Developing PROteolysis TArgeting Chimeras (PROTACs) for hematologic malignancies

Yangping Wu1, Jingliao Zhang1, Xiaofan Zhu1

  • 1Division of Pediatric Blood Diseases Center, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China; State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China.

Cancer Letters
|June 28, 2022
PubMed

Insights

PROteolysis TArgeting Chimeras (PROTACs) offer a novel therapeutic approach for hematologic malignancies by degrading target proteins. PROTACs show promise for treating "undruggable" cancers, despite design and clinical challenges.

Area of Science:

  • Biochemistry
  • Oncology
  • Drug Discovery

Background:

  • PROteolysis TArgeting Chimeras (PROTACs) leverage the ubiquitin-proteasome system for targeted protein degradation.
  • PROTACs present a significant advancement over traditional therapeutics for hematologic malignancies.
  • They offer enhanced efficacy, selectivity, and improved side effect profiles.

Purpose of the Study:

  • To review PROTACs with demonstrated preclinical and clinical potential in hematologic malignancies over the past five years.
  • To provide an overview of PROTACs' mechanism of action and recent breakthroughs.
  • To discuss the advantages and disadvantages of PROTACs in therapeutic applications.

Main Methods:

  • Literature review focusing on PROTACs in hematologic malignancies.
  • Analysis of preclinical efficacy and clinical trial data.
  • Discussion of design, synthesis, and evaluation challenges.

Main Results:

  • PROTACs show significant promise in degrading oncogenic proteins, including previously
  • undruggable
  • targets.
  • Recent studies highlight PROTACs' efficacy and selectivity in preclinical models of hematologic cancers.
  • Several PROTACs are advancing toward or are in clinical trials for these indications.

Conclusions:

  • PROTACs represent a powerful therapeutic strategy for hematologic malignancies, addressing unmet needs.
  • Optimization of PROTACs is crucial for overcoming current challenges in clinical application.
  • Continued development and clinical trials are expected to benefit patients with hematologic malignancies.