermore, this review summarizes the current progress and challenges of clinical trials involving USP inhibitors as cancer therapy. We also discuss the complexities of achieving target selectivity, the ongoing efforts to develop more specific and potent USP inhibitors, and the potential of USP inhibitors to overcome drug resistance and synergize with existing cancer treatments. We finally provide a perspective on future directions in targeting USPs, including the potential for personalized medicine based on specific gene mutations, underscoring their significant potential for enhancing cancer treatment. By elucidating their mechanisms of action, clinical progress, and potential future applications, we hope that this review could serve as a useful resource for both basic scientists and clinicians in the field of cancer therapeutics.

Details

Title
Ubiquitin-Specific Protease Inhibitors for Cancer Therapy: Recent Advances and Future Prospects
Author
Bakkar, Mohamad 1 ; Khalil, Sara 2 ; Bhayekar, Komal 3 ; Kushwaha, Narva Deshwar 3 ; Samarbakhsh, Amirreza 3 ; Dorandish, Sadaf 3 ; Edwards, Holly 4 ; Dou, Q Ping 5   VIAFID ORCID Logo  ; Ge, Yubin 5   VIAFID ORCID Logo  ; Gavande, Navnath S 6   VIAFID ORCID Logo 

 Department of Pharmaceutical Sciences, Eugene Applebaum College of Pharmacy and Health Sciences (EACPHS), Wayne State University, Detroit, MI 48201, USA; [email protected] (M.B.); [email protected] (K.B.); [email protected] (N.D.K.); [email protected] (A.S.); [email protected] (S.D.); Division of Pediatric Hematology and Oncology, Children’s Hospital of Michigan, Detroit, MI 48201, USA 
 Cancer Biology Graduate Program, Wayne State University School of Medicine, Detroit, MI 48201, USA; [email protected] (S.K.); [email protected] (Q.P.D.) 
 Department of Pharmaceutical Sciences, Eugene Applebaum College of Pharmacy and Health Sciences (EACPHS), Wayne State University, Detroit, MI 48201, USA; [email protected] (M.B.); [email protected] (K.B.); [email protected] (N.D.K.); [email protected] (A.S.); [email protected] (S.D.) 
 Department of Oncology, Wayne State University School of Medicine, Detroit, MI 48201, USA; [email protected]; Molecular Therapeutics Program, Barbara Ann Karmanos Cancer Institute (KCI), Wayne State University School of Medicine, Detroit, MI 48201, USA 
 Cancer Biology Graduate Program, Wayne State University School of Medicine, Detroit, MI 48201, USA; [email protected] (S.K.); [email protected] (Q.P.D.); Department of Oncology, Wayne State University School of Medicine, Detroit, MI 48201, USA; [email protected]; Molecular Therapeutics Program, Barbara Ann Karmanos Cancer Institute (KCI), Wayne State University School of Medicine, Detroit, MI 48201, USA 
 Department of Pharmaceutical Sciences, Eugene Applebaum College of Pharmacy and Health Sciences (EACPHS), Wayne State University, Detroit, MI 48201, USA; [email protected] (M.B.); [email protected] (K.B.); [email protected] (N.D.K.); [email protected] (A.S.); [email protected] (S.D.); Molecular Therapeutics Program, Barbara Ann Karmanos Cancer Institute (KCI), Wayne State University School of Medicine, Detroit, MI 48201, USA 
First page
240
Publication year
2025
Publication date
2025
Publisher
MDPI AG
e-ISSN
2218273X
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3170912658
Copyright
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.