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Cancer-Specific Delivery of Proteolysis-Targeting Chimeras (PROTACs) and Their Application to Cancer Immunotherapy
Yujeong Moon1,2, Seong Ik Jeon3, Man Kyu Shim2
1Department of Bioengineering, Korea University, Seoul 02841, Republic of Korea.
Abstract:
Proteolysis-targeting chimeras (PROTACs) are rapidly emerging as a potential therapeutic strategy for cancer therapy by inducing the degradation of tumor-overexpressing oncogenic proteins. They can specifically catalyze the degradation of target oncogenic proteins by recruiting E3 ligases and utilizing the ubiquitin-proteasome pathway. Since their mode of action is universal, irreversible, recyclable, long-lasting, and applicable to 'undruggable' proteins, PROTACs are gradually replacing the role of conventional small molecular inhibitors. Moreover, their application areas are being expanded to cancer immunotherapy as various types of oncogenic proteins that are involved in immunosuppressive tumor microenvironments. However, poor water solubility and low cell permeability considerably restrict the pharmacokinetic (PK) property, which necessitates the use of appropriate delivery systems for cancer immunotherapy. In this review, the general characteristics, developmental status, and PK of PROTACs are first briefly covered. Next, recent studies on the application of various types of passive or active targeting delivery systems for PROTACs are introduced, and their effects on the PK and tumor-targeting ability of PROTACs are described. Finally, recent drug delivery systems of PROTACs for cancer immunotherapy are summarized. The adoption of an adequate delivery system for PROTAC is expected to accelerate the clinical translation of PROTACs, as well as improve its efficacy for cancer therapy.
Insights
Proteolysis-targeting chimeras (PROTACs) offer a novel cancer therapy by degrading oncogenic proteins. Enhancing their delivery systems is crucial for improving pharmacokinetic properties and efficacy in cancer immunotherapy.
Area of Science:
- Oncology
- Biochemistry
- Drug Delivery
Background:
- Proteolysis-targeting chimeras (PROTACs) are emerging therapeutics for cancer, inducing targeted protein degradation.
- PROTACs leverage the ubiquitin-proteasome system to eliminate oncogenic proteins, offering advantages over traditional inhibitors.
- Their application is expanding into cancer immunotherapy by targeting proteins within the tumor microenvironment.
Purpose of the Study:
- To review the characteristics, development, and pharmacokinetic properties of PROTACs.
- To explore the application of various delivery systems for PROTACs in cancer immunotherapy.
- To summarize recent advancements in PROTAC drug delivery for enhanced therapeutic outcomes.
Main Methods:
- Review of existing literature on PROTACs and drug delivery systems.
- Analysis of passive and active targeting strategies for PROTAC delivery.
- Evaluation of the impact of delivery systems on PROTAC pharmacokinetics and tumor targeting.
Main Results:
- PROTACs demonstrate potential for treating cancers by degrading specific oncogenic proteins.
- Poor solubility and cell permeability of PROTACs necessitate advanced delivery systems.
- Targeted delivery systems can improve PROTAC pharmacokinetics and tumor accumulation.
Conclusions:
- Optimized delivery systems are essential for advancing PROTACs in cancer therapy and immunotherapy.
- Effective drug delivery strategies are key to overcoming PROTAC limitations and improving clinical translation.
- PROTACs, when coupled with appropriate delivery systems, hold significant promise for future cancer treatments.
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