Bcl-2 belongs to a growing family of proteins which regulates programmed ce
ll death (apoptosis). Overexpression of Bcl-2 has been observed in 70% of b
reast cancer, 30-60% of prostate cancer, 80% of B-cell lymphomas, 90% of co
lorectal adenocarcinomas, and many other forms of cancer. Thereby, Bcl-2 is
an attractive new anti-cancer target. Herein, we describe the discovery of
novel classes of small-molecule inhibitors targeted at the BH3 binding poc
ket in Bcl-2. The three-dimensional (3D) structure of Bcl-2 has been modele
d on the basis of a high-resolution NMR solution structure of Bcl-X-L, whic
h shares a high sequence homology with Bcl-2. A structure-based computer sc
reening approach has been employed to search the National Cancer Institute
3D database of 206 876 organic compounds to identify potential Bcl-2 small-
molecule inhibitors that bind to the BH3 binding site of Bcl-2. These poten
tial Bcl-2 small-molecule inhibitors were first tested in an in vitro bindi
ng assay for their potency in inhibition of the binding of a Bak BH3 peptid
e to Bcl-2. Thirty-five potential inhibitors were tested in this binding as
say, and seven of them were found to have a binding affinity (IC50 value) f
rom 1.6 to 14.0 muM. The anti-proliferative activity of these seven active
compounds has been tested using a human myeloid leukemia cell line, HL-60,
which expresses the highest level of Bcl-2 protein among all the cancer cel
l lines examined. Compound 6 was the most potent compound and had an IC50 v
alue of 4 muM in inhibition of cell growth using the 3-(4,5-dimethylthiazol
-2-yl)-2,5-diphenyltetrazolium bromide assay. Five other compounds had mode
rate activity in inhibition of cell growth. Compound 6 was further evaluate
d for its ability to induce apoptosis in cancer cells. It was found that 6
induces apoptosis in cancer cells with high Bcl-2 expression and its potenc
y correlates with the Bcl-2 expression level in cancer cells. Furthermore,
using NMR methods, we conclusively demonstrated that 6 binds to the BH3 bin
ding site in Bcl-XL. Our results showed that small-molecule inhibitors of B
cl-2 such as 6 modulate the biological function of Bcl-2, and induce apopto
sis in cancer cells with high Bcl-2 expression, while they have little effe
ct on cancer cells with low or undetectable levels of Bcl-2 expression. The
refore, compound 6 can be used as a valuable pharmacological tool to elucid
ate the function of Bcl-2 and also serves as a novel lead compound for furt
her design and optimization. Our results suggest that the structure-based c
omputer screening strategy employed in the study is effective for identifyi
ng novel, structurally diverse, nonpeptide small-molecule inhibitors that t
arget the BH3 binding site of Bcl-2.