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Chemical Approaches to Improving Proteasome-Targeted Cancer Therapies Kyung Bo Kim, Ph.D. Associate Professor Department of Pharmaceutical Sciences University of Kentucky, Lexington, KY A major focus of our research is the application of chemical tools to improve the proteasometargeted cancer therapies. Proteasome inhibitors such as carfilzomib (Kyprolis®) and bortezomib (Velcade®) have markedly improved the prognosis of refractory multiple myeloma, but intrinsic and acquired cancer resistance to proteasome inhibitor therapy remains significant clinical concerns. Our current research efforts are to explore the resistance mechanisms using novel chemical tools and to identify novel strategies for overcoming drug resistance. Based on our initial observations and literature reports by others, we hypothesized that intermediate or hybrid proteasomes containing a non-standard mixture of proteasome catalytic subunits may play a role in cancer resistance to carfilzomib or bortezomb. A major obstacle in testing our hypothesis is the lack of practical ways to determine the subunit composition of a single 20S proteasome complex in cancer cells. Here, we present the development of two novel, complementary strategies that employ small molecule probes for determining the subunit composition of proteasomes in cancer cells. In addition, we aim to develop novel proteasome inhibitors that can overcome obstacles and limitations associated with the peptide-based proteasome inhibitors, such as bortezomib and carfilzomib. We will present our efforts to develop novel proteasome inhibitors with non-peptide scaffolds and a reversible binding mode.