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Targeting Oncoproteins for Degradation by Small Molecule-Based Proteolysis-Targeting Chimeras (PROTACs) in Sex
Li Liu1,2, Lihong Shi1, Zhaodi Wang3
1Department of Clinical Pharmacy, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
Abstract:
Sex hormone-dependent cancers, including breast, ovary, and prostate cancer, contribute to the high number of cancer-related deaths worldwide. Steroid hormones promote tumor occurrence, development, and metastasis by acting on receptors, such as estrogen receptors (ERs), androgen receptors (ARs), and estrogen-related receptors (ERRs). Therefore, endocrine therapy targeting ERs, ARs, and ERRs represents the potential and pivotal therapeutic strategy in sex hormone-dependent cancers. Proteolysis-targeting chimeras (PROTACs) are a novel strategy that can harness the potential of the endogenous ubiquitin-proteasome system (UPS) to target and degrade specific proteins, rather than simply inhibiting the activity of target proteins. Small molecule PROTACs degrade a variety of proteins in cells, mice, and humans and are an emerging approach for novel drug development. PROTACs targeting ARs, ERs, ERRs, and other proteins in sex hormone-dependent cancers have been reported and may overcome the problem of resistance to existing endocrine therapy and receptor antagonist treatments. This review briefly introduces the PROTAC strategy and summarizes the progress on the development of small molecule PROTACs targeting oncoproteins in sex hormone-dependent cancers, focusing on breast and prostate cancers.
Insights
Proteolysis-targeting chimeras (PROTACs) offer a new way to degrade proteins driving hormone-dependent cancers like breast and prostate cancer. This novel approach may overcome resistance to current endocrine therapies.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Sex hormone-dependent cancers (breast, ovarian, prostate) are a major cause of cancer mortality worldwide.
- Steroid hormones mediate tumor growth via receptors like estrogen receptors (ERs) and androgen receptors (ARs).
- Targeting these receptors with endocrine therapy is a key strategy, but resistance is a challenge.
Purpose of the Study:
- To introduce the proteolysis-targeting chimera (PROTAC) strategy.
- To review the progress of small molecule PROTACs targeting oncoproteins in sex hormone-dependent cancers.
- To highlight PROTACs' potential to overcome endocrine therapy resistance.
Main Methods:
- Review of existing literature on PROTAC technology.
- Summary of PROTAC development for targeting ERs, ARs, and ERRs.
- Focus on applications in breast and prostate cancer treatment.
Main Results:
- PROTACs utilize the ubiquitin-proteasome system to degrade target proteins.
- Small molecule PROTACs have shown efficacy in preclinical and clinical studies.
- PROTACs targeting key receptors in hormone-dependent cancers are emerging.
Conclusions:
- PROTACs represent a promising therapeutic modality for hormone-dependent cancers.
- This approach offers a potential solution to overcome resistance to conventional endocrine therapies.
- Further development of PROTACs could revolutionize treatment for breast and prostate cancers.
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