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Updated: Oct 23, 2025

Chemical Inactivation of the E3 Ubiquitin Ligase Cereblon by Pomalidomide-based Homo-PROTACs
Published on: May 15, 2019
Developments of CRBN-based PROTACs as potential therapeutic agents
Chao Wang1, Yujing Zhang2, Yudong Wu1
1The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao Cancer Institute, Qingdao, 266071, Shandong, China.
Abstract:
Protease-targeted chimeras (PROTACs) are a new technology that is receiving much attention in the treatment of diseases. The mechanism is to inhibit protein function by hijacking the ubiquitin E3 ligase for protein degradation. Heterogeneous bifunctional PROTACs contain a ligand for recruiting E3 ligase, a linker, and another ligand to bind to the target protein for degradation. A variety of small-molecule PROTACs (CRBN, VHL, IAPs, MDM2, DCAF15, DCAF16, and RNF114-based PROTACs) have been identified so far. In particular, CRBN-based PROTACs (e.g., ARV-110 and ARV-471) have received more attention for their promising therapeutic intervention. To date, CRBN-based PRTOACs have been extensively explored worldwide and have excelled not only in cancer diseases but also in cardiovascular diseases, immune diseases, neurodegenerative diseases, and viral infections. In this review, we will provide a comprehensive update on the latest research progress in CRBN-based PRTOACs area. Following the criteria, such as disease area and drug target class, we will present the degradants in alphabetical order by target. We also provide our own perspective on the future prospects and potential challenges facing PROTACs.
Insights
Protease-targeted chimeras (PROTACs) harness the ubiquitin system for targeted protein degradation. This review focuses on Cereblon (CRBN)-based PROTACs, highlighting their broad therapeutic potential beyond cancer.
Area of Science:
- Biochemistry
- Molecular Biology
- Drug Discovery
Background:
- Protease-targeted chimeras (PROTACs) represent an innovative therapeutic modality.
- PROTACs function by recruiting E3 ubiquitin ligases to induce targeted protein degradation.
- Heterobifunctional PROTACs comprise an E3 ligase ligand, a linker, and a target protein ligand.
Purpose of the Study:
- To provide a comprehensive update on recent advancements in Cereblon (CRBN)-based PROTACs.
- To review the therapeutic applications of CRBN-based PROTACs across various disease areas.
- To discuss the future prospects and challenges associated with CRBN-based PROTAC technology.
Main Methods:
- Literature review of CRBN-based PROTAC research.
- Categorization of PROTACs by disease area and target class.
- Systematic presentation of degradants, alphabetized by target.
Main Results:
- Identification of various small-molecule PROTACs, including CRBN, VHL, IAPs, MDM2, DCAF15, DCAF16, and RNF114-based systems.
- CRBN-based PROTACs (e.g., ARV-110, ARV-471) show significant therapeutic promise.
- CRBN-based PROTACs have demonstrated efficacy in cancer, cardiovascular, immune, neurodegenerative, and infectious diseases.
Conclusions:
- CRBN-based PROTACs are a rapidly advancing field with broad therapeutic applicability.
- Continued research is crucial for overcoming potential challenges and realizing the full potential of PROTACs.
- CRBN-based PROTACs offer a promising new avenue for disease treatment.
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