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Updated: May 24, 2026

Biosensor-based High Throughput Biopanning and Bioinformatics Analysis Strategy for the Global Validation of Drug-protein Interactions
Published on: December 1, 2020
Protease-activated drug development
Ki Young Choi1, Magdalena Swierczewska, Seulki Lee
11. Laboratory of Molecular Imaging and Nanomedicine (LOMIN), National Institute of Biomedical Imaging and Bioengineering (NIBIB), National Institutes of Health (NIH), Bethesda, Maryland, 20892, USA.
Abstract:
In this extensive review, we elucidate the importance of proteases and their role in drug development in various diseases with an emphasis on cancer. First, key proteases are introduced along with their function in disease progression. Next, we link these proteases as targets for the development of prodrugs and provide clinical examples of protease-activatable prodrugs. Finally, we provide significant design considerations needed for the development of the next generation protease-targeted and protease-activatable prodrugs.
Insights
This review highlights proteases in disease and drug development, focusing on cancer. It details protease-activatable prodrugs and design strategies for next-generation therapeutics.
Area of Science:
- Biochemistry
- Pharmacology
- Oncology
Background:
- Proteases play critical roles in various disease processes, including cancer progression.
- Understanding protease function is key to developing targeted therapies.
Purpose of the Study:
- To review the significance of proteases in disease and their application in drug development.
- To discuss protease-activatable prodrugs and future design considerations.
Main Methods:
- Literature review of protease function in disease.
- Analysis of existing protease-targeted and protease-activatable prodrugs.
- Exploration of design principles for novel prodrugs.
Main Results:
- Identified key proteases and their involvement in disease pathogenesis.
- Highlighted clinical examples of successful protease-activatable prodrugs.
- Outlined essential design considerations for next-generation prodrugs.
Conclusions:
- Proteases represent promising targets for innovative drug development strategies.
- Protease-activatable prodrugs offer targeted therapeutic approaches, particularly in oncology.
- Further research into prodrug design can enhance therapeutic efficacy and specificity.
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