A narrative review of proteolytic targeting chimeras (PROTACs): future perspective for prostate cancer therapy

Xuanrong Chen1, Haishan Shen2, Yi Shao1

  • 1Department of Urology, Tianjin Institute of Urology, The Second Hospital of Tianjin Medical University, Tianjin, China.

Insights

Proteolysis-TArgeting Chimeras (PROTACs) offer a novel approach to degrade transcription factors, overcoming previous "undruggable" limitations. This technology shows promise in prostate cancer treatment, with ongoing advancements and challenges being explored.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Transcription factors were historically considered undruggable targets for drug development.
  • Proteolysis-TArgeting Chimeras (PROTACs) leverage the ubiquitin-proteasome system for targeted protein degradation.
  • PROTAC technology presents a new strategy for developing anti-tumor targeted drugs.

Purpose of the Study:

  • To review the technological progress and challenges of PROTACs.
  • To summarize the advancements in PROTAC research for prostate cancer (PCa) treatment.
  • To discuss the future prospects of PROTAC development in oncology.

Main Methods:

  • Review of existing literature on PROTAC technology and its application in prostate cancer.
  • Analysis of PROTAC advantages, disadvantages, and specific examples like AR and CDK4/6 degraders.
  • Discussion of preclinical and clinical study outcomes.

Main Results:

  • PROTACs overcome limitations of targeting transcription factors, offering advantages over small molecule inhibitors.
  • Androgen receptor (AR) and CDK4/6 degraders have shown progress in preclinical and clinical studies for PCa.
  • PROTACs exhibit potential for oral administration and broad targeting but face challenges in specificity and controlled release.

Conclusions:

  • PROTAC technology represents a significant advancement in targeted therapy, particularly for prostate cancer.
  • Further research and modification of PROTACs are necessary to address challenges like non-cancer specificity and controlled release.
  • PROTACs hold considerable promise for future anti-tumor drug development.