Thecortistatins are a group of steroidal alkaloids first isolated in 2006 from the marine spongeCorticium simplex.[1] The cortistatins were first discovered in a search for naturally occurring compounds that inhibit proliferation of human umbilical vein endothelial cells (HUVECs), with cortistatin A being the most potent compound in the class.[2]
The Shair group at Harvard along with collaborators have shown that cortistatin A is a highly potent and selective inhibitor of CDK8 and CDK19, the kinases that associate with Mediator complex.[3] Out of 386 kinases evaluated, cortistatin A only inhibited CDK8 and CDK19, revealing that it is among the most selective kinase inhibitors. It was also shown that cortistatin A potently inhibits growth of acute myeloid leukemia cells and AML in two in vivo mouse models. Identification of dominant drug-resistant alleles of CDK8 and CDK19 demonstrate that these kinases mediate the activity of cortistatin A in AML cells. Thus, inhibition of CDK8 and CDK19 is a new therapeutic approach to AML. Cortistatin A caused selective and disproportionate up-regulation of super-enhancer-associated genes in AML cells which contributed to its anti-leukemic activity. This work indicated that CDK8 and CDK19 are negative regulators of super-enhancer-associated genes in AML.
Di-dehydrocortistatin A suppresses viral replication in cells infected with HIV via binding to the Tat protein.[4]
Cortistatin A was synthesized first by Baran,[5] thereafter by Shair,[6] Myers, and Nicolaou labs.[7]
^Aoki, S; Watanabe, Y; Sanagawa, M; Setiawan, A; Kotoku, N; Kobayashi, M (2006). "Cortistatins A, B, C, and D, anti-angiogenic steroidal alkaloids, from the marine sponge Corticium simplex". Journal of the American Chemical Society. 128 (10): 3148–9. doi:10.1021/ja057404h. PMID16522087.
^Aoki, S; Watanabe, Y; Tanabe, D; Arai, M; Suna, H; Miyamoto, K; Tsujibo, H; Tsujikawa, K; Yamamoto, H (2007). "Structure-activity relationship and biological property of cortistatins, anti-angiogenic spongean steroidal alkaloids". Bioorganic & Medicinal Chemistry. 15 (21): 6758–62. doi:10.1016/j.bmc.2007.08.017. PMID17765550.
^Lee, Hong Myung; Nieto-Oberhuber, Cristina; Shair, Matthew D. (2008-12-17). "Enantioselective Synthesis of (+)-Cortistatin A, a Potent and Selective Inhibitor of Endothelial Cell Proliferation". Journal of the American Chemical Society. 130 (50): 16864–16866. doi:10.1021/ja8071918. ISSN0002-7863. PMID19053422. S2CID207132632.