Proteolysis-Targeting Chimeras (PROTACs) in Cancer Therapy: Present and Future

Rui Li1, Miao Liu2, Zhenya Yang3

  • 1Sichuan Cancer Hospital and Institute, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China.

Insights

PROteolysis TArgeting Chimeras (PROTACs) offer a novel approach to degrade target proteins, showing promise in overcoming cancer drug resistance. This review details PROTAC technology, applications, and future directions for cancer therapy.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • PROteolysis TArgeting Chimeras (PROTACs) leverage the ubiquitin-proteasome system for selective protein degradation.
  • PROTACs present advantages over traditional inhibitors, including enhanced efficacy, selectivity, and overcoming drug resistance in cancer therapy.

Purpose of the Study:

  • To comprehensively review the historical development and recent advancements in PROTAC technology.
  • To focus on the structures, mechanisms, and applications of PROTACs in targeting tumor-related proteins.
  • To discuss PROTACs undergoing clinical trials for cancer treatment and future research avenues.

Main Methods:

  • Review of historical milestones and latest updates in PROTAC technology.
  • Analysis of PROTAC structures and mechanisms.
  • Compilation of representative PROTACs targeting cancer-related proteins and those in clinical trials.

Main Results:

  • PROTACs have emerged as a significant therapeutic strategy in cancer research over the past two decades.
  • Numerous PROTAC molecules targeting cancer-related proteins have been developed and entered clinical trials.
  • Key E3 ligases utilized in PROTAC design include CRBN, VHL, MDM2, and cIAP1.

Conclusions:

  • PROTAC technology offers a promising new paradigm for anti-cancer drug discovery.
  • Further research is needed to address current limitations and optimize PROTAC design for enhanced cancer therapy.
  • Future directions include refining PROTAC development for improved efficacy and broader clinical application.

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